Many American Indian/Alaska Native (AI/AN) communities throughout North America continue to experience the devastating impact of suicide. Theoretical explanations of suicide from a psychological, sociological, cultural, and Indigenous perspective all differ in focus and applicability to AI/AN communities. These diverse theoretical frameworks and models are presented herein to examine the potential applicability, strengths, and limitations in understanding AI/AN suicide. In providing these perspectives, continued discussions and empirical examinations of AI/AN suicide can guide informative, culturally-informed suicide prevention and intervention efforts.
AlcántaraC.GoneJ. P. (2007) Reviewing suicide in Native American communities: Situating risk and protective factors within a transactional-ecological framework. Death Studies31(5): 457–477. doi:http://dx.doi.org/10.1080/07481180701244587.
2.
AllenJ.MohattG. V.BeehlerS.RoweH. L. (2014) People Awakening: Collaborative research to develop cultural strategies for prevention in community intervention. American Journal of Community Psychology54(1–2): 100–111. doi:10.1007/s10464-014-9647-1.
3.
AllenJ.MohattG. V.FokC. C. T.HenryD.BurkettR.TeamP. A. (2014) A protective factors model for alcohol abuse and suicide prevention among Alaska Native youth. American Journal of Community Psychology54(1–2): 125–139. doi:10.1007/s10464-014-9661-3.
4.
BaumeisterR. F. (1990) Suicide as escape from self. Psychological Review97(1): 90–113. doi:10.1037/0033-295X.97.1.90.
5.
BealsJ.MansonS. M.MitchellC. M.SpicerP.AI-SuperPFP Team (2003) Cultural specificity and comparison in psychiatric epidemiology: Walking the tightrope in American Indian research. Culture, Medicine and Psychiatry27(3): 259–289. doi:10.1023/A:1025347130953.
6.
Brave HeartM. (1999a) Gender differences in the historical trauma response among the Lakota. Journal of Health & Social Policy10(4): 1–21. doi: 10.1300/J045v10n04_01.
7.
Brave HeartM. (1999b) Oyate Ptayela: Rebuilding the Lakota Nation through addressing historical trauma among Lakota parents. Journal of Human Behavior in the Social Environment2(1–2): 109–126. doi:10.1300/J137v02n01_08.
8.
Brave HeartM.DeBruynL. M. (1998) The American Indian holocaust: Healing historical unresolved grief. American Indian And Alaska Native Mental Health Research8(2): 60–82. doi:10.5820/aian.0802.1998.60.
Centers for Disease Control and Prevention, National Center for Injury Prevention, Control (2010), “Web-based injury statistics query, reporting system, WISQARS”, available at: www.cdc.gov/injury/wisqars/index.html (accessed May 16, 2015).
11.
ChandlerM. J.LalondeC. (1998) Cultural continuity as a hedge against suicide in Canada’s First Nations. Transcultural Psychiatry35(2): 191–219. doi:10.1177/136346159803500202.
12.
ChandlerM. J.LalondeC. E. (2008) Cultural continuity as a moderator of suicide risk among Canada’s First Nations. In: KirmayerL.J.ValaskakisG.G. (eds) Healing traditions: The mental health of Aboriginal peoples in Canada, Vancouver: University of British Columbia Press, pp. 221–248.
13.
ChiurlizaB.MichaelsM. S.JoinerT. E. (2016) Acquired capability for suicide among individuals with American Indian/Alaska native backgrounds within the military. American Indian And Alaska Native Mental Health Research23(4): 1–15. doi:10.5820/aian.2304.2016.1.
ColeA. B.WingateL. R.SlishM. L.TuckerR. P.HollingsworthD. W.O’KeefeV. M. (2013) Burdensomeness, depression, and suicide in a sample of American Indian college students. Ethnicity and Inequalities in Health and Social Care6(2–3): 77–86. doi:http://dx.doi.org/10.1108/EIHSC-10-2013-0026.
