M Cwik
Biographic Data
| ID | 34001 |
|---|---|
| NAME | M Cwik |
| GIVEN NAMES | M |
| FAMILY NAME | Cwik |
| SIGNATURE | CWIK M |
| AFFILIATIONS | Johns Hopkins University |
| ORCID | 0000-0003-0551-2649 |
| VERIFIED | Yes |
| TOTAL WORKS | 20 |
| TOTAL CITATIONS | 74 |
| AUTHOR COUNT | 20 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2004 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 6 |
Systematic Review and Meta-Analysis of Anxiety and Depression Among American Indian and Alaska Native Adolescents in the United States
American Indian and Alaska Native (AI/AN) adolescents experience considerable mental health disparities, yet research on the prevalence of anxiety and depression remains limited. The objectives of this study were to assess available depression and anxiety data among AI/AN adolescents in the literature and to estimate depression prevalence and mean scores. A systematic review of the Medline, Embase, and PsycINFO databases identified publications r…
Protecting Native Families from Covid-19
The COVID-19 pandemic highlighted longstanding health inequities, particularly among American Indian/Alaska Native (AIAN) communities, which experienced disproportionately high morbidity and mortality. This manuscript documents the implementation, adaptation, and lessons learned from a randomized controlled trial (RCT) conducted during a rapidly evolving pandemic context. The RCT tested two public health interventions: (1) a motivational intervie…
Factors Influencing Behaviors to Reduce the Spread of Covid-19 Among Indigenous Families in the Southwest, United States
Indigenous communities in the United States (U.S.) have been disproportionately impacted by COVID-19, yet they have led efforts to combat the pandemic by providing local solutions that minimize viral transmission and promote vaccine uptake. Understanding facilitators and barriers to recommended behaviors can increase adherence and reduce COVID-19 transmission. We conducted a descriptive qualitative study using in-depth interviews with 19 Indigeno…
Facilitators and Barriers to Implementing a Community Suicide Database and Prevention Program in Diverse Tribal Communities
Suicide is the second leading cause of death for American Indian youth, far surpassing the rates of suicide experienced by other races. The White Mountain Apache Tribe has made significant impacts on suicide risk by implementing a robust suicide prevention program which includes a community-led database and case management follow-ups. Due to the success of the program in preventing suicides, the White Mountain Apache team has worked with other tr…
Understanding opioid use within a Southwestern American Indian Reservation Community
PURPOSE: Morbidity and mortality due to nonprescription use of opioids has been well documented following the significant increase in the availability of prescription opioids in the early 2000s. The aim of this paper is to explore community beliefs about correlates of opioid risk, protective factors, and behavioral functions of opioid misuse among American Indian youth and young adults living on or near a reservation. METHODS: Qualitative in-dept…
Empowering our people
Purpose Substance use and sexual risk‐taking have been shown to co‐occur. Programs focused on sexually transmitted infections (STIs) reduction may benefit substance‐using, particularly binge substance‐using, adults. This is especially true for rural Native American communities who endure sexual and substance use disparities and have few STI risk reduction programs. This study explores factors predicting retention in an STI risk reduction program …
Centering Indigenous Knowledges and Worldviews
Globally, Indigenous communities, leaders, mental health providers, and scholars have called for strengths-based approaches to mental health that align with Indigenous and holistic concepts of health and wellness. We applied the Indigenist Ecological Systems Model to strengths-based case examples of Indigenous youth mental health and wellness work occurring in CANZUS (Canada, Australia, New Zealand, and United States). The case examples include r…
Development of “Culture Forward
OBJECTIVE: Indigenous knowledge and practices promote American Indian/Alaska Native (AI/AN; Native) communities' health and well-being. Historical losses and continued oppression have resulted in disproportionately higher AI/AN youth suicide rates. This article describes the development of a new national resource guide titled "CULTURE FORWARD" for tribal leaders and stakeholders to support youth suicide prevention efforts through cultural strengt…
Community Perspectives on Social Influences on Suicide Within a Native American Reservation
Relative to the general population, Native Americans (NA) bear a disproportionate burden of suicide-related mortality rates. NA males and females aged 15 to 24 years experience suicide rates nearly 3 times than the U.S. all races rates in this age group. Although efforts have been made to understand and reduce suicide in tribal communities, a large portion has focused on individual characteristics with less attention given to social factors that …
Wakȟáŋyeža (Little Holy One) - an intergenerational intervention for Native American parents and children
ClinicalTrials.gov: NCT04201184 . Registered 11 December 2019
Social Network Differences Between American Indian Youth Who have Attempted Suicide and Have Suicide Ideation
Suicide Ideation and Depression Quality of Life Ratings in a Reservation-Based Community of Native American Youths and Young Adults
