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Suicide mortality among American Indians and Alaska Natives, 1999-2009

Author

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  • Herne, M.A.
  • Bartholomew, M.L.
  • Weahkee, R.L.

Abstract

Objectives. We assessed national and regional suicide mortality for American Indian and Alaska Native (AI/AN) persons. Methods. We used 1999 to 2009 death certificate data linked with Indian Health Service (IHS) patient registration data to examine death rates from suicide in AI/AN and White persons. Analysis focused primarily on residents of IHS Contract Health Service Delivery Area counties; Hispanics were excluded. We used age-adjusted death rates per 100 000 population and stratified our analyses by age and IHS region. Results. Death rates from suicide were approximately 50% higher among AI/AN persons (21.2) than Whites (14.2). By region, rates for AI/AN people were highest in Alaska (rates = 65.4 and 19.3, for males and females, respectively) and in the Northern Plains (rates = 41.6 and 11.9 for males and females, respectively). Disparities between AI/AN and White rates were also highest in these regions. Conclusions. A coordinated, multidisciplinary effort involving federal, state, local, and tribal health officials is needed to address this important public health issue.

Suggested Citation

  • Herne, M.A. & Bartholomew, M.L. & Weahkee, R.L., 2014. "Suicide mortality among American Indians and Alaska Natives, 1999-2009," American Journal of Public Health, American Public Health Association, vol. 104(S3), pages 336-342.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.301929_6
    DOI: 10.2105/AJPH.2014.301929
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    Cited by:

    1. David A Boulifard & Bernice A Pescosolido, 2017. "Examining Multi-Level Correlates of Suicide by Merging NVDRS and ACS Data," Working Papers 17-25, Center for Economic Studies, U.S. Census Bureau.
    2. Jaramillo, Elise Trott & Willging, Cathleen E., 2021. "Producing insecurity: Healthcare access, health insurance, and wellbeing among American Indian elders," Social Science & Medicine, Elsevier, vol. 268(C).
    3. Jennifer L. Shaw & Julie A. Beans & Katherine Anne Comtois & Vanessa Y. Hiratsuka, 2019. "Lived Experiences of Suicide Risk and Resilience among Alaska Native and American Indian People," IJERPH, MDPI, vol. 16(20), pages 1-13, October.
    4. Perry, Seth W & Allison, Stephen & Bastiampillai, Tarun & Wong, Ma-Li & Licinio, Julio & Sharfstein, Steven S. & Wilcox, Holly C., 2019. "Rising US Suicides: Achieving Health Equity," OSF Preprints m5q64, Center for Open Science.

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