American Indian/Alaska Natives (AI/ANs) experience disproportionate rates of suicide, but current strategies for suicide prevention have not reduced these health disparities. Therefore, to gain insight into factors that may affect risk trajectories for suicide attempts (SAs) among AI/ANs, we conducted a systematic review of the literature. Forty-five articles met inclusion criteria for the final corpus. Results demonstrate that substance use, depression/hopelessness, childhood maltreatment, violent victimization, and friend/family-member death by suicide serve as robust predictors for SAs. For AI/AN youths specifically, risk-taking behaviors, family conflict, and school environment were associated with SAs. Notable differences in risk factors were identified across age, sex, and region. Limitations of this body of evidence are described, including heterogeneity in study design, measurement, and sampling. Predicated on these findings and limitations, we suggest four key strategies to advance the study of risk factors for AI/AN communities to prevent AI/AN suicide.
AlcántaraC.GoneJ. P. (2007). Reviewing suicide in Native American communities: Situating risk and protective factors within a transactional–ecological framework. Death Studies, 31(5), 457–477. https://doi.org/10.1080/07481180701244587
2.
AllenJ.WexlerL.RasmusS. (2022). Protective factors as a unifying framework for strength-based intervention and culturally responsive American Indian and Alaska Native suicide prevention. Prevention Science, 23(1), 59–72. https://doi.org/10.1007/s11121-021-01265-0
3.
AmmermanB. A.BurkeT. A.JacobucciR.McClureK. (2021). How we ask matters: The impact of question wording in single-item measurement of suicidal thoughts and behaviors. Preventative Medicine, 152(Pt. 1), Article 106472. https://doi.org/10.1016/j.ypmed.2021.106472
4.
BarlowA.TingeyL.CwikM.GoklishN.Larzelere-HintonF.LeeA.SuttleR.MullanyB.WalkupJ. T. (2012). Understanding the relationship between substance use and self-injury in American Indian youth. The American Journal of Drug and Alcohol Abuse, 38(5), 403–408. https://doi.org/10.3109/00952990.2012.696757
5.
*BarneyD. D. (2004). Health risk-factors for gay American Indian and Alaska Native adolescent males. Journal of Homosexuality, 46(1–2), 137–157. https://doi.org/10.1300/J082v46n01_04
6.
BauerG. R. (2014). Incorporating intersectionality theory into population health research methodology: Challenges and the potential to advance health equity. Social Science & Medicine, 110, 10–17. https://doi.org/10.1016/j.socscimed.2014.03.022
7.
BeckerT. E. (2005). Potential problems in the statistical control of variables in organizational research: A qualitative analysis with recommendations. Organizational Research Methods, 8(3), 274–289. https://doi.org/10.1177/1094428105278021
8.
BeghiM.RosenbaumJ. F. (2010). Risk factors for fatal and nonfatal repetition of suicide attempt: A critical appraisal. Current Opinion in Psychiatry, 23(4), 349–355. https://doi.org/10.1097/YCO.0b013e32833ad783
9.
BellR.ArnoldE.GoldenS.LangdonS.AndersonA.BryantA. (2014). Perceptions and psychosocial correlates of bullying among Lumbee Indian Youth. American Indian and Alaska Native Mental Health Research, 21(1), 1–17. https://doi.org/10.5820/aian.2101.2014.1
10.
BestA. F.HaozousE. A.de GonzalezA. B.ChernyavskiyP.FreedmanN. D.HartgeP.ThomasD.RosenbergP. S.ShielsM. S. (2018). Premature mortality projections in the USA through 2030: A modelling study. The Lancet Public Health, 3(8), e374–e384. https://doi.org/10.1016/S2468-2667(18)30114-2
11.
BlackJ.VeenstraG. (2011). A cross-cultural quantitative approach to intersectionality and health: Using interactions between gender, race, class and neighbourhood to predict self-rated health in Toronto and New York City. In HankivskyE. (Ed.), Health inequities in Canada: Intersectional frameworks and practices (pp. 71–91). UBC Press.
12.
