Evidence map›Paper›PMID 27736202›Full record

ArticleAmerican journal of public health2016

Decreases in Suicide Deaths and Attempts Linked to the White Mountain Apache Suicide Surveillance and Prevention System, 2001-2012.

Mary F Cwik, Lauren Tingey, Alexandra Maschino, Novalene Goklish, Francene Larzelere-Hinton, John Walkup, Allison Barlow

Abstract read
In one paragraph

Article in American journal of public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Addressing Health Disparities through Community Engagement in Artificial Intelligence-Driven Prevention Science.Prevention science : the official journal of the Society for Prevention Research · 2026
    Review
  6. A Guide to Constructing Indigenous Statistical Spaces for Prevention Science Research.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. BiSocial sciences (Basel, Switzerland) · 2025
    Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Race, Rurality, and Suicidality in Children and Adolescents.American journal of preventive medicine · 2024
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Mary F CwikMary F. Cwik, Lauren Tingey, Alexandra Maschino, Novalene Goklish, Francene Larzelere-Hinton, and Allison Barlow are with the Department of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, MD. John Walkup is with the Division of Child and Adolescent Psychiatry, