OBJECTIVES: We evaluated the efficacy of 15 years of a public health-oriented suicidal-behavior prevention program among youths living on an American Indian reservation. METHODS: All suicides, suicide attempts, and suicidal gestures were monitored. Age-specific analyses over time were used to assess outcomes. RESULTS: Both descriptive and linear regression analyses indicated that a substantial drop occurred in suicidal gestures and attempts. Suicide deaths neither declined significantly nor increased, although the total number of self-destructive acts declined by 73% (P=.001). CONCLUSIONS: Data from this community-based approach document a remarkable downward trend-measured by both magnitude and temporal trends in the specifically targeted age cohorts-in suicidal acts. The sequential decrease in age-specific rates of suicide attempts and gestures is indicative of the program's success.
OBJECTIVES: We evaluated the efficacy of 15 years of a public health-oriented suicidal-behavior prevention program among youths living on an American Indian reservation. METHODS: All suicides, suicide attempts, and suicidal gestures were monitored. Age-specific analyses over time were used to assess outcomes. RESULTS: Both descriptive and linear regression analyses indicated that a substantial drop occurred in suicidal gestures and attempts. Suicide deaths neither declined significantly nor increased, although the total number of self-destructive acts declined by 73% (P=.001). CONCLUSIONS: Data from this community-based approach document a remarkable downward trend-measured by both magnitude and temporal trends in the specifically targeted age cohorts-in suicidal acts. The sequential decrease in age-specific rates of suicide attempts and gestures is indicative of the program's success.
Authors: Natalie Mota; Brenda Elias; Bruce Tefft; Maria Medved; Garry Munro; Jitender Sareen Journal: Am J Public Health Date: 2012-01-19 Impact factor: 9.308
Authors: David B Goldston; Sherry Davis Molock; Leslie B Whitbeck; Jessica L Murakami; Luis H Zayas; Gordon C Nagayama Hall Journal: Am Psychol Date: 2008-01
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Authors: Lisa Wexler; Michael Chandler; Joseph P Gone; Mary Cwik; Laurence J Kirmayer; Teresa LaFromboise; Teresa Brockie; Victoria O'Keefe; John Walkup; James Allen Journal: Am J Public Health Date: 2015-03-19 Impact factor: 9.308