*BlumR. W.HarmonB.BergeisenL.ResnickM. D. (1992). American Indian-Alaska Native youth health. Journal of the American Medical Association, 267(12), 1637–1644. https://doi.org/10.1001/jama.1992.03480120075036
13.
*BlumR. W.PotthoffS. J.ResnickM. D. (1997). The impact of chronic conditions on Native American adolescents. Families, Systems, & Health, 15(3), 275–282.
14.
*BohnD. K. (2003). Lifetime physical and sexual abuse, substance abuse, depression, and suicide attempts among Native American women. Issues in Mental Health Nursing, 24(3), 333–352. https://doi.org/10.1080/01612840305277
15.
*BoltonS.-L.EliasB.EnnsM. W.SareenJ.BealsJ.NovinsD. K.The Swampy Cree Suicide Prevention Team, & The AI-SUPERPFP Team. (2014). A comparison of the prevalence and risk factors of suicidal ideation and suicide attempts in two American Indian population samples and in a general population sample. Transcultural Psychiatry, 51(1), 3–22. https://doi.org/10.1177/1363461513502574
16.
*BorowskyI. W.ResnickM. D.IrelandM.BlumR. W. (1999). Suicide attempts among American Indian and Alaska Native youth: Risk and protective factors. Archives of Pediatrics and Adolescent Medicine, 153(6), 573–580. https://doi.org/10.1001/archpedi.153.6.573
17.
Brave HeartM. Y. H. (1998). The return to the sacred path: Healing the historical trauma and historical unresolved grief response among the Lakota through a psychoeducational group intervention. Smith College Studies in Social Work, 68(3), 287–305. https://doi.org/10.1080/00377319809517532
18.
Brave HeartM. Y. H.ChaseJ.ElkinsJ.AltschulD. B. (2011). Historical trauma among Indigenous peoples of the Americas: Concepts, research, and clinical considerations. Journal of Psychoactive Drugs, 43(4), 282–290. https://doi.org/10.1080/02791072.2011.628913
19.
*BrockieT. N. (2012). Historical and contemporary factors influencing non-lethal suicidal behaviors among reservation-based Native American youth [Unpublished doctoral dissertation]. Johns Hopkins University.
20.
*BrockieT. N.Dana-SaccoG.WallenG. R.WilcoxH. C.CampbellJ. C. (2015). The relationship of adverse childhood experiences to PTSD, depression, poly-drug use and suicide attempt in reservation-based native American adolescents and young adults. American Journal of Community Psychology, 55(3–4), 411–421. https://doi.org/10.1007/s10464-015-9721-3
21.
BrooksJ. R.HongJ. H.CherefS.WalkerR. L. (2020). Capability for suicide: Discrimination as a painful and provocative event. Suicide and Life-Threatening Behavior, 50(6), 1173–1180. https://doi.org/10.1111/sltb.12671
22.
BurnetteC. E.FigleyC. R. (2016). Risk and protective factors related to the wellness of American Indian and Alaska Native youth: A systematic review. International Public Health Journal, 8(2), 137–154.
23.
*BushA.QeadanF. (2020). Social support and its effects on attempted suicide among American Indian/Alaska Native youth in New Mexico. Archives of Suicide Research, 24(Suppl. 1), 337–359. https://doi.org/10.1080/13811118.2019.1577779
*CampbellM. E.TroyerL. (2007). The implications of racial misclassification by observers. American Sociological Review, 72(5), 750–765.
26.
Centers for Disease Control and Prevention, National Center for Health Statistics. (2021). Underlying cause of death 1999-2020 on CDC WONDER online database. http://wonder.cdc.gov/ucd-icd10.html
27.
*CherefS.BenoitJ. S.WalkerR. L. (2019). Refining psychological, substance use, and sociodemographic predictors of suicide ideation and attempts in a national multiethnic sample of adults, 2008-2013. Journal of Nervous and Mental Disease, 207(8), 675–682. https://doi.org/10.1097/NMD.0000000000001026
28.
*ChinoM.Fullerton-GleasonL. (2006). Understanding suicide attempts among American Indian adolescents in New Mexico: Modifiable factors related to risk and resiliency. Ethnicity and Disease, 16(2), 435–442.
