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

  • L. Lee CarlisleEmail author
  • Rebecca Susan Daily


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.


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



American Indian


American Indian Alaskan Native


American Indian Alaskan Native/Native Hawaiian Pacific Islander


Alaskan Native


Autism spectrum disorder


Child protective services


Diagnostic Statistical Manual 5


Foster care


Indian health service


Mental health


Mental health provider


Native Hawaiian


Native Hawaiian Pacific Islander


Pacific Islander


Suicide attempt


Suicidal behavior


Suicidal ideation


United Nations Educational, Scientific and Cultural Organization


United States


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Copyright information

© Springer International Publishing AG 2018

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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