Gary Faye A, Baker Martha, Grandbois Donna M
The Sarah Cole Hirsh Institute for Best Nursing Practices of the Case Western Reserve University, Frances Payne Bolton School of Nursing, Cleveland, Ohio, USA.
Online J Issues Nurs. 2005 Mar 28;10(2):6.
Suicide rates among American Indian Alaska Native (AIAN) children and adolescents are the highest in the United States. Risk factors for suicide among AIAN youth include: strained interpersonal relationships, family instability, depression, low self-esteem, and alcohol use or substance abuse. Protective factors include: caring family relationships, supportive tribal leaders, and positive school experiences. Carefully planned, culturally sensitive, comprehensive programs that address the social determinants of health outcomes such as poverty, school failure, familial conflicts, and limited access to health care, should be the focus of blueprints for change for these vulnerable children. Moreover, culturally competent providers are key elements associated with reducing the suicide rates among AIAN children and adolescents.
美国印第安人和阿拉斯加原住民（AIAN）儿童及青少年的自杀率在美国是最高的。AIAN青少年自杀的风险因素包括：人际关系紧张、家庭不稳定、抑郁、自卑以及酗酒或药物滥用。保护因素包括：关爱家庭关系、支持性的部落领袖以及积极的学校经历。精心规划、具有文化敏感性的综合项目，应关注诸如贫困、学业失败、家庭冲突以及医疗保健机会有限等健康结果的社会决定因素，这些项目应成为这些弱势儿童变革蓝图的重点。此外，具备文化能力的医疗服务提供者是降低AIAN儿童及青少年自杀率的关键因素。
