Titre :
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Outcome evaluation of a public health approach to suicide prevention in an American Indian tribal nation. (2005)
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Auteurs :
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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
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 95, n° 7, 2005)
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Pagination :
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1238-1244
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Langues:
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Anglais
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Mots-clés :
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Pronostic
;
Evolution
;
Evaluation
;
Suicide
;
Homme
;
Prévention santé
;
Ethnie
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Résumé :
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[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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