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Risk factors for suicide attempts among Navajo adolescents

Author

Listed:
  • Grossman, D.C.
  • Milligan, B.C.
  • Deyo, R.A.

Abstract

Background: Rates of adolescent suicide in the United States are highest among Native Americans but little is known about risk factors for suicide attempts in this population. Methods: To identify risk factors for self-reported suicide attempts by Navajo adolescents, we analyzed the 1988 Indian Health Service Adolescent Health Survey that was administered to 7,254 students in grades 6 through 12 on the Navajo reservation. The responses of students reporting a past suicide attempt were compared to others. Results: Nearly 15 percent (N = 971) reported a previous suicide attempt; over half of those admitted to more than one attempt. Controlling for age, a logistic regression model revealed the following associations with suicide attempts: a history of mental health problems (OR = 3.2); alienation from family and community (OR = 3.2); having a friend who attempted suicide (OR = 2.8); weekly consumption of hard liquor (OR = 2.7); a family history of a suicide or attempt (OR = 2.3); poor self-perception of health (OR = 2.2); a history of physical abuse (OR = 1.9); female gender (OR = 1.7); and sexual abuse (OR = 1.5). Conclusions: Efforts to prevent adolescent suicide attempts in this population should target individuals with those risk factors of the highest risk and prevalence of exposure.

Suggested Citation

  • Grossman, D.C. & Milligan, B.C. & Deyo, R.A., 1991. "Risk factors for suicide attempts among Navajo adolescents," American Journal of Public Health, American Public Health Association, vol. 81(7), pages 870-874.
    • Handle: RePEc:aph:ajpbhl:1991:81:7:870-874_7
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    Cited by:

    1. For the Cedar Project Partnership & Pearce, Margo E. & Christian, Wayne M. & Patterson, Katharina & Norris, Kat & Moniruzzaman, Akm & Craib, Kevin J.P. & Schechter, Martin T. & Spittal, Patricia M., 2008. "The Cedar Project: Historical trauma, sexual abuse and HIV risk among young Aboriginal people who use injection and non-injection drugs in two Canadian cities," Social Science & Medicine, Elsevier, vol. 66(11), pages 2185-2194, June.
    2. Jessica Hack & Graham Martin, 2018. "Expressed Emotion, Shame, and Non-Suicidal Self-Injury," IJERPH, MDPI, vol. 15(5), pages 1-18, April.
    3. Nahid Darvishi & Mehran Farhadi & Tahereh Haghtalab & Jalal Poorolajal, 2015. "Alcohol-Related Risk of Suicidal Ideation, Suicide Attempt, and Completed Suicide: A Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(5), pages 1-14, May.

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