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Suicide Among American Indian, Alaskan Native, and Native Hawaiian Pacific Islander Youth: An Unrealized Future

  • L. Lee CarlisleEmail author
  • Rebecca Susan Daily
Chapter

Abstract

Suicide is the second leading cause of death for American Indian/Alaskan Native (AIAN) and Native Hawaiian Pacific Islander (NHPI) youth ages 1524 years, sixth leading cause of death for AIAN males (Khan, Visions: BC’s Ment Health Addict J 5:6, 2008), and third for all NHPI youth age 10–14 years (Heron, Natl Vital Stat Rep 65:1, 2016). Cultural issues add a level of complexity to developing treatment plans and interventions, while historical trauma adds to the severity of usual risk factors for AIAN/NHPI youth. Presented is the case of a suicidal child and how the team utilized culturally appropriate treatment interventions. Mental health providers can help prevent suicide among this vulnerable group by having a better understanding of the cultural and historical contributors to the risk factors for suicide among AIAN/NHPI youth.

Keywords

Hawaiian Historical trauma Native Culture Suicide Alaskan Indian Youth Poverty Pacific Islander 

Abbreviations

AI

American Indian

AIAN

American Indian Alaskan Native

AIAN/NHPI

American Indian Alaskan Native/Native Hawaiian Pacific Islander

AN

Alaskan Native

ASD

Autism spectrum disorder

CPS

Child protective services

DSM5

Diagnostic Statistical Manual 5

FC

Foster care

IHS

Indian health service

MH

Mental health

MHP

Mental health provider

NH

Native Hawaiian

NHPI

Native Hawaiian Pacific Islander

PI

Pacific Islander

SA

Suicide attempt

SB

Suicidal behavior

SI

Suicidal ideation

UNESCO

United Nations Educational, Scientific and Cultural Organization

US

United States

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Copyright information

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Authors and Affiliations

  1. 1.Department of Psychiatry and Behavioral Sciences, Division of Child and Adolescent PsychiatryUniversity of Washington School of MedicineSeattleUSA
  2. 2.Department of Psychiatry and Behavioral SciencesOklahoma State University Center for Health Sciences, Family and Children’s Service, Sarah and John Graves CenterTulsaUSA

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