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Monograph 4, 1994

Calling From the Rim: Suicidal Behavior among American Indian and Alaska Native Adolescents

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

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

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  

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   

Part 2: Clinical and Developmental Considerations

Indian Adolescent Suicide: Clinical and Developmental Considerations, 71-80 
Donald W. Bechtold, MD  

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  

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
PRIDE: Substance Abuse Education/Intervention Program, 122-133
Norm Dorpat, MS
The Blue Bay Healing Center: Community Development and Healing as Prevention, 134-165 
Candace M. Fleming, PhD

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   

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 

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
The State's Role in Suicide Prevention Programs for Alaska Native Youth, 235-249
Norma E. Forbes, PhD 


Synopsis, 250-260
James H. Shore, MD

Recommendations, 261-268

Participants, 269-279

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