CwikM. F.BarlowA.GoklishN.Larzelere-HintonF.TingeyL.CraigM.WalkupJ. (2014) Community-based surveillance and case management for suicide prevention: An American Indian tribally initiated system. American Journal of Public Health104: e18–e23. doi:http://dx.doi.org/10.2105/AJPH.2014.301872.
18.
DapiceA. N. (2006) The medicine wheel. Journal of Transcultural Nursing17(3): 251–260. doi:10.1177/1043659606288383.
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 monograph Series4: 167–188. doi:10.5820/aian.mono04.1994.167.
21.
Drapeau, C. W., & McIntosh, J. L. (for the American Association of Suicidology). (2015). U.S.A. suicide 2014: Official final data. Washington, DC: American Association of Suicidology, dated December 22, 2015, downloaded from http://www.suicidology.org.
22.
Duran, E., & Duran, B. (1995). Native American postcolonial psychology. SUNY Press. Durkheim, E. (1951). Suicide: A study in sociology (JA Spaulding & G. Simpson, trans.). Glencoe, IL: Free Press. (Original work published 1897).
23.
GouldM. S.WallensteinS.DavidsonL. (1989) Suicide clusters: A critical review. Suicide and Life-Threatening Behavior19(1): 17–29. doi:10.1111/j.1943-278X.1989.tb00363.x.
24.
FrybergS. A.MarkusH. R.OysermanD.StoneJ. M. (2008) Of warrior chiefs and Indian princesses: The psychological consequences of American Indian mascots. Basic and Applied Social Psychology30(3): 208–218. doi:10.1080/01973530802375003.
25.
HillD. L. (2009) Relationship between sense of belonging as connectedness and suicide in American Indians. Archives of Psychiatric Nursing23(1): 65–74. doi:http://dx.doi.org/10.1016/j.apnu.2008.03.003.
26.
JoinerT. E.Jr. (2005) Why people die by suicide, Cambridge, MA: Harvard University Press.
27.
KeaneE. M.DickR. W.BechtoldD. W.MansonS. M. (1996) Predictive and concurrent validity of the Suicidal Ideation Questionnaire among American Indian adolescents. Journal of Abnormal Child Psychology24(6): 735–747. doi:10.1007/BF01664737.
28.
KirmayerL. J.BrassG. M.HoltonT.PaulK.SimpsonC.TaitC. (2007) Suicide among Aboriginal peoples in Canada, Ottawa, ON: Aboriginal Healing Foundation.
KirmayerL. J.SheinerE.GeoffroyD. (2016) Mental health promotion for Indigenous youth. In: HodesM.GauS. S. F. (eds) Positive Mental Health, Fighting Stigma and Promoting Resiliency for Children and Adolescents, New York: Academic Press, pp. 111–140.
31.
KralM. J. (1994) Suicide as social logic. Suicide And Life-Threatening Behavior24(3): 245–255.
32.
LaFromboiseT. D. (1996) American Indian Life Skills Development Curriculum, Madison, WI, US: University of Wisconsin Press.
33.
LaFromboiseT. D.FatemiA. S. (2011) American Indian Life Skills: A community-based intervention for indigenous mental health. In: SarcheM. C.SpicerP.FarrellP.FitzgeraldH. E. (eds) American Indian and Alaska Native children and mental health: Development, context, prevention, and treatment, Santa Barbara, CA, US: Praeger/ABC-CLIO, pp. 309–336.
34.
LaFromboiseT.Howard-PitneyB. (1995) The Zuni Life Skills Development curriculum: Description and evaluation of a suicide prevention program. Journal of Counseling Psychology42(4): 479–486. doi:10.1037/0022-0167.42.4.479.
35.
LesterD. (1995) Social correlates of American Indian suicide and homicide rates. American Indian and Alaska Native Mental Health Research6(3): 46–55. doi:10.5820/aian.0603.1995.46.
36.
LesterD. (1999) Native American suicide rates, acculturation stress and traditional integration. Psychological Reports84(2): 398. doi:10.2466/PR0.84.2.398-398.
