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Suicide mortality among American Indians and Alaska Natives, 1999-2009

TitleSuicide mortality among American Indians and Alaska Natives, 1999-2009
Publication TypeJournal Article
Year of Publication2014
AuthorsHerne, MA, Bartholomew, ML, Weahkee, RL
JournalAm J Public HealthAm J Public Health
Volume104 Suppl 3
PaginationS336-42
Date PublishedJun
ISBN Number1541-0048 (Electronic)<br/>0090-0036 (Linking)
Accession Number24754665
KeywordsAdolescent, Adult, Aged, Aged, 80 and Over, Alaska/epidemiology/ethnology, Death Certificates, Female, Humans, Indians, North American/ statistics & numerical data, Inuits/ statistics & numerical data, Male, Middle Aged, Population Surveillance, Suicide/ ethnology/ statistics & numerical data, United States/epidemiology
AbstractOBJECTIVES: 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.
Ethno Med: