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Teresa LaFromboise, PhD lafrom@stanford

Suicide Prevention Strategies for American Indian/ Alaska Native Youth: Understanding the Importance of Culture . Teresa LaFromboise, PhD lafrom@stanford.edu. 24. 20. 16. 12. 8. 4. 0. Males. Females. Community-Driven Approach: American Indian Life Skills . -. Pueblo of Zuni.

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Teresa LaFromboise, PhD lafrom@stanford

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  1. Suicide Prevention Strategies for American Indian/Alaska Native Youth: Understanding the Importance of Culture Teresa LaFromboise, PhD lafrom@stanford.edu

  2. 24 20 16 12 8 4 0 Males Females Community-Driven Approach: American Indian Life Skills - Pueblo of Zuni

  3. Risk FactorsInterventionMediatingFactors Outcome Variables Acculturation Stress Historical Trauma Pervasive Poverty Community Violence Family Disruption Interpersonal Problems Depression Substance Abuse Psychological Disorder Age/Gender Ineffective Problem Solving Negative Thinking Ecological Factors Avoidant Coping Suicide AILS Intervention Social Factors Stress Effective Problem Solving Positive Thinking Approach Coping Resilient Adaptation Individual Factors LaFromboise & Fatima, 2011

  4. Historical Trauma Loss stemming from HT (daily or more thoughts about their tribe’s loss of land) is often on the minds of 20.5% of Native adolescents in the 11 to 13-yr. old age group .Whitbeck et al., 2009

  5. Acculturation Stress Vulnerable negative mental health outcomes: anxiety, depression, feelings of marginality, heightened psychosomatic symptom levels, and identity confusion Suicide rates were positively associated with acculturation stress and negatively associated with traditional integration in 18 tribes (Lester, 1999).

  6. Substance Abuse Of the 10 leading causes of death among Native adolescents, at least 3 are related to heavy alcohol use: Accidents, suicide, and homicide (Indian Health Service, 2002).

  7. Community Violence • Meichenbaum reported on 85 Inuit youth sexually abused by a teacher: suicide rate of Inuit males was 119/100,000. Suicide rate among the cohort of sexually abused Inuit male youth: 200/100,000.

  8. American Indian Life Skills Target Skills Positive thinking / Problem solving • Open communication • Handling depression • Stress management • Anger regulation • Suicide prevention • Goal setting

  9. Effectiveness of the American Indian Life Skills (N=128) Student Posttest Survey • Hopelessness • Confidence in ability to manage anger Behavioral Role Play Study • Peer suicide intervention skills • Peer problem solving skills

  10. Effectiveness of Public Health Approach for Suicide Prevention May et al., 2005

  11. San Juan County PartnershipEvaluation of AILS (N=90) Effect of Time on Outcomes at Post-Test Controlling for Pretest Scores Hopelessness* Suicide Risk * Public Collective Esteem* (What participants believe others think about their race/ethnicity) Self-Efficacy** Self-Awareness*** *p<.05, **p<.01. ***p<.001 Thank You

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