29.
ChoiJ. W.KimT. H.ShinJ.HanE. (2019). Poverty and suicide risk in older adults: A retrospective longitudinal cohort study. International Journal of Geriatric Psychiatry, 34(11), 1565–1571. https://doi.org/10.1002/gps.5166
30.
*ChristensenR. B. (1999). Risk factors in adolescent problem behaviors among Native and nonnative Americans (Publication No. 304529044) [Doctoral dissertation, Utah State University]. ProQuest Dissertations & Theses A&I.
31.
ChristiansenE.Frank JensenB. (2007). Risk of repetition of suicide attempt, suicide or all deaths after an episode of attempted suicide: A register-based survival analysis. Australian & New Zealand Journal of Psychiatry, 41(3), 257–265. https://doi.org/10.1080/00048670601172749
32.
CornellS. E.KaltJ. P. (2006). Two approaches to economic development on American Indian reservations: One works, the other doesn’t. Native Nations Institute, Udall Center for Studies in Public Policy, University of Arizona; Harvard Project on American Indian Economic Development, John F. Kennedy School of Government, Harvard University. http://www.jopna.net/pubs/jopna_2005-02_Approaches.pdf
33.
CwikM.DotyS. B.HintonA.GoklishN.IvanichJ.HillK.LeeA.TingeyL.CraigM. (2022). Community perspectives on social influences on suicide within a Native American reservation. Qualitative Health Research, 32(1), 16–30. https://doi.org/10.1177/10497323211045646
34.
CwikM. F.RosenstockS.TingeyL.GoklishN.LarzelereF.SuttleR.HarozE.HillK.CraigM.BarlowA. (2018). Characteristics of substance abuse and self-injury among American Indian adolescents who have engaged in binge drinking. American Indian and Alaska Native Mental Health Research, 25(2), 1–19. https://doi.org/10.5820/aian.2502.2018.1
35.
*De RavelloL.AbeitaJ.BrownP. (2008). Breaking the cycle/mending the hoop: Adverse childhood experiences among incarcerated American Indian/Alaska Native women in New Mexico. Health Care for Women International, 29(3), 300–315. https://doi.org/10.1080/07399330701738366
36.
de SchweinitzP. A.NationC.DeCouC. R.StewartT. J.AllenJ. (2017). Cultural perspectives on suicide from a rural Athabascan Alaska Native community: Wellness teams as a strengths-based community response. Journal of Rural Mental Health, 41(1), 4–16.
37.
DiemerM. A.MistryR. S.WadsworthM. E.LópezI.ReimersF. (2013). Best practices in conceptualizing and measuring social class in psychological research: Social class measurement. Analyses of Social Issues and Public Policy, 13(1), 77–113. https://doi.org/10.1111/asap.12001
38.
*DillardD. A.AveyJ. P.RobinsonR. F.SmithJ. J.BealsJ.MansonS. M.ComtoisK. A. (2017). Demographic, clinical, and service utilization factors associated with suicide-related visits among Alaska Native and American Indian adults. Suicide and Life-Threatening Behavior, 47(1), 27–37. https://doi.org/10.1111/sltb.12259
39.
*DingesN. G.Duong-TranQ. (1993). Stressful life events and co-occurring depression, substance abuse and suicidality among American Indian and Alaska Native adolescents. Culture, Medicine and Psychiatry, 16, 487–502.
40.
*DingesN. G.Duong-TranQ. (1994). Suicide ideation and suicide attempt among American Indian and Alaska Native boarding school adolescents. American Indian and Alaska Native Mental Health Research, 4, 167–188. https://doi.org/10.5820/aian.mono04.1994.167
41.
*EricksonS. L. (1999). Probability profiling with urban American Indian youth determining priorities for suicide prevention [Unpublished doctoral dissertation]. University of Minnesota.
42.
EvansC. R.WilliamsD. R.OnnelaJ.-P.SubramanianS. V. (2018). A multilevel approach to modeling health inequalities at the intersection of multiple social identities. Social Science & Medicine, 203, 64–73. https://doi.org/10.1016/j.socscimed.2017.11.011
43.
