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Suicide Among Diverse Youth pp 51–68Cite as

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

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Abstract

Suicide is the second leading cause of death for American Indian/Alaskan Native (AIAN) and Native Hawaiian Pacific Islander (NHPI) youth ages 15–24 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.

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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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Authors and Affiliations

  1. Department of Psychiatry and Behavioral Sciences, Division of Child and Adolescent Psychiatry, University of Washington School of Medicine, PO Box 357470, Seattle, WA, 98195, USA

    L. Lee Carlisle MD

  2. Department of Psychiatry and Behavioral Sciences, Oklahoma State University Center for Health Sciences, Family and Children’s Service, Sarah and John Graves Center, 2325 S. Harvard Avenue, Tulsa, OK, 74114, USA

    Rebecca Susan Daily MD, DFAPA, DFAACAP

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Correspondence to L. Lee Carlisle MD .

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Editors and Affiliations

  1. Department of Psychiatry, Cooper Medical School of Rowan, University Cooper Health System, Camden, New Jersey, USA

    Andres J Pumariega

  2. Department of Psychiatry, Tufts University School of Medicine, Tufts Medical Center, Boston, Massachusetts, USA

    Neha Sharma

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Lee Carlisle, L., Daily, R.S. (2018). Suicide Among American Indian, Alaskan Native, and Native Hawaiian Pacific Islander Youth: An Unrealized Future. In: Pumariega, A., Sharma, N. (eds) Suicide Among Diverse Youth. Springer, Cham. https://doi.org/10.1007/978-3-319-66203-9_4

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