Suicides Among American Indian/Alaska Natives - National Violent Death Reporting System, 18 States, 2003-2014

MMWR. Morbidity and Mortality Weekly Report
Rachel A LeavittKatherine A Fowler

Abstract

Suicide disproportionately affects American Indians/Alaska Natives (AI/AN). The suicide rate among AI/AN has been increasing since 2003 (1), and in 2015, AI/AN suicide rates in the 18 states participating in the National Violent Death Reporting System (NVDRS) were 21.5 per 100,000, more than 3.5 times higher than those among racial/ethnic groups with the lowest rates.* To study completed suicides across all ages of AI/AN, NVDRS data collected from 2003 to 2014 were analyzed by comparing differences in suicide characteristics and circumstances between AI/AN and white decedents. Group differences were assessed using chi-squared tests and logistic regression. Across multiple demographics, incident characteristics, and circumstances, AI/AN decedents were significantly different from white decedents. More than one third (35.7%) of AI/AN decedents were aged 10-24 years (versus 11.1% of whites). Compared with whites, AI/AN decedents had 6.6 times the odds of living in a nonmetropolitan area, 2.1 times the odds of a positive alcohol toxicology result, and 2.4 times the odds of a suicide of a friend or family member affecting their death. Suicide prevention efforts should incorporate evidence-based, culturally relevant strategies at ind...Continue Reading

References

Nov 10, 2012·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Lisa WexlerElizabeth Bertone-Johnson
Apr 25, 2015·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Mary CwikJohn T Walkup

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Citations

May 9, 2019·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Lucas Godoy GarrazaChristine Walrath
Nov 30, 2019·Alcoholism, Clinical and Experimental Research·Raul CaetanoZoe Kaplan
Jun 10, 2019·Social Psychiatry and Psychiatric Epidemiology·Karla Therese L SyKatherine M Keyes
Jun 9, 2020·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Janessa M GravesDemetrius A Abshire
Sep 8, 2020·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Myra ParkerDennis Donovan
Apr 16, 2020·BMJ : British Medical Journal·Owen Dyer
Sep 21, 2019·Archives of Suicide Research : Official Journal of the International Academy for Suicide Research·Bina AliTed Miller
Aug 3, 2019·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Catherine R GlennAnne E Boatman
Mar 5, 2021·Psychiatric Services : a Journal of the American Psychiatric Association·Peiyin HungElizabeth Crouch
Apr 3, 2021·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Jessika H BottianiCatherine P Bradshaw
May 21, 2019·Journal of Affective Disorders·Melissa L Harry, Stephen C Waring
Jun 5, 2021·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Zachary PruittAnnie L Glover
Mar 24, 2021·Pediatrics·Shaquita BellUNKNOWN COMMITTEE ON NATIVE AMERICAN CHILD HEALTH
Nov 27, 2021·Qualitative Health Research·Mary CwikMariddie Craig

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