*Evans-CampbellT.WaltersK. L.PearsonC. R.CampbellC. D. (2012). Indian boarding school experience, substance use, and mental health among urban Two-Spirit American Indian/Alaska Natives. American Journal of Drug & Alcohol Abuse, 38(5), 421–427.
44.
*FarrellE. I. (2013). Sleep disturbance as an independent predictor of suicidality in American Indian/Alaskan Native adolescents (Publication No. 1491163297) [Doctoral dissertation, Walden University]. ProQuest Dissertations & Theses A&I.
45.
*FernquistR. M. (2017). Trends in attempted suicide among ten demographic groups of U.S. high school students, 1991-2013. Suicidology Online, 8, 89–103.
46.
Fetter & Thompson. (under review). The impact of Historical Loss on Native American college students’ mental health: The protective role of ethnic identity [Unpublished Manuscript].
47.
FiedlerK. (2017). What constitutes strong psychological science? The (neglected) role of diagnosticity and a priori theorizing. Perspectives on Psychological Science, 12(1), 46–61. https://doi.org/10.1177/1745691616654458
48.
FishJ. (2022). Towards a Haudenosaunee developmental science: Perspectives from the Two Row Wampum. Infant and Child Development, 31(1), Article e2279. https://doi.org/10.1002/icd.2279
49.
FranklinJ. C.RibeiroJ. D.FoxK. R.BentleyK. H.KleimanE. M.HuangX.MusacchioK. M.JaroszewskiA. C.ChangB. P.NockM. K. (2017). Risk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research. Psychological Bulletin, 143(2), 187–232. https://doi.org/10.1037/bul0000084
50.
*FreedenthalS.StiffmanA. R. (2004). Suicidal behavior in urban American Indian adolescents: A comparison with reservation youth in a southwestern state. Suicide and Life-Threatening Behavior, 34(2), 160–171. https://doi.org/10.1521/suli.34.2.160.32789
51.
*GloppenK.McMorrisB.GowerA.EisenbergM. (2018). Associations between bullying involvement, protective factors, and mental health among American Indian youth. American Journal of Orthopsychiatry, 88(4), 413–421. https://doi.org/10.1037/ort0000284
52.
GomezJ.MirandaR.PolancoL. (2011). Acculturative stress, perceived discrimination, and vulnerability to suicide attempts among emerging adults. Journal of Youth and Adolescence, 40(11), 1465–1476. https://doi.org/10.1007/s10964-011-9688-9
53.
GoneJ. P. (2007). “We never was happy living like a Whiteman”: Mental health disparities and the postcolonial predicament in American Indian Communities. American Journal of Community Psychology, 40(3–4), 290–300. https://doi.org/10.1007/s10464-007-9136-x
54.
GoneJ. P.HartmannW. E.PomervilleA.WendtD. C.KlemS. H.BurrageR. L. (2019). The impact of historical trauma on health outcomes for Indigenous populations in the USA and Canada: A systematic review. American Psychologist, 74(1), 20–35. https://doi.org/10.1037/amp0000338
55.
*GrossmanD. C.MilliganB. C.DeyoR. A. (1991). Risk factors for suicide attempts among Navajo adolescents. American Journal of Public Health, 81(7), 870–874. https://doi.org/10.2105/AJPH.81.7.870
56.
GuyattG.OxmanA. D.AlkE. A.KunzR.VistG.BrozekJ.NorrisS.Falck-YtterY.GlasziouP.deBeerH.JaeschkeR.RindD.MeerpohlJ.DahmP.SchünemannH. J. (2011). GRADE guidelines: 1. Introduction– GRADE evidence profiles and summary of findings tables. Journal of Clinical Epidemiology, 64, 383–394. https://doi.org/10.1016/j.jclinepi.2010.04.026
57.
*HarmanM. (2017). The interaction of culture, self-perception, and depression in Native American youth. Michigan Sociological Review, 31, 152–172.
58.
HensonM.SaboS.TruilloA.Teufel-ShoneN. (2017). Identifying protective factors to promote health in American Indian and Alaska Native adolescents: A literature review. The Journal of Primary Prevention, 38, 5–26.