37.
LuceroE. (2011) From tradition to evidence: Decolonization of the evidence-based practice system. Journal of Psychoactive Drugs43(4): 319–324. doi:10.1080/02791072.2011.628925.
38.
ManzoK.TiesmanH.StewartJ.HobbsG. R.KnoxS. S. (2015) A comparison of risk factors associated with suicide ideation/attempts in American Indian and White youth in Montana. Archives of Suicide Research19(1): 89–102. doi:http://dx.doi.org/10.1080/13811118.2013.840254.
39.
MayP. A. (1987) Suicide and self-destruction among American Indian youths. American Indian and Alaska Native Mental Health Research1(1): 52–69. doi:10.5820/aian.0101.1987.57.
40.
MayP. A.SernaP.HurtL.DeBruynL. M. (2005) Outcome evaluation of a public health approach to suicide prevention in an American Indian tribal nation. American Journal of Public Health95(7): 1238. doi:10.2105/AJPH.2004.040410.
41.
MayP. A.Van WinkleN. W. (1994) Durkheim’s suicide theory and its applicability to contemporary American Indians and Alaska Natives. Emile Durkheim: Le Suicide100: 296–318.
42.
Mehl-MadronaL. (2016) Indigenous knowledge approach to successful psychotherapies with aboriginal suicide attempters. The Canadian Journal Of Psychiatry / La Revue Canadienne De Psychiatrie61(11): 696–699. doi:10.1177/0706743716659247.
43.
MiddlebrookD. L.LeMasterP. L.BealsJ.NovinsD. K.MansonS. M. (2001) Suicide prevention in American Indian and Alaska Native communities: A critical review of programs. Suicide and Life-Threatening Behavior31(s1): 132–149. doi:10.1521/suli.31.1.5.132.24225.
44.
MihesuahD. A. (1996) American Indians: Stereotypes & Realities, Atlanta, GA: Clarity Press.
45.
MuehlenkampJ. J.MarroneS.GrayJ. S.BrownD. L. (2009) A college suicide prevention model for American Indian students. Professional Psychology: Research and Practice40(2): 134–140. doi:http://dx.doi.org/10.1037/a0013253.
46.
MullanyB.BarlowA.GoklishN.Larzelere-HintonF.CwikM.CraigM.WalkupJ. T. (2009) Toward understanding suicide among youths: Results from the White Mountain Apache tribally mandated suicide surveillance system, 2001–2006. American Journal of Public Health99(10): 1840–1848. doi:http://dx.doi.org/10.2105/AJPH.2008.154880.
47.
NiezenR. (2009) Suicide as a way of belonging: Causes and consequences of cluster suicides in Aboriginal communities. In: KirmayerL. J.ValaskakisG. G. (eds) Healing traditions: The mental health of Aboriginal peoples in Canada. 178–195.
48.
NiezenR. (2015) The durkheim-tarde debate and the social study of Aboriginal youth suicide. Transcultural Psychiatry52(1): 96–114. doi:http://dx.doi.org/10.1177/1363461514557560.
49.
O’ConnorR. C.NockM. K. (2014) The psychology of suicidal behavior. Lancet Psychiatry1(1): 73–85. doi:10.1016/S2215-0366(14)70222-6.
50.
O’KeefeV. M.WingateL. R. (2013) The role of hope and optimism in suicide risk for American Indians/Alaska Natives. Suicide and Life Threatening Behavior43(6): 621–633. doi:10.1111/sltb.12044.
51.
O’KeefeV. M.WingateL. R.ColeA. B.HollingsworthD. W.TuckerR. P. (2015) Seemingly harmless racial communications are not so harmless: Racial microaggressions lead to suicidal ideation by way of depression symptoms. Suicide and Life Threatening Behavior45(5): 567–576. doi:10.1111/sltb.12150.
52.
