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Change Pathways in Indigenous and Nonindigenous Youth Suicide
Deborah A Goebert1,2, Fumiaki Hamagami3, Earl S Hishinuma1
1Department of Psychiatry, University of Hawai'i at Mānoa, Honolulu, HI, USA.
Suicide & Life-Threatening Behavior
|January 23, 2018
Summary
Native Hawaiian youth showed smaller decreases in suicide attempts compared to non-Hawaiian peers over five years. Cultural approaches are vital for indigenous youth suicide prevention.
Area of Science:
- Adolescent mental health research
- Longitudinal cohort studies
- Cross-cultural psychology
Background:
- Suicide attempts are a significant concern in adolescent populations.
- Understanding dynamic risk factors like anxiety, depression, and hope is crucial.
- Disparities in mental health outcomes among ethnic groups require investigation.
Purpose of the Study:
- To examine the longitudinal relationships between suicide attempts, anxiety/depressive symptoms, hope, and help-seeking.
- To compare these dynamics across Native Hawaiian and non-Hawaiian adolescents.
- To inform culturally relevant suicide prevention strategies for indigenous youth.
Main Methods:
- Analysis of a 5-year longitudinal cohort study dataset (N=7,317).
- Multivariate statistical modeling to assess temporal relationships.
- Group comparisons between Native Hawaiian and non-Hawaiian adolescents.
Main Results:
- Overall decrease in suicide attempts over time, with a significantly smaller reduction among Native Hawaiian youth.
- Native Hawaiian youth exhibited greater increases in help-seeking and decreases in hope compared to non-Hawaiian peers.
- Significant differences in the trajectories of hope and help-seeking between the two groups.
Conclusions:
- Youth-centered, culturally informed suicide prevention programs are essential for Native Hawaiian adolescents.
- Addressing ethnic disparities in suicide prevention requires tailored, community-based approaches.
- Longitudinal data highlights the need for culturally sensitive interventions to improve indigenous youth well-being.
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