59.
HigginsJ. P. T.ThomasJ.ChandlerJ.CumpstonM.LiT.PageM. J.WelchV. A. (Eds.). (2022). Cochrane Handbook for Systematic Reviews of Interventions version 6.3 (updated February 2022). Cochrane. www.training.cochrane.org/handbook
60.
*HodgeF.NandyK. (2011). Factors associated with American Indian cigarette smoking in rural settings. International Journal of Environmental Research and Public Health, 8(4), 944–954.
61.
*HodgeF. S.SinhaK. (2010). Safer sexual practices and HIV screening behavior among rural California American Indians. Californian Journal of Health Promotion, 8(1), 10–21. https://doi.org/10.32398/cjhp.v8i1.2026
62.
HoffmannJ. A.FarrellC. A.MonuteauxM. C.FleeglerE. W.LeeL. K. (2020). Association of pediatric suicide with county-level poverty in the United States, 2007-2016. JAMA Pediatrics, 174(3), 287–294. https://doi.org/10.1001/jamapediatrics.2019.5678
63.
HowardM. C.HoffmanM. E. (2018). Variable-centered, person-centered, and person-specific approaches: Where theory meets the method. Organizational Research Methods, 21(4), 846–876. https://doi.org/10.1177/1094428117744021
64.
*Howard-PitneyB.LaFromboiseT. D.BasilM.SeptemberB.JohnsonM. (1992). Psychological and social indicators of suicide ideation and suicide attempts in Zuni adolescents. Journal of Consulting and Clinical Psychology, 60(3), 473–476. https://doi.org/10.1037/0022-006X.60.3.473
65.
JoinerT. E. (2005). Why people die by suicide. Harvard University Press.
66.
JordanJ. T.McNielD. E. (2020). Characteristics of persons who die on their first suicide attempt: Results from the National Violent Death Reporting System. Psychological Medicine, 50(8), 1390–1397. https://doi.org/10.1017/S0033291719001375
67.
KelterR. (2021). Bayesian Hodges-Lehmann tests for statistical equivalence in the two-sample setting: Power analysis, type I error rates and equivalence boundary selection in biomedical research. BMC Medical Research Methodology, 21(1), 171. https://doi.org/10.1186/s12874-021-01341-7
68.
KleimanE. M.GlennC. R.LiuR. T. (2019). Real-time monitoring of suicide risk among adolescents: Potential barriers, possible solutions, and future directions. Journal of Clinical Child & Adolescent Psychology, 48(6), 934–946. https://doi.org/10.1080/15374416.2019.1666400
69.
KleimanE. M.NockM. K. (2017). Advances in scientific possibilities offered by real-time monitoring technology. Psychiatry, 80(2), 118–124. https://doi.org/10.1080/00332747.2017.1325661
KleimanE. M.TurnerB. J.FedorS.BealeE. E.HuffmanJ. C.NockM. K. (2017). Examination of real-time fluctuations in suicidal ideation and its risk factors: Results from two ecological momentary assessment studies. Journal of Abnormal Psychology, 126(6), 726–738. https://doi.org/10.1037/abn0000273
72.
KleimanE. M.TurnerB. J.FedorS.BealeE. E.PicardR. W.HuffmanJ. C.NockM. K. (2018). Digital phenotyping of suicidal thoughts. Depression and Anxiety, 35(7), 601–608.
73.
Klimes-DouganB.MirzaS. A.BabkinE.LanningC. (2022). Biased reporting of past self-injurious thoughts and behaviors: A literature review. Journal of Affective Disorders, 308, 596–606. https://doi.org/10.1016/j.jad.2022.04.073
74.
KlonskyE. D.MayA. M. (2014). Differentiating suicide attempters from suicide ideators: A critical frontier for suicidology research. Suicide and Life-Threatening Behavior, 44(1), 1–5. https://doi.org/10.1111/sltb.12068
75.
KraemerH. C.KazdinA. E.OffordD. R.KesslerR. C.JensenP. S.KupferD. J. (1997). Coming to terms with the terms of risk. Archives of General Psychiatry, 54(4), 337–343. https://doi.org/10.1001/archpsyc.1997.01830160065009
76.
