The ongoing challenge of American Indian and Alaska Native (AIAN) youth suicide is a public health crisis of relatively recent historical origin inadequately addressed by contemporary prevention science. A promising development in AIAN suicide prevention highlights the role of protective factors. A protective factor framework adopts a social ecological perspective and community-level intervention paradigm. Emphasis on protection highlights strength-based AIAN cultural strategies in prevention of youth suicide. Attention to multiple intersecting levels incorporates strategies promoting community as well as individual resilience processes, seeking to influence larger contexts as well as individuals within them. This approach expands the scope of suicide prevention strategies beyond the individual level and tertiary prevention strategies. Interventions that focus on mechanisms of protection offer a rigorous, replicable, and complementary prevention science alternative to risk reduction approaches. This selected review critically examines recent AIAN protective factor suicide prevention science. One aim is to clarify key concepts including protection, resilience, and cultural continuity. A broader aim is to describe the evolution of this promising new framework for conducting primary research about AIAN suicide, and for designing and testing more effective intervention. Recommendations emphasize focus on mechanisms, multilevel interactions, more precise use of theory and terms, implications for new intervention development, alertness to unanticipated impacts, and culture as fundamental in a protective factors framework for AIAN suicide prevention. A protective factor framework holds significant potential for advancing AIAN suicide prevention and for work with other culturally distinct suicide disparity groups, with broad implications for other areas of prevention science.
|Original language||English (US)|
|Number of pages||14|
|Early online date||Jun 24 2021|
|State||Published - Jun 24 2021|
Bibliographical noteFunding Information:
Preparation of this article was funded by the National Institute on Alcohol Abuse and Alcoholism, the National Institute of Mental Health, and the National Institute for Minority Health and Health Disparities (U19MH113138, R01AA023754).
© 2021, Society for Prevention Research.
- American Indian and Alaska Native
- Cultural continuity
- Indigenous suicide prevention
- Multilevel community intervention
- Protective factors
PubMed: MeSH publication types
- Journal Article
- Research Support, N.I.H., Extramural