Risk Pathways for Suicide Among Native American Adolescents

Bibliographic Data

ID4716657
AuthorsLauren Tingey (0000-0001-6377-5151, Johns Hopkins University, Baltimore, Maryland, USA), M Cwik (0000-0003-0551-2649, Johns Hopkins University), Mary F Cwik (Johns Hopkins University, Baltimore, Maryland, USA), Novalene Goklish (0000-0001-8478-4604, Johns Hopkins University, Baltimore, Maryland, USA), Francene Larzelere-Hinton (Johns Hopkins University, Baltimore, Maryland, USA), Francene Larzelere‐Hinton (Johns Hopkins University), Angelita Lee (Johns Hopkins University, Baltimore, Maryland, USA), Rosemarie Suttle (Johns Hopkins University, Baltimore, Maryland, USA), John T Walkup (0000-0002-4982-6474, Weill Cornell Medical College, New York City, New York, USA), A Barlow (0000-0002-5071-1877, Johns Hopkins University, Baltimore, Maryland, USA)
Year2014
Volume24
Issue11
Pages1518-1526
Publication date2014-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732314548688
PMID25168705
OpenAlexW2157265234
LanguageEN
Citations received18
References cited25

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 individual, family, community, and societal factors that affect youths' pathways to suicide, along with a variety of subthemes and constructs. Some themes parallel established models of suicide risk; however, others are unique to the experience of this sample, including the impact of overtaxed households and family composition, significant grief burden, contagion, and stigma surrounding treatment seeking. We suggest adaptations of existing themes and constructs in the model. We discuss practical implications for research and intervention development, along with strengths and limitations of the study

Genealogy · Injury prevention · Medical emergency · Native american · Occupational safety and health · Poison control · Suicide prevention · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · History · Human Factors and Ergonomics · Medicine · Psychology · Resilience and Mental Health · Suicide and Self-Harm Studies