title: Suicide mortality among American Indians and Alaska Natives, 1999-2009.
abstract: OBJECTIVE
  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.
authors.affiliation: Mose A. Herne is with the Division of Planning, Evaluation, and Research, Office of Public Health Support, Indian Health Service (IHS), Rockville, MD. Michael L. Bartholomew is with the Division of Epidemiology and Disease Prevention, Office of Public Health Support, Rockville, MD. Rose L. Weahkee is with Field Operations, Phoenix Area Office, IHS, Phoenix, AZ.
authors.forename: Mose A
authors.initials: MA
authors.lastname: Herne
authors.forename: Michael L
authors.initials: ML
authors.lastname: Bartholomew
authors.forename: Rose L
authors.initials: RL
authors.lastname: Weahkee
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000413:Alaska / Q000453:epidemiology / Q000208:ethnology; D003644:Death Certificates; D005260:Female; D006801:Humans; D007198:Indians, North American / Q000706:statistics & numerical data*; D004930:Inuit / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D013405:Suicide / Q000208:ethnology* / Q000706:statistics & numerical data*; D014481:United States / Q000453:epidemiology
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