Outcome Evaluation of a Public Health Approach to Suicide Prevention in an American Indian Tribal Nation.

Autor:	May, Philip A., Serna, Patricia, Hurt, Lance, DeBruyn, Lemyra M.
Předmět:	SUICIDE prevention MENTAL health services SUICIDAL behavior SUICIDAL behavior in young adults NATIVE Americans
Zdroj:	American Journal of Public Health; Jul2005, Vol. 95 Issue 7, p1238-1244, 7p, 3 Charts, 2 Graphs
Abstrakt:	Objectives. We evaluated the efficacy of 15 years of a public health-oriented suicidal-behavior prevention program among youths living on an American Indian reservation. Methods. All suicides, suicide attempts, and suicidal gestures were monitored. Age-specific analyses over time were used to assess outcomes. Results. Both descriptive and linear regression analyses indicated that a substantial drop occurred in suicidal gestures and attempts. Suicide deaths neither declined significantly nor increased, although the total number of self-destructive acts declined by 73% (P=.001). Conclusions. Data from this community-based approach document a remarkable downward trend--measured by both magnitude and temporal trends in the specifically targeted age cohorts--in suicidal acts. The sequential decrease in age-specific rates of suicide attempts and gestures is indicative of the program's success. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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