KroppF.SomozaE.LilleskovM.Granados-Bad MoccasinM.MooreM.LewisD.BoetelB.SmithC.WinhusenT. (2013). Characteristics of Northern Plains American Indians seeking substance abuse treatment in an urban, non-tribal clinic: A descriptive study. Community Mental Health Journal, 49, 714–721. https://doi.org/10.1007/s10597-012-9537-7
77.
*LaFromboiseT. D.Howard-PitneyB. (1995). Suicidal behavior in American Indian female adolescents. In CanettoS. S.LesterD. (Eds.), Women and suicidal behavior (pp. 157–173).
78.
LeavittR. A.ErtlA.SheatsK.PetroskyE.Ivey-StephensonA.FowlerK. A. (2018). Suicides among American Indian/Alaska Natives—National Violent Death Reporting System, 18 States, 2003–2014. Morbidity and Mortality Weekly Report (MMWR), 67(8), 237–242. https://doi.org/10.15585/mmwr.mm6708a1
79.
*LeMasterP. L.BealsJ.NovinsD. K.MansonS. M. (2004). The prevalence of suicidal behaviors among Northern Plains American Indians. Suicide and Life-Threatening Behavior, 34(3), 242–254. https://doi.org/10.1521/suli.34.3.242.42780
80.
LevacL.McMurtryL.StienstraD.BaikieG.HansonC.MucinaD. (2018). Learning across Indigenous and Western knowledge systems and intersectionality: Reconciling social science research approaches. Social Sciences and Humanities Research Council of Canada.
81.
LiuR. T.SteeleS. J.HamiltonJ. L.DoQ. B. P.FurbishK.BurkeT. A.MartinezA. P.GerlusN. (2020). Sleep and suicide: A systematic review and meta-analysis of longitudinal studies. Clinical Psychology Review, 81, Article 101895. https://doi.org/10.1016/j.cpr.2020.101895
82.
*MackinJ.PerkinsT.FurrerC. (2012). The power of protection: A population-based comparison of Native and non-Native youth suicide attempters. American Indian and Alaska Native Mental Health Research, 19(2), 20–54. https://doi.org/10.5820/aian.1902.2012.20
83.
*ManzoK.HobbsG. R.GachupinF. C.StewartJ.KnoxS. S. (2020). Reservation-urban comparison of suicidal ideation/planning and attempts in American Indian Youth. Journal of School Health, 90(6), 439–446. https://doi.org/10.1111/josh.12891
84.
MarsB.HeronJ.KlonskyE. D.MoranP.O’ConnorR. C.TillingK.WilkinsonP.GunnellD. (2019). What distinguishes adolescents with suicidal thoughts from those who have attempted suicide? A population-based birth cohort study. Journal of Child Psychology and Psychiatry, 60(1), 91–99. https://doi.org/10.1111/jcpp.12878
85.
*MartinC. (2013). The influence of negative educational experiences on health behaviors among gender nonconforming American Indian/Alaska Native people (Publication No. 1440134357) [Doctoral dissertation, Colorado State University]. ProQuest Dissertations & Theses A&I.
86.
*MatthewsR. D. (1989). Risk factors for substance abuse in Native American boarding schools (Publication No. 303829878) [Doctoral dissertation, United States International University]. ProQuest Dissertations & Theses A&I.
87.
MayA. M.KlonskyE. D. (2016). What distinguishes suicide attempters from suicide ideators? A meta-analysis of potential factors. Clinical Psychology: Science and Practice, 23(1), 5–20. https://doi.org/10.1111/cpsp.12136
88.
McHughM. L. (2012). Interrater reliability: The kappa statistic. Biochemia Medica, 22(3), 276–282.
89.
McKeanA. J. S.PabbatiC. P.GeskeJ. R.BostwickJ. M. (2018). Rethinking lethality in youth suicide attempts: First suicide attempt outcomes in youth ages 10 to 24. Journal of the American Academy of Child & Adolescent Psychiatry, 57(10), 786–791. https://doi.org/10.1016/j.jaac.2018.04.021
90.