Suicide among adolescents is a significant public health concern in the U.S., especially within American Indian and Alaska Native (AIAN) communities. Lack of quality of life (QoL) estimates for both suicide ideation and depression specific to the AIAN population hinders the ability to compare interventions in cost-effectiveness analysis. We surveyed 200 AI youth and young adults from the Fort Apache Indian Reservation to estimate utility weights …
Employing a sequential multiple assignment randomized trial (SMART) to evaluate the impact of brief risk and protective factor prevention interventions for American Indian Youth Suicide
Clinical Trials NCT03543865, June 1, 2018
Let our Apache Heritage and Culture Live on Forever and Teach the Young Ones”
Highlights This study is only one of few that describe the development of a ground up prevention intervention. This process can be replicated by other tribes to promote cultural beliefs, traditions and language. The Elders’ Curriculum is an intergenerational approach that taps cultural and community strengths
Decreases in Suicide Deaths and Attempts Linked to the White Mountain Apache Suicide Surveillance and Prevention System, 2001–2012
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 …
Advancing Suicide Prevention Research With Rural American Indian and Alaska Native Populations
As part of the National Action Alliance for Suicide Prevention’s American Indian and Alaska Native (AI/AN) Task Force, a multidisciplinary group of AI/AN suicide research experts convened to outline pressing issues related to this subfield of suicidology. Suicide disproportionately affects Indigenous peoples, and remote Indigenous communities can offer vital and unique insights with relevance to other rural and marginalized groups. Outcomes from …
Community-Based Surveillance and Case Management for Suicide Prevention
The National Strategy for Suicide Prevention highlights the importance of improving the timeliness, usefulness, and quality of national suicide surveillance systems, and expanding local capacity to collect relevant data. This article describes the background, methods, process data, and implications from the first-of-its-kind community-based surveillance system for suicidal and self-injurious behavior developed by the White Mountain Apache Tribe w…
Risk Pathways for Suicide Among Native American Adolescents
Native American (Native) adolescents have the highest suicide rates in the United States, yet no conceptual models describing risk factors specific to this population exist. We sought to further hone a Native-specific conceptual model developed from quantitative data with qualitative data collected from a longitudinal series of interviews with ( N = 22) Native adolescents who had attempted suicide. Four levels of suicide risk emerged, detailing i…
Toward Understanding Suicide Among Youths
Objectives. We examined suicide and suicide attempt rates, patterns, and risk factors among White Mountain Apache youths (aged Methods. Apache paraprofessionals gathered data as part of a tribally mandated suicide surveillance system. We compared findings to other North American populations. Results. Between 2001 and 2006, 61% of Apache suicides occurred among youths younger than 25 years. Annual rates among those aged 15 to 24 years were highest…
The Contribution of Executive Functions to Emergent Mathematic Skills in Preschool Children
Mathematical ability is related to both activation of the prefrontal cortex in neuroimaging studies of adults and to executive functions in school-age children. The purpose of this study was to determine whether executive functions were related to emergent mathematical proficiency in preschool children. Preschool children (N = 96) were administered an executive function battery that was reduced empirically to working memory (WM), inhibitory contr…
Advancing Suicide Prevention Research With Rural American Indian and Alaska Native Populations
As part of the National Action Alliance for Suicide Prevention’s American Indian and Alaska Native (AI/AN) Task Force, a multidisciplinary group of AI/AN suicide research experts convened to outline pressing issues related to this subfield of suicidology. Suicide disproportionately affects Indigenous peoples, and remote Indigenous communities can offer vital and unique insights with relevance to other rural and marginalized groups. Outcomes from …
Toward Understanding Suicide Among Youths
Objectives. We examined suicide and suicide attempt rates, patterns, and risk factors among White Mountain Apache youths (aged Methods. Apache paraprofessionals gathered data as part of a tribally mandated suicide surveillance system. We compared findings to other North American populations. Results. Between 2001 and 2006, 61% of Apache suicides occurred among youths younger than 25 years. Annual rates among those aged 15 to 24 years were highest…
Community-Based Surveillance and Case Management for Suicide Prevention
The National Strategy for Suicide Prevention highlights the importance of improving the timeliness, usefulness, and quality of national suicide surveillance systems, and expanding local capacity to collect relevant data. This article describes the background, methods, process data, and implications from the first-of-its-kind community-based surveillance system for suicidal and self-injurious behavior developed by the White Mountain Apache Tribe w…
