title: A comparison of risk factors associated with suicide ideation/attempts in American Indian and White youth in Montana.
abstract: We examined racial/ethnic and gender-specific associations between suicide ideation/attempts and risky behaviors, sadness/hopelessness, and victimization in Montana American Indian and White youth using 1999-2011 Youth Risk Behavior Survey data. Logistic regression was used to calculate odds ratios and 95% confidence intervals in stratified racial/ethnic-gender groups. The primary results of this study show that although the American Indian youth had more statistically significant suicidal thoughts and attempts than the White youth, they had fewer statistically significant predictors compared to the White youth. Sadness/hopelessness was the strongest, and the only statistically significant, predictor of suicide ideation/attempts common across all four groups. The unhealthy weight control cluster was a significant predictor for the White youth and the American Indian/Alaska Native girls; the alcohol/tobacco/marijuana cluster was a significant predictor for the American Indian boys only. Results show important differences across the groups and indicate directions for future research targeting prevention and intervention.
authors.affiliation: a Department of Epidemiology , West Virginia University School of Public Health , Morgantown , West Virginia , USA.
authors.forename: Karen
authors.initials: K
authors.lastname: Manzo
authors.forename: Hope
authors.initials: H
authors.lastname: Tiesman
authors.forename: Jera
authors.initials: J
authors.lastname: Stewart
authors.forename: Gerald R
authors.initials: GR
authors.lastname: Hobbs
authors.forename: Sarah S
authors.initials: SS
authors.lastname: Knox
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D000428:Alcohol Drinking / Q000453:epidemiology; D004644:Emotions; D001068:Feeding and Eating Disorders / Q000453:epidemiology / Q000523:psychology; D005260:Female; D065026:Hope; D006801:Humans; D007198:Indians, North American / Q000523:psychology / Q000706:statistics & numerical data*; D008297:Male; D008385:Marijuana Smoking / Q000453:epidemiology; D009009:Montana / Q000453:epidemiology; D016017:Odds Ratio; D015995:Prevalence; D012307:Risk Factors; D012309:Risk-Taking; D012737:Sex Factors; D012907:Smoking / Q000453:epidemiology; D013179:Spouse Abuse / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D059020:Suicidal Ideation; D013406:Suicide, Attempted / Q000208:ethnology* / Q000523:psychology / Q000706:statistics & numerical data; D047568:Unsafe Sex / Q000706:statistics & numerical data; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data*
keywords: American Indian youth; adolescence; mental health; minority health; suicide prevention