*MedoffL. R. (2006). Suicidal ideation and related factors in Native American adolescents with and without learning disabilities (Publication No. 304979072) [Doctoral dissertation, Stanford University]. ProQuest Dissertations & Theses A&I.
91.
National Center for Health Statistics. (2020). CDC WISQARS fatal injury data visualization too. Centers for Disease Control and Prevention. www.cdc.gov/injury/wisqars/fatal.html
O’KeefeV. M.TuckerR. P.ColeA. B.HollingsworthD. W.WingateL. R. (2018). Understanding Indigenous suicide through a theoretical lens: A review of general, culturally-based, and Indigenous frameworks. Transcultural Psychiatry, 55(6), 775–799. https://doi.org/10.1177/1363461518778937
94.
OuzzaniM.HammadyH.FedorowiczZ.ElmagarmidA. (2016). Rayyan—A web and mobile app for systematic reviews. Systematic Reviews, 5, Article 210. https://doi.org/10.1186/s13643-016-0384-4
95.
OwensD.HorrocksJ.HouseA. (2002). Fatal and non-fatal repetition of self-harm: Systematic review. British Journal of Psychiatry, 181(3), 193–199. https://doi.org/10.1192/bjp.181.3.193
96.
PascoeE. A.RichmanL. S. (2009). Perceived discrimination and health: A meta-analytic review. Psychological Bulletin, 135(4), 531–554. https://doi.org/10.1037/a0016059
97.
*PettingellS. (2008). Protecting urban American Indian young people from suicide. American Journal of Health Behavior, 32(5), 465–476. https://doi.org/10.5993/AJHB.32.5.2
98.
*PotthoffS. J.BearingerL. H.SkayC. L.CassutoN.BlumR. W.ResnickM. D. (1998). Dimensions of risk behaviors among American Indian youth. Archives of Pediatrics and Adolescent Medicine, 152(2), 157–163.
99.
PettingellS.BearingerL. H.SkayC. L.ResnickM. D.PothoffS. J.EichhornJ. (2008). Protecting urban American Indian young people from suicide. American Journal of Health Behavior, 32(5), 465–476. https://doi.org/10.5993/AJHB.32.5.2
100.
ReyL. F.WiglesworthA.Prairie ChickenM.FetterA. K.AzaraniM.RiegelmanA.GoneJ. P. (2022). A systematic review of research methodologies in American Indian and Alaska Native suicide research from 2010-2020. Cultural Diversity & Ethnic Minority Psychology. Advance online publication. https://doi.org/10.1037/cdp0000531
101.
*Rhoades-KerswillS. (2012). The application of the interpersonal psychological theory of suicidal behavior to an American Indian sample (Publication No. 1318498723) [Master’s thesis, Oklahoma State University]. ProQuest Dissertations & Theses A&I.
102.
RibeiroJ. D.FranklinJ. C.FoxK. R.BentleyK. H.KleimanE. M.ChangB. P.NockM. K. (2016). Letter to the Editor: Suicide as a complex classification problem: Machine learning and related techniques can advance suicide prediction – A reply to Roaldset (2016). Psychological Medicine, 46(9), 2009–2010. https://doi.org/10.1017/S0033291716000611
103.
RouderJ. N.SpeckmanP. L.SunD.MoreyR. D.IversonG. (2009). Bayesian t tests for accepting and rejecting the null hypothesis. Psychonomic Bulletic & Review, 16(2), 225–237. https://doi.org/10.3758/PBR.16.2.225
104.
*SchaeferK. R.MullerC. J.SmithJ. J.AveyJ. P.ShawJ. L. (2020). Using the electronic health record to identify suicide risk factors in an Alaska Native Health System. Psychological Services, 19(1), 76–84. https://doi.org/10.1037/ser0000492
105.
SchmittM. T.BranscombeN. R.PostmesT.GarciaA. (2014). The consequences of perceived discrimination for psychological well-being: A meta-analytic review. Psychological Bulletin, 140(4), 921–948. https://doi.org/10.1037/a0035754
106.