Decreases in Suicide Deaths and Attempts Linked to the White Mountain Apache Suicide Surveillance and Prevention System, 2001–2012
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 …
Let our Apache Heritage and Culture Live on Forever and Teach the Young Ones”
Highlights This study is only one of few that describe the development of a ground up prevention intervention. This process can be replicated by other tribes to promote cultural beliefs, traditions and language. The Elders’ Curriculum is an intergenerational approach that taps cultural and community strengths
Risk Pathways for Suicide Among Native American Adolescents
Native American (Native) adolescents have the highest suicide rates in the United States, yet no conceptual models describing risk factors specific to this population exist. We sought to further hone a Native-specific conceptual model developed from quantitative data with qualitative data collected from a longitudinal series of interviews with ( N = 22) Native adolescents who had attempted suicide. Four levels of suicide risk emerged, detailing i…
Community Perspectives on Social Influences on Suicide Within a Native American Reservation
Relative to the general population, Native Americans (NA) bear a disproportionate burden of suicide-related mortality rates. NA males and females aged 15 to 24 years experience suicide rates nearly 3 times than the U.S. all races rates in this age group. Although efforts have been made to understand and reduce suicide in tribal communities, a large portion has focused on individual characteristics with less attention given to social factors that …
Social Network Differences Between American Indian Youth Who have Attempted Suicide and Have Suicide Ideation
The Contribution of Executive Functions to Emergent Mathematic Skills in Preschool Children
Mathematical ability is related to both activation of the prefrontal cortex in neuroimaging studies of adults and to executive functions in school-age children. The purpose of this study was to determine whether executive functions were related to emergent mathematical proficiency in preschool children. Preschool children (N = 96) were administered an executive function battery that was reduced empirically to working memory (WM), inhibitory contr…
Toward Understanding Suicide Among Youths
Objectives. We examined suicide and suicide attempt rates, patterns, and risk factors among White Mountain Apache youths (aged Methods. Apache paraprofessionals gathered data as part of a tribally mandated suicide surveillance system. We compared findings to other North American populations. Results. Between 2001 and 2006, 61% of Apache suicides occurred among youths younger than 25 years. Annual rates among those aged 15 to 24 years were highest…
Community-Based Surveillance and Case Management for Suicide Prevention
The National Strategy for Suicide Prevention highlights the importance of improving the timeliness, usefulness, and quality of national suicide surveillance systems, and expanding local capacity to collect relevant data. This article describes the background, methods, process data, and implications from the first-of-its-kind community-based surveillance system for suicidal and self-injurious behavior developed by the White Mountain Apache Tribe w…
Risk Pathways for Suicide Among Native American Adolescents
Native American (Native) adolescents have the highest suicide rates in the United States, yet no conceptual models describing risk factors specific to this population exist. We sought to further hone a Native-specific conceptual model developed from quantitative data with qualitative data collected from a longitudinal series of interviews with ( N = 22) Native adolescents who had attempted suicide. Four levels of suicide risk emerged, detailing i…
Advancing Suicide Prevention Research With Rural American Indian and Alaska Native Populations
As part of the National Action Alliance for Suicide Prevention’s American Indian and Alaska Native (AI/AN) Task Force, a multidisciplinary group of AI/AN suicide research experts convened to outline pressing issues related to this subfield of suicidology. Suicide disproportionately affects Indigenous peoples, and remote Indigenous communities can offer vital and unique insights with relevance to other rural and marginalized groups. Outcomes from …
Decreases in Suicide Deaths and Attempts Linked to the White Mountain Apache Suicide Surveillance and Prevention System, 2001–2012
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 …
Employing a sequential multiple assignment randomized trial (SMART) to evaluate the impact of brief risk and protective factor prevention interventions for American Indian Youth Suicide
Clinical Trials NCT03543865, June 1, 2018
Let our Apache Heritage and Culture Live on Forever and Teach the Young Ones”
Highlights This study is only one of few that describe the development of a ground up prevention intervention. This process can be replicated by other tribes to promote cultural beliefs, traditions and language. The Elders’ Curriculum is an intergenerational approach that taps cultural and community strengths
Wakȟáŋyeža (Little Holy One) - an intergenerational intervention for Native American parents and children
ClinicalTrials.gov: NCT04201184 . Registered 11 December 2019
Social Network Differences Between American Indian Youth Who have Attempted Suicide and Have Suicide Ideation
Suicide Ideation and Depression Quality of Life Ratings in a Reservation-Based Community of Native American Youths and Young Adults
