000			03186nab a22003977a 4500
650			_9307 _aINDIGENOUS PEOPLES
999			_c5778 _d5778
005			20250625151447.0
008			180305s2018 xxu||||| |||| 00| 0 eng d
040			_aAFVC
100			_aLeavitt, Rachel A. _97386
245			_aSuicides among American Indian/Alaska Natives : _bNational Violent Death Reporting System, 18 states, 2003–2014 _cRachel A. Leavitt, Allison Ertl, Kameron Sheats, Emiko Petrosky, Asha Ivey-Stephenson and Katherine A. Fowler
260			_bCenters for Disease Control and Prevention, _c2018
500			_aMMWR, 2018, 67(8): 237-242
520			_aSuicide disproportionately affects American Indians/Alaska Natives (AI/AN). The suicide rate among AI/AN has been increasing since 2003 (1), and in 2015, AI/AN suicide rates in the 18 states participating in the National Violent Death Reporting System (NVDRS) were 21.5 per 100,000, more than 3.5 times higher than those among racial/ethnic groups with the lowest rates.* To study completed suicides across all ages of AI/AN, NVDRS data collected from 2003 to 2014 were analyzed by comparing differences in suicide characteristics and circumstances between AI/AN and white decedents. Considering circumstance information the following was noted: "Circumstance information, obtained primarily through information provided by persons who knew the decedent as indicated in coroner/medical examiner reports and law enforcement reports, was known for 87.5% of AI/AN and 89.8% of white suicides (Table 2). Although intimate partner problems were a common precipitating circumstance for both AI/AN (39.1%) and white decedents (29.4%), AI/AN had significantly higher odds of experiencing this circumstance (aOR = 1.2; 95% CI = 1.1–1.3). Approximately two in 10 AI/AN suicides were preceded by an argument, compared with one in 10 white suicides (aOR  =  1.4; 95% CI  =  1.2–1.7). Compared with white decedents, AI/AN decedents had 2.4 times the odds of the suicide of a friend or family member affecting their death (as ascertained through a note or interviews with persons who knew the decedent) (95% CI = 1.9–3.1) and 1.7 times the odds of the nonsuicide death of a friend or family member affecting their death (95% CI = 1.4–2.1)." (pp.238-9). Record #5778
650			_aAMERICAN INDIAN PEOPLE _97387
650			_aALASKA NATIVE PEOPLE _97388
650			_aDATA ANALYSIS _9181
650		5	_9325 _aINTERPERSONAL RELATIONSHIPS
650			_aINTIMATE PARTNER VIOLENCE _9431
650			_aRISK FACTORS _9505
650			_aSTATISTICS _9575
650			_aSUBSTANCE ABUSE _9584
650			_aSUICIDE _9586
650		4	_aVICTIMS OF DOMESTIC VIOLENCE _9624
651		4	_aUNITED STATES _92646
700			_aErtl, Allison _97389
700			_aSheats, Kameron _97390
700			_aPetrosky, Emiko _97391
700			_aIvey-Stephenson, Asha _97392
700			_aFowler, Katherine A. _97393
773	0		_tMMWR, 2018, 67(8): 237-242
830			_aMMWR _97394
856			_uhttps://www.cdc.gov/mmwr/volumes/67/wr/pdfs/mm6708-H.pdf
856			_uhttps://www.cdc.gov/mmwr/volumes/67/wr/mm6708a1.htm?s_cid=mm6708a1_w _yRead in HTML
942			_2ddc _cARTICLE