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Decreases in suicide deaths and attempts linked to the white mountain apache suicide surveillance and prevention system, 2001-2012

Author

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  • Cwik, M.F.
  • Tingey, L.
  • Maschino, A.
  • Goklish, N.
  • Larzelere-Hinton, F.
  • Walkup, J.
  • Barlow, A.

Abstract

Objectives. We evaluated the impact of a comprehensive, multitiered youth suicide prevention program among the White Mountain Apache of Arizona since its implementation in 2006. Methods. Using data from the tribally mandated Celebrating Life surveillance system, we compared the rates, numbers, and characteristics of suicide deaths and attempts from 2007 to 2012 with those from 2001 to 2006. Results.The overall Apache suicide death rates dropped from 40.0 to 24.7 per 100 000 (38.3% decrease), and the rate among those aged 15 to 24 years dropped from 128.5 to 99.0 per 100 000 (23.0% decrease). The annual number of attempts also dropped from 75 (in 2007) to 35 individuals (in 2012). National rates remained relatively stable during this time, at 10 to 13 per 100 000. Conclusions. Although national rates remained stable or increased slightly, the overall Apache suicide death rates dropped following the suicide prevention program. The community surveillance system served a critical role in providing a foundation for prevention programming and evaluation.

Suggested Citation

  • Cwik, M.F. & Tingey, L. & Maschino, A. & Goklish, N. & Larzelere-Hinton, F. & Walkup, J. & Barlow, A., 2016. "Decreases in suicide deaths and attempts linked to the white mountain apache suicide surveillance and prevention system, 2001-2012," American Journal of Public Health, American Public Health Association, vol. 106(12), pages 2183-2189.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303453_9
    DOI: 10.2105/AJPH.2016.303453
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    Cited by:

    1. Lauren Tingey & Francene Larzelere & Novalene Goklish & Summer Rosenstock & Larissa Jennings Mayo-Wilson & Elliott Pablo & Warren Goklish & Ryan Grass & Feather Sprengeler & Sean Parker & Allison Inga, 2020. "Entrepreneurial, Economic, and Social Well-Being Outcomes from an RCT of a Youth Entrepreneurship Education Intervention among Native American Adolescents," IJERPH, MDPI, vol. 17(7), pages 1-18, March.
    2. Tingey, Lauren & Larzelere, Francene & Goklish, Novalene & Rosenstock, Summer & Jennings Mayo-Wilson, Larissa & O'Keefe, Victoria & Pablo, Elliott & Goklish, Warren & Grass, Ryan & Sprengeler, Feather, 2020. "Behavioral and Mental Health outcomes from an RCT of a Youth Entrepreneurship Intervention among Native American Adolescents," Children and Youth Services Review, Elsevier, vol. 119(C).
    3. Nathaniel J. Pollock, 2019. "Place, the Built Environment, and Means Restriction in Suicide Prevention," IJERPH, MDPI, vol. 16(22), pages 1-5, November.

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