O’KeefeV. M.WingateL. R.TuckerR. P.Rhoades-KerswillS.SlishM. L.DavidsonC. L. (2014) Interpersonal suicide risk for American Indians: Investigating thwarted belongingness and perceived burdensomeness. Cultural Diversity and Ethnic Minority Psychology20(1): 61–67. doi:http://dx.doi.org/10.1037/a0033540.
53.
PattersonA. A.HoldenR. R. (2012) Psychache and suicide ideation among men who are homeless: A test of Shneidman’s model. Suicide and Life-Threatening Behavior42(2): 147–156. doi:http://dx.doi.org/10.1111/j.1943-278X.2011.00078.x.
54.
PereiraE. J.KronerD. G.HoldenR. R.FlamenbaumR. (2010) Testing Shneidman’s model of suicidality in incarcerated offenders and in undergraduates. Personality and Individual Differences49(8): 912–917. doi:http://dx.doi.org/10.1016/j.paid.2010.07.029.
55.
PharrisM. D.ResnickM. D.BlumR. W. (1997) Protecting against hopelessness and suicidality in sexually abused American Indian adolescents. Journal of Adolescent Health21: 400–406. doi:10.1016/S1054-139X(97)00166-3.
56.
PineC. J. (1981) Suicide in American Indian and Alaskan Native tradition. White Cloud Journal of American Indian/Alaska Native Mental Health2(3): 3–8. Retrieved from: http://search.ebscohost.com.argo.library.okstate.edu/.
57.
RasmusS. M.CharlesB.MohattG. V. (2014) Creating Qungasvik (a Yup’ik intervention ‘toolbox’): Case examples from a community-developed and culturally-driven intervention. American Journal of Community Psychology54(1-2): 140–152. doi:10.1007/s10464-014-9651-5.
58.
RieckmannT. R.WadsworthM. E.DeyhleD. (2004) Cultural Identity, Explanatory Style, and Depression in Navajo Adolescents. Cultural Diversity and Ethnic Minority Psychology10(4): 365–382. doi:10.1037/1099-9809.10.4.365.
59.
ShneidmanE. S. (1996) Suicide as psychache. In: MaltsbergerJ. T.GoldblattM. J.MaltsbergerJ. T.GoldblattM. J. (eds) Essential papers on suicide, New York, NY, US: New York University Press, pp. 633–638.
60.
SmithL. T. (1999) Decolonizing methodologies: Research and indigenous peoples, Zed books.
StricklandC. J.CooperM. (2011) Getting into trouble: Perspectives on stress and suicide prevention among Pacific Northwest Indian youth. Journal of Transcultural Nursing22(3): 240–247. doi:http://dx.doi.org/10.1177/1043659611404431.
63.
StricklandC. J.WalshE.CooperM. (2006) Healing fractured families: Parents’ and elders’ perspectives on the impact of colonization and youth suicide prevention in a Pacific Northwest American Indian tribe. Journal of Transcultural Nursing17(5): 5–12. doi:10.1177/1043659605281982.
TravisR. (1984) Suicide and economic development among the Inupiat Eskimo. White Cloud Journal Of American Indian Mental Health3(3): 14–21.
66.
TravisR. (1990) Halbwachs and Durkheim: A test of two theories of suicide. British Journal Of Sociology41(2): 225–243. doi:10.2307/590871.
67.
TroisterT.DavisM. P.LowndesA.HoldenR. R. (2013) A five-month longitudinal study of psychache and suicide ideation: Replication in general and high-risk university students. Suicide and Life-Threatening Behavior43(6): 611–620. doi:10.1111/sltb.12043.
68.
TroisterT.HoldenR. R. (2012) A two-year prospective study of psychache and its relationship to suicidality among high-risk undergraduates. Journal of Clinical Psychology68(9): 1019–1027. doi:10.1002/jclp.21869.
69.
TuckE.YangK. W. (2012) Decolonization is not a metaphor. Decolonization: Indigeneity, Education & Society1(1): 1–40. Retrieved from: http://decolonization.org.
70.
