Suicide prevention efforts in one area of Indian Health Service, USA.
Suicide is the second leading cause of death in young Indian people. USA's Indian Health Service is responsible for the health of the people; a structured system and services are provided. These services include surveillance and suicide investigation, to allow for better understanding. This article presents the current epidemiology on suicide for American Indians and Alaskan Natives (AI/AN). The data show a very high rate in the young, especially males. Beyond the general, the article offers a unique look into a suicidal AI/AN young person, through the psychological autopsy. A case illustration, E.S., a 16-year-old male who died by suicide, is outlined. Discussion, the author's words, and current efforts of Indian Health Services are presented, but it is concluded that much greater effort is needed.
Behavioral Health Program, Indian Health Services, Rockville, MD 20852, USA. Marlene.Echohawk@ihs.gov
Marlene
M
EchoHawk
D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001294:Attitude to Health / Q000208:ethnology; D002423:Cause of Death; D003153:Community Health Services / Q000458:organization & administration; D003466:Cultural Characteristics; D017809:Fatal Outcome; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D006801:Humans; D007198:Indians, North American / Q000523:psychology* / Q000706:statistics & numerical data*; D008297:Male; D017678:Sex Distribution; D012959:Socioeconomic Factors; D013405:Suicide / Q000208:ethnology*; D013406:Suicide, Attempted / Q000517:prevention & control; D014481:United States / Q000453:epidemiology; D016549:United States Indian Health Service / Q000458:organization & administration*; D000092864:Suicide Prevention