{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T10:25:18Z","timestamp":1770978318373,"version":"3.50.1"},"reference-count":21,"publisher":"American Public Health Association","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[1991,7]]},"abstract":"<jats:p> BACKGROUND: Rates of adolescent suicide in the United States are highest among Native Americans but little is known about risk factors for suicide attempts in this population. METHODS: To identify risk factors for self-reported suicide attempts by Navajo adolescents, we analyzed the 1988 Indian Health Service Adolescent Health Survey that was administered to 7,254 students in grades 6 through 12 on the Navajo reservation. The responses of students reporting a past suicide attempt were compared to others. RESULTS: Nearly 15 percent (N = 971) reported a previous suicide attempt; over half of those admitted to more than one attempt. Controlling for age, a logistic regression model revealed the following associations with suicide attempts: a history of mental health problems (OR = 3.2); alienation from family and community (OR = 3.2); having a friend who attempted suicide (OR = 2.8); weekly consumption of hard liquor (OR = 2.7); a family history of a suicide or attempt (OR = 2.3); poor self-perception of health (OR = 2.2); a history of physical abuse (OR = 1.9); female gender (OR = 1.7); and sexual abuse (OR = 1.5). CONCLUSIONS: Efforts to prevent adolescent suicide attempts in this population should target individuals with those risk factors of the highest risk and prevalence of exposure. <\/jats:p>","DOI":"10.2105\/ajph.81.7.870","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:17:08Z","timestamp":1227964628000},"page":"870-874","source":"Crossref","is-referenced-by-count":124,"title":["Risk factors for suicide attempts among Navajo adolescents."],"prefix":"10.2105","volume":"81","author":[{"given":"D C","family":"Grossman","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B C","family":"Milligan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R A","family":"Deyo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"p_1","unstructured":"Youth Suicide Surveillance, Centers for Disease Control, Atlanta, GA, 1986."},{"key":"p_2","first-page":"77","volume":"12","author":"Berlin IN","year":"1985","journal-title":"Adolesc Psychiatry"},{"key":"p_3","doi-asserted-by":"publisher","DOI":"10.1007\/BF00052965"},{"key":"p_4","first-page":"43","author":"Chart-Series Book","year":"1988","journal-title":"US Public Health Service"},{"key":"p_5","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.pu.08.050187.002221"},{"key":"p_6","unstructured":"American School Health Association, etal: The National Adolescent Student Health Survey, A Report on the Health of America's Youth. Oakland, CA: Third Party Publishing, 1989."},{"key":"p_7","first-page":"609","volume":"104","author":"Manson SM","year":"1989","journal-title":"Public Health Rep"},{"key":"p_8","first-page":"143","volume":"71","author":"Blum R","year":"1988","journal-title":"Minnesota Med"},{"key":"p_9","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.epirev.a036308"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1989.03430190071034"},{"key":"p_13","first-page":"71","volume":"131","author":"Durkheim E","year":"1990","journal-title":"NewYork: The Free Am J Epidemiol"},{"key":"p_14","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1987.03390240075026"},{"key":"p_15","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.78.2.179"},{"key":"p_16","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(05)82679-4"},{"key":"p_17","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1988.01800300079011"},{"key":"p_18","first-page":"36","volume":"49","author":"Shaffer D","year":"1988","journal-title":"J Clin Psychiatry"},{"key":"p_19","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.145.11.1420"},{"key":"p_20","doi-asserted-by":"crossref","first-page":"762","DOI":"10.1542\/peds.84.5.762","volume":"84","author":"Slap GB","year":"1989","journal-title":"Pediatrics"},{"key":"p_21","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(83)90372-6"},{"key":"p_22","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(87)90264-4"},{"key":"p_23","doi-asserted-by":"publisher","DOI":"10.1097\/00004583-198811000-00001"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.81.7.870","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T19:43:30Z","timestamp":1652125410000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.81.7.870"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,7]]},"references-count":21,"journal-issue":{"issue":"7","published-print":{"date-parts":[[1991,7]]}},"alternative-id":["10.2105\/AJPH.81.7.870"],"URL":"https:\/\/doi.org\/10.2105\/ajph.81.7.870","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,7]]}}}