Decreases in Suicide Deaths and Attempts Linked to the White Mountain Apache Suicide Surveillance and Prevention System, 2001–2012
| Autor: | John T. Walkup, Mary F. Cwik, Novalene Goklish, Alexandra Maschino, Allison Barlow, Francene Larzelere-Hinton, Lauren Tingey |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Suicide Prevention Gerontology Adolescent White Mountain Apache Poison control Suicide Attempted Suicide prevention Occupational safety and health Young Adult 03 medical and health sciences 0302 clinical medicine Injury prevention Humans Medicine 030212 general & internal medicine Young adult Child Aged 030505 public health business.industry Arizona Public Health Environmental and Occupational Health Human factors and ergonomics Middle Aged Suicide death Suicide Population Surveillance Indians North American Female AJPH Editorials 0305 other medical science business Demography |
| Zdroj: | Am J Public Health |
| ISSN: | 1541-0048 0090-0036 |
| DOI: | 10.2105/ajph.2016.303453 |
| Popis: | 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 from 40.0 to 24.7 per 100 000 (38.3% decrease), and the rate among those aged 15 to 24 years dropped from 128.5 to 99.0 per 100 000 (23.0% decrease). The annual number of attempts also dropped from 75 (in 2007) to 35 individuals (in 2012). National rates remained relatively stable during this time, at 10 to 13 per 100 000. Conclusions. Although national rates remained stable or increased slightly, the overall Apache suicide death rates dropped following the suicide prevention program. The community surveillance system served a critical role in providing a foundation for prevention programming and evaluation. |
| Databáze: | OpenAIRE |
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