Monograph 4, 1994

This monograph contains the proceedings of a National Institute of Mental Health-funded research conference addressing suicidal behavior among American Indian and Alaska Native adolescents. This meeting convened nationally recognized experts who are working on a variety of projects that relate directly to the identification of risk factors for and prevention of suicide among adolescents in general, and among Indian and Native communities specifically. The meeting was cosponsored by the American Indian Child Committee of the American Academy of Child Psychiatry and the Indian Health Service's Office of Mental Health Programs. Eleven major overview and position papers presented at the conference, as well as portions of edited meeting discussions, constitute the major elements of this monograph. Topics include epidemiological issues, clinical and developmental considerations, federal and state experience, current programmatic efforts, and influential aspects of special institutional settings such as boarding schools and detention environments. This monograph contains a comprehensive review of relevant research knowledge of adolescent suicidal behavior of American Indians and Alaska Natives, the identification of gaps in this current knowledge base, promising new areas of study, and an outline of the recommendations and priorities such research should follow. This conference was a unique opportunity to summarize the state of suicidal behavior research in the context of this special population.

Front End, i-viii

Introduction, ix-xiv

Christine Wilson Duclos, MPH, and Spero M. Manson, PhD


Part 1: Epidemiology


Indian Adolescent Suicide: The Epidemiologic Picture in New Mexico, 2-34 

Philip A. May, PhD, and Nancy Westlake Van Winkle, PhD  

doi: 10.5820/aian.mono04.1994.2


A Study of Suicide Attempts Comparing Adolescents to Adults on a Northern Plains American Indian Reservation, 35-70

Darryl Zitzow, PhD, and Fred Desjarlait, BS   

doi: 10.5820/aian.mono04.1994.35


Part 2: Clinical and Developmental Considerations


Indian Adolescent Suicide: Clinical and Developmental Considerations, 71-80 

Donald W. Bechtold, MD  

doi: 10.5820/aian.mono04.1994.71


Depressive and Suicidal Symptoms in Indian School Children: Findings From the Flower of Two Soils, 81-97

William H. Sack, MD, Morton Beiser, MD, Gloria Baker-Brown, MA, and Roy Redshirt, BS  

doi: 10.5820/aian.mono04.1994.81


Part 3: Programmatic Efforts


The Zuni Life Skills Development Curriculum: A Collaborative Approach to Curriculum Development, 98-121

Teresa D. LaFromboise, PhD, and Beth Howard-Pitney, PhD

doi: 10.5820/aian.mono04.1994.98


PRIDE: Substance Abuse Education/Intervention Program, 122-133

Norm Dorpat, MS

doi: 10.5820/aian.mono04.1994.122


The Blue Bay Healing Center: Community Development and Healing as Prevention, 134-165 

Candace M. Fleming, PhD

doi: 10.5820/aian.mono04.1994.134


Part 4: Special Settings


Suicide Ideation and Suicide Attempt among American Indian and Alaska Native Boarding School Adolescents, 167-188

Norman G. Dinges, PhD, and Quang Duong-Tran, MA   

doi: 10.5820/aian.mono04.1994.167


American Indian Adolescent Suicidal Behavior in Detention Environments: Cause for Continued Basic and Applied Research, 189-221

Christine Wilson Duclos, MPH, Warren LeBeau, MS, and Gail Leslie Elias, MPA 

doi: 10.5820/aian.mono04.1994.189


Part 5: Federal and State Experience


When Communities Are in Crisis: Planning for Response to Suicides and Suicide Attempts among American Indian Tribes, 223-234

Lemyra DeBruyn, PhD, Karen Hymbaugh, MPH, Daniel Simpson, ACSW, Beverly Wilkins, and Scott Nelson, MD

doi: 10.5820/aian.mono04.1994.223


The State's Role in Suicide Prevention Programs for Alaska Native Youth, 235-249

Norma E. Forbes, PhD 

doi: 10.5820/aian.mono04.1994.235


Synopsis, 250-260

James H. Shore, MD

doi: 10.5820/aian.mono04.1994.250


Recommendations, 261-268

doi: 10.5820/aian.mono04.1994.261


Participants, 269-279

doi: 10.5820/aian.mono04.1994.269

Centers for American Indian & Alaska Native Health

Colorado School of Public Health

CU Anschutz

Nighthorse Campbell Native Health Building

13055 East 17th Avenue

Mail Stop F800

Aurora, CO 80045

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