Culturally Appropriate Evaluation of Tribally Based Suicide Prevention Programs: A Review of Current Approaches

P. Sahota, S. Kastelic
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引用次数: 8

Abstract

f A l l 2 0 1 2 W I C A Z O S A R E V I E W Suicide is a major health challenge in American Indian/Alaska Native (AI/AN) communities, particularly among youth. In 2004, suicide was the second leading cause of death for AI/ANs of all age groups, and the rate was higher than that for the general population. Among 10–14 year olds, 13.5 percent of deaths were from suicide, which is nearly twice the national rate of 7.2 percent.1 Rates of suicide attempt are highest for AI/AN young women, while young men are the most likely to complete suicide. In 2004, among 15–19 year old AI/ AN males, 32.2 percent of deaths were from suicide, which was 2.5 times the rate for males of all races in this age range (12.6 percent).2 Many factors contribute to the high prevalence of suicide in AI/AN communities, including mental illness, substance abuse, feelings of hopelessness or isolation, impulsive behavior, and a history of violence, substance abuse, or mental illness in their families. AI/ANs as a group also have specific risk factors for suicide, including historical trauma, such as boarding school experiences, high rates of poverty, unemployment, and geographic isolation.3 To assist tribes in preventing youth suicide, the Substance Abuse and Mental Health Services Administration (SAMHSA) within the U.S. Department of Health and Human Services (DHHS) published a detailed resource guide in 2010.4 The guide is titled To Live to See the Great Day That Dawns: Preventing Suicide by American Indian and Alaska Native Youth and Young Adults, and provides a comprehensive review of research studies and programs related Culturally Appropriate evaluation of tribally based suicide Prevention Programs A review of Current Approaches
以部落为基础的自杀预防计划的文化适宜性评估:当前方法的回顾
自杀是美国印第安人/阿拉斯加原住民(AI/AN)社区,特别是青年群体面临的主要健康挑战。2004年,自杀是所有年龄组人工智能/人工智能的第二大死因,自杀率高于一般人口的自杀率。在10-14岁的孩子中,13.5%的人死于自杀,这几乎是全国7.2%的两倍AI/AN年轻女性的自杀未遂率最高,而年轻男性最有可能完成自杀。2004年,在15-19岁的艾族/阿族男子中,32.2%的死亡是自杀,是该年龄段所有种族男子自杀率(12.6%)的2.5倍许多因素导致人工智能/人工智能社区自杀率高,包括精神疾病、药物滥用、绝望或孤立感、冲动行为以及家庭暴力史、药物滥用或精神疾病史。AI/ANs作为一个群体也有特定的自杀风险因素,包括历史创伤,如寄宿学校经历、高贫困率、失业率和地理隔离为了帮助部落预防青少年自杀,美国卫生与公众服务部下属的物质滥用和精神健康服务管理局(SAMHSA)在2010年发布了一份详细的资源指南,该指南的标题是:活着看到伟大的一天到来:预防自杀的美国印第安人和阿拉斯加土著青年和年轻人,并提供了一个全面的审查研究,研究和计划相关的文化适当评估基于部落的自杀预防计划
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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