Outcome evaluation of a public health approach to suicide prevention in an American Indian Tribal Nation

P.A. May, P. Serna, L. Hurt and L.M. Debruyn

American Journal of Public Health, 2005, vol. 95, issue 7, 1238-1244

Abstract: Objectives. We evaluated the efficacy of 15 years of a public health-oriented suicidal-behavior prevention program among youths living on an American Indian reservation. Methods. All suicides, suicide attempts, and suicidal gestures were monitored. Age-specific analyses over time were used to assess outcomes. Results. Both descriptive and linear regression analyses indicated that a substantial drop occurred in suicidal gestures and attempts. Suicide deaths neither declined significantly nor increased, although the total number of self-destructive acts declined by 73% (P = .001). Conclusions. Data from this community-based approach document a remarkable downward trend-measured by both magnitude and temporal trends in the specifically targeted age cohorts-in suicidal acts. The sequential decrease in age-specific rates of suicide attempts and gestures is indicative of the program's success.

Date: 2005
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2004.040410_5

DOI: 10.2105/AJPH.2004.040410

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