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This exploratory study is the first to examine self-reported survey outcomes after the addition of suicide prevention and intervention modules into the curriculum and includes a comparison group of similar youth. Repeated measures analysis of variance (rANOVA) models examined changes in scores from the Pre-Survey to the Post-Survey for an intervention group and a comparison group of youth in 2018\u20132019. Survey responses were combined into composite scores for the following categories of interest: hope, mental health, help-seeking and helping, suicide attempts, culture, and resilience. There were 74 youth in the intervention group (IG) and 59 in the non-intervention group (NIG) who completed both Pre- and Post-Surveys. The IG experienced significant positive effects on the hope and resilience scales from Pre- to Post-Survey, while the youth in the NIG saw a decrease in these same scales from Pre- to Post-Survey. The NIG experienced worse outcomes for mental health, while the IG saw a slight improvement. Despite a small number of youth participants and the naturalistic setting, which limited the ability to control for potential confounding variables, the results from this preliminary study are promising. Future studies with larger numbers of youth and more ability to account for additional factors may potentially show even more benefits of the HOC curriculum.<\/jats:p>","DOI":"10.1007\/s11121-025-01806-x","type":"journal-article","created":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T21:15:28Z","timestamp":1745788528000},"page":"740-750","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Healing of the Canoe: Preliminary Suicide Prevention Outcomes Among Participating and Non-Participating Youth"],"prefix":"10.1007","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-4697-2230","authenticated-orcid":false,"given":"Tamara","family":"Perkins","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brian","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliette","family":"Mackin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis","family":"Donovan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie Craig","family":"Rushing","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colbie","family":"Caughlan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanda Gchachu","family":"Kakuska","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leanza","family":"Walker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"key":"1806_CR1","doi-asserted-by":"publisher","unstructured":"Allen, J., Rasmus, S. 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Springer."}],"container-title":["Prevention Science"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11121-025-01806-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11121-025-01806-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11121-025-01806-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,6]],"date-time":"2025-09-06T12:08:45Z","timestamp":1757160525000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11121-025-01806-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,28]]},"references-count":40,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["1806"],"URL":"https:\/\/doi.org\/10.1007\/s11121-025-01806-x","relation":{},"ISSN":["1389-4986","1573-6695"],"issn-type":[{"value":"1389-4986","type":"print"},{"value":"1573-6695","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,28]]},"assertion":[{"value":"2 April 2025","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 April 2025","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The Portland Area Indian Health Service Institutional Review Board granted ethics approval for both study protocols (NIG: 1135735 and IG: 717867). At the root of this IRB\u2019s human subjects review criteria are the ethical standards laid down by the 1964 Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}},{"value":"Written informed consent was obtained from all youth 18 or older. For all youth aged 12\u201317 participating in the study, written assent was obtained along with written parental\/guardian consent. Moreover, individual Tribal site permissions to use these Tribal data were secured from Tribal officials at each site prior to manuscript submission.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"The authors declare that they have no conflict of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Not applicable.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical Trial Number"}}]}}