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Outcome evaluation of a public health approach to suicide prevention in an American Indian Tribal Nation

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  • May, P.A.
  • Serna, P.
  • Hurt, L.
  • Debruyn, L.M.

Abstract

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.

Suggested Citation

  • May, P.A. & Serna, P. & Hurt, L. & Debruyn, L.M., 2005. "Outcome evaluation of a public health approach to suicide prevention in an American Indian Tribal Nation," American Journal of Public Health, American Public Health Association, vol. 95(7), pages 1238-1244.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.040410_5
    DOI: 10.2105/AJPH.2004.040410
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