Outcome evaluation of a public health approach to suicide prevention in an american Indian tribal nation
| Autor: | Philip A. May, Lance Hurt, Patricia Serna, Lemyra DeBruyn |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Gerontology
Adult Male Suicide Prevention medicine.medical_specialty Injury control Adolescent Research and Practice New Mexico Ethnic group Poison control Suicide prevention Occupational safety and health Age Distribution Injury prevention Medicine Humans Child business.industry Public health Public Health Environmental and Occupational Health Human factors and ergonomics Suicide Indians North American Linear Models Female Public Health business Self-Injurious Behavior Demography |
| Zdroj: | American journal of public health. 95(7) |
| ISSN: | 0090-0036 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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