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Updated: Jun 20, 2026

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
Nonfatal suicide attempts and other self-inflicted harm. Beltrami County youths, 2002-2006
Jon Roesler1, Matthew Petcoff, Arsalan Azam
1Minnesota Department of Health, Health Promotion and Chronic Disease Division, Center for Health Promotion, Injury and Violence Prevention Unit, USA.
Abstract:
Following a highly publicized murder-suicide by a high school student in Beltrami County, Minnesota, the Minnesota Department of Health initiated an investigation into suicide attempts and self-inflicted harm (SA/SIH) among youths in the county between 2002 and 2006. This article summarizes the results of that effort, which found an annualized rate of 356 hospital-treated SA/SIH per 100,000 population among Beltrami County residents ages 10 to 24 years--a rate more than 50% higher than that of other youths in Minnesota or the United States. In addition, the rate of SA/SIH for American Indian youths in Beltrami County was 2.5 times higher than that for white youths. An examination of medical history found 52% of the youths in this study had previously attempted suicide. This article also discusses several modifiable risk factors that were identified and potential interventions.
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