TuckerR. P.WingateL. R.O’KeefeV. M.HollingsworthD. W.ColeA. B. (2016) An examination of the effect of historical loss thinking frequency and rumination on suicide ideation in a sample of American Indian young adults. Suicide and Life-Threatening Behavior46(2): 213–222. doi:10.1111/sltb.12185.
71.
Van OrdenK. A.WitteT. K.GordonK. H.BenderT. W.JoinerT. J. (2008) Suicidal desire and the capability for suicide: Tests of the interpersonal-psychological theory of suicidal behavior among adults. Journal of Consulting and Clinical Psychology76(1): 72–83. doi:10.1037/0022-006X.76.1.72.
72.
WallsM. L.ChappleC. L.JohnsonK. D. (2007) Strain, emotion, and suicide among American Indian youth. Deviant Behavior28(3): 219–246. doi:http://dx.doi.org/10.1080/01639620701233100.
73.
WalterM.AndersenC. (2013) Indigenous statistics: A quantitative research methodology, Left Coast Press.
74.
WaltersK. L.SimoniJ. M.Evans-CampbellT. (2002) Substance use among American Indians and Alaska Natives: Incorporating culture in an “Indigenist” stress-coping paradigm. Public health reports117(Suppl 1): S104. Retrieved from: http://phr.sagepub.com/.
75.
WenzelA.BeckA. T. (2008) A cognitive model of suicidal behavior: Theory and treatment. Applied and Preventive Psychology13: 189–201. doi:10.1016/j.appsy.2008.05.001.
76.
WenzelA.BrownG. K.BeckA. T. (2009) A cognitive model of suicidal acts. Cognitive therapy for suicidal patients: Scientific and clinical applications, Washington, DC: American Psychological Association, pp. 53–77. doi:http://dx.doi.org/10.1037/11862-003.
77.
WexlerL. (2009) Identifying colonial discourses in Inupiat young people’s narratives as a way to understand the no future of Inupiat youth suicide. American Indian and Alaska Native Mental Health Research16(1): 1–24. doi:10.5820/aian.1601.2009.1.
78.
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 Health105(5): 891–899. Retrieved from: http://search.ebscohost.com.argo.library.okstate.edu/.
79.
WexlerL.GoneJ. (2012) Culturally responsive suicide prevention in indigenous communities: Unexamined assumptions and new possibilities. American Journal of Public Health102(5): 800–806. doi:10.2105/AJPH.2011.300432.
80.
WexlerL.WhiteJ.TrainorB. (2015) Why an alternative to suicide prevention gatekeeper training is needed for rural Indigenous communities: Presenting an empowering community storytelling approach. Critical Public Health25(2): 205–217. doi:http://dx.doi.org.argo.library.okstate.edu/10.1080/09581596.2014.904039.
81.
WilsonS. (2008) Research is ceremony: Indigenous research methods, Black Point, N.S: Fernwood Pub.
82.
WongY. J.MaffiniC. S.ShinM. (2014) The racial-cultural framework: A framework for addressing suicide-related outcomes in communities of color. The Counseling Psychologist42(1): 13–54. doi:http://dx.doi.org/10.1177/0011000012470568.
83.
YoderK. A.WhitbeckL. B.HoytD. R.LaFromboiseT. (2006) Suicidal ideation among American Indian youths. Archives of Suicide Research10(2): 177–190. doi:10.1080/13811110600558240.
84.
YoungT. J. (1991) Native Americans and the constant death instinct hypothesis. Perceptual and Motor Skills72(3, Pt 1): 814. doi:10.2466/PMS.72.3.814-814.
85.
YoungT. J.FrenchL. (1995) Status integration and suicide among Native American women. Social Behavior and Personality23(2): 155–157. doi:10.2224/sbp.1995.23.2.155.
86.
ZitzowD.DesjarlaitF. (1994) A study of suicide attempts comparing adolescents to adults on a northern plains American Indian reservation. American Indian and Alaska Native Mental Health Research4(Mono): 35–69. doi:10.5820/aian.mono04.1994.35.
