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Introduction Just as suicide rates vary greatly by country, State, and region, they also vary between and within racial and ethnic groups. While some American Indian and Alaska Native (AI/AN) communities have experienced suicide rates as much as 10 times the ...

Introduction The words of a First Nations Elder quoted above speak a powerful truth, particularly when applied to the silence surrounding the subject of suicide. Suicide, shrouded as it is in guilt, grief, anger, and the wrongful stigma of mental and substanc...

Introduction  The loss of a loved one by suicide is shocking, painful, and unexpected. Survivors, including whole communities, may experience a broad range of emotions including denial, anger, blame, guilt, helplessness, and confusion. One of the dangers of a...

Introduction Suicide prevention efforts often get their start as a response to a tragedy and from survivors of one or more suicides within their own family. The desire in their hearts is strong, their passions run deep, and their drive for action and results ...

Introduction Although suicide is an individual act, we cannot understand or prevent such acts simply by considering the behavior of the individual. Just as with another living, interdependent community, there can be no true understanding of the behavior of a ...

Introduction Suicide prevention programs that show promise for American Indian and Alaska Native (AI/AN) communities are those that have proven effective in reducing suicides and suicidal behaviors by enhancing protective factors, reducing risk factors, or bo...

Introduction Collaboration has been a key theme throughout this guide. Just as every child should have the support of family and others in dealing with life’s challenges, every community should have help in promoting the mental health and well-being of its me...

This guide is more than a summary of available information about preventing suicide by American Indian and Alaska Native (AI/AN) youth and young adults. It also is an acknowledgement that more is yet to be discovered about culturally appropriate prevention and...