Cwik Mary, Barlow Allison, Tingey Lauren, Goklish Novalene, Larzelere-Hinton Francene, Craig Mariddie, Walkup John T
a Johns Hopkins University , Baltimore , Maryland , USA.
Arch Suicide Res. 2015;19(2):172-89. doi: 10.1080/13811118.2015.1004472.
American Indian adolescents are at disproportionate risk for suicide, and community-based studies of this population, which allow a deeper understanding of risks and resilience to inform interventions, are rare. This is a cross-sectional study of N = 71 Apache adolescents. Strengths include the role of the community and American Indian paraprofessionals in the design, implementation, and interpretation of findings. Participants were M = 16.0 years old, 65% female, and 69% multiple attempters. Risks included suicidal behavior among peers and family (68%), caregivers with substance problems (62%), and participant substance use history, namely alcohol (91%) and marijuana (88%). Areas of resiliency included lower depression scores (M = 23.1) and cultural activity participation. A multi-tiered intervention at individual, family, and community levels is needed.
美国印第安青少年自杀风险极高，而针对这一人群的基于社区的研究却很少，这类研究有助于更深入地了解风险和恢复力，为干预措施提供依据。这是一项针对71名阿帕奇青少年的横断面研究。优势在于社区和美国印第安辅助专业人员在研究设计、实施及结果解读中所发挥的作用。参与者平均年龄M = 16.0岁，65%为女性，69%有多次自杀未遂经历。风险因素包括同伴和家庭中的自杀行为（68%）、有物质问题的照料者（62%）以及参与者的物质使用史，即酒精（91%）和大麻（88%）。恢复力方面包括较低的抑郁得分（M = 23.1）和文化活动参与度。需要在个人、家庭和社区层面进行多层次干预。