Suicide among adolescents is a significant public health concern in the U.S., especially within American Indian and Alaska Native (AIAN) communities. Lack of quality of life (QoL) estimates for both suicide ideation and depression specific to the AIAN population hinders the ability to compare interventions in cost-effectiveness analysis. We surveyed 200 AI youth and young adults from the Fort Apache Indian Reservation to estimate utility weights …
Empowering our people
Purpose Substance use and sexual risk‐taking have been shown to co‐occur. Programs focused on sexually transmitted infections (STIs) reduction may benefit substance‐using, particularly binge substance‐using, adults. This is especially true for rural Native American communities who endure sexual and substance use disparities and have few STI risk reduction programs. This study explores factors predicting retention in an STI risk reduction program …
Centering Indigenous Knowledges and Worldviews
Globally, Indigenous communities, leaders, mental health providers, and scholars have called for strengths-based approaches to mental health that align with Indigenous and holistic concepts of health and wellness. We applied the Indigenist Ecological Systems Model to strengths-based case examples of Indigenous youth mental health and wellness work occurring in CANZUS (Canada, Australia, New Zealand, and United States). The case examples include r…
Development of “Culture Forward
OBJECTIVE: Indigenous knowledge and practices promote American Indian/Alaska Native (AI/AN; Native) communities' health and well-being. Historical losses and continued oppression have resulted in disproportionately higher AI/AN youth suicide rates. This article describes the development of a new national resource guide titled "CULTURE FORWARD" for tribal leaders and stakeholders to support youth suicide prevention efforts through cultural strengt…
Community Perspectives on Social Influences on Suicide Within a Native American Reservation
Relative to the general population, Native Americans (NA) bear a disproportionate burden of suicide-related mortality rates. NA males and females aged 15 to 24 years experience suicide rates nearly 3 times than the U.S. all races rates in this age group. Although efforts have been made to understand and reduce suicide in tribal communities, a large portion has focused on individual characteristics with less attention given to social factors that …
Understanding opioid use within a Southwestern American Indian Reservation Community
PURPOSE: Morbidity and mortality due to nonprescription use of opioids has been well documented following the significant increase in the availability of prescription opioids in the early 2000s. The aim of this paper is to explore community beliefs about correlates of opioid risk, protective factors, and behavioral functions of opioid misuse among American Indian youth and young adults living on or near a reservation. METHODS: Qualitative in-dept…
Factors Influencing Behaviors to Reduce the Spread of Covid-19 Among Indigenous Families in the Southwest, United States
Indigenous communities in the United States (U.S.) have been disproportionately impacted by COVID-19, yet they have led efforts to combat the pandemic by providing local solutions that minimize viral transmission and promote vaccine uptake. Understanding facilitators and barriers to recommended behaviors can increase adherence and reduce COVID-19 transmission. We conducted a descriptive qualitative study using in-depth interviews with 19 Indigeno…
Facilitators and Barriers to Implementing a Community Suicide Database and Prevention Program in Diverse Tribal Communities
Suicide is the second leading cause of death for American Indian youth, far surpassing the rates of suicide experienced by other races. The White Mountain Apache Tribe has made significant impacts on suicide risk by implementing a robust suicide prevention program which includes a community-led database and case management follow-ups. Due to the success of the program in preventing suicides, the White Mountain Apache team has worked with other tr…
Protecting Native Families from Covid-19
The COVID-19 pandemic highlighted longstanding health inequities, particularly among American Indian/Alaska Native (AIAN) communities, which experienced disproportionately high morbidity and mortality. This manuscript documents the implementation, adaptation, and lessons learned from a randomized controlled trial (RCT) conducted during a rapidly evolving pandemic context. The RCT tested two public health interventions: (1) a motivational intervie…
Systematic Review and Meta-Analysis of Anxiety and Depression Among American Indian and Alaska Native Adolescents in the United States
American Indian and Alaska Native (AI/AN) adolescents experience considerable mental health disparities, yet research on the prevalence of anxiety and depression remains limited. The objectives of this study were to assess available depression and anxiety data among AI/AN adolescents in the literature and to estimate depression prevalence and mean scores. A systematic review of the Medline, Embase, and PsycINFO databases identified publications r…
Medicine (16 works) · Poison control (13 works) · Suicide prevention (13 works) · Psychology (11 works) · Environmental health (10 works) · Psychiatry (10 works) · Suicide and Self-Harm Studies (10 works) · Indigenous Health, Education, and Rights (8 works) · Gerontology (7 works) · Sociology (7 works)