| Titre : | Outcome evaluation of a public health approach to suicide prevention in an American Indian tribal nation. (2005) |
| Auteurs : | MAY (Philip-A) : USA. Departments of Sociology and Family and Community Medicine. University of New Mexico. Albuquerque. ; DEBRUYN (Lemyra-M) : USA. Division of Violence Prevention. Centers for Disease Control and Prevention. Atlanta. GA. ; Lance HURT ; Patricia SERNA ; Western Athabaskan Behavioral Health Services Program. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 95, n° 7, 2005) |
| Pagination : | 1238-1244 |
| Langues: | Anglais |
| Mots-clés : | Pronostic ; Evolution ; Evaluation ; Suicide ; Homme ; Prévention santé ; Ethnie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS 7ykvqR0x. Diffusion soumise à autorisation]. Objectives. We evaluated the efficacy of 15 years of a public health-oriented suicidal-behavior prevention program among youths living on an American Indian reservation. Methods. All suicides, suicide attempts, and suicidal gestures were monitored. Age-specific analyses over time were used to assess outcomes. Results. Both descriptive and linear regression analyses indicated that a substantial drop occurred in suicidal gestures and attempts. Suicide deaths neither declined significantly nor increased, although the total number of self-destructive acts declined by 73% (P=001). Conclusions. Data from this community-based approach document a remarkable downward trend-measured by both magnitude and temporal trends in the specifically targeted age cohorts-in suicidal acts. The sequential decrease in age specific rates of suicide attempts and gestures is indicative of the program's success. |
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