*SegalB. (2001). Responding to victimized Alaska Native women in treatment for substance use. Substance Use Health Services Research, 36(6–7), 845–865. https://doi.org/10.1081/JA-100104094
107.
ShawJ. L.BeansJ. A.ComtoisK. A.HiratsukaV. Y. (2019). Lived experiences of suicide risk and resilience among Alaska Native and American Indian people. International Journal of Environmental Research and Public Health, 16(20), Article 3953. https://doi.org/10.3390/ijerph16203953
108.
SiddawayA. P.WoodA. M.HedgesL. V. (2019). How to do a systematic review: A best practice guide for conducting and reporting narrative reviews, meta-analyses, and meta-syntheses. Annual Review of Psychology, 70(1), 747–770. https://doi.org/10.1146/annurev-psych-010418-102803
109.
*StoryM.FrenchS. A.Neumark-SztainerD.DownesB.ResnickM. D.BlumR. W. (1997). Psychosocial and behavioral correlates of dieting and purging in Native American adolescents. Pediatrics, 99(4), Article E8. https://doi.org/10.1542/peds.99.4.e8
110.
*SubicaA. M.WuL.-T. (2018). Substance use and suicide in Pacific Islander, American Indian, and Multiracial youth. American Journal of Preventive Medicine, 54(6), 795–805. https://doi.org/10.1016/j.amepre.2018.02.003
111.
SuominenK.IsometsäE.SuokasJ.HaukkaJ.AchteK.LönnqvistJ. (2004). Completed suicide after a suicide attempt: A 37-year follow-up study. American Journal of Psychiatry, 161(3), 562–563. https://doi.org/10.1176/appi.ajp.161.3.562
112.
*ThomasC. E. (2017). Examining the relationship between rurality and suicidality among American Indian adolescents (Publication No. 2056514201) [Master’s thesis, Oklahoma State University]. ProQuest Dissertations & Theses A&I.
113.
TingeyL.CwikM. F.GoklishN.Larzelere-HintonF.LeeA.SuttleR.WalkupJ. T.BarlowA. (2014). Risk pathways for suicide among Native American adolescents. Qualitative Health Research, 24(11), 1518–1526. https://doi.org/10.1177/1049732314548688
114.
TuckerR. P.WingateL. R.O’KeefeV. M.HollingsworthD. W.ColeA. B. (2016). An examination of historical loss thinking frequency and rumination on suicide ideation in American Indian young adults. Suicide and Life-threatening Behavior, 46(2), 213–222. https://doi.org/10.1111/sltb.12185
115.
WallsM. L.WhitbeckL. B. (2011). Distress among Indigenous North Americans: Generalized and culturally relevant stressors. Society and Mental Health, 1(2), 124–136. https://doi.org/10.1177/2156869311414919
WexlerL.ChandlerM.GoneJ. P.CwikM.KirmayerL. J.LaFromboiseT.BrockieT.O’KeefeV.WalkupJ.AllenJ. (2015). Advancing suicide prevention research with rural American Indian and Alaska Native populations. American Journal of Public Health, 105(5), 891–899. https://doi.org/10.2105/AJPH.2014.302517
118.
WhitbeckL. B.AdamsG. W.HoytD. R.ChenX. (2004). Conceptualizing and measuring historical trauma among American Indian people. American Journal of Community Psychology, 33(3–4), 119–130. https://doi.org/10.1023/B:AJCP.0000027000.77357.31
119.
WiglesworthA.ClementD. N.WingateL. R.Klimes-DouganB. (2022). Understanding suicide risk for youth who are both Black and Native American: The role of intersectionality and multiple marginalization. Suicide and Life-Threatening Behavior, 52(4), 668–682. https://doi.org/10.1111/sltb.12851
120.
WiglesworthA.ReyL. F.FetterA. K.AzaraniM.Prairie ChickenM.DavisA.YoungA. R.RiegelmanA.GoneJ. P. (2022). Attempted suicide in American Indian and Alaska Native populations: A systematic review of research on protective factors. Clinical Psychology: Science and Practice, 29(3), 205–218. https://doi.org/10.1037/cps0000085
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