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Am J Public Health. 2005 Jul;95(7):1238-44. Epub 2005 Jun 2.

Outcome evaluation of a public health approach to suicide prevention in an american Indian tribal nation.

Author information

  • 1Department of Sociology, University of New Mexico, 2650 Yale Blvd, Albuquerque, NM 87106, USA. pmay@unm.edu

Abstract

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.

PMID:
15933239
[PubMed - indexed for MEDLINE]
PMCID:
PMC1380310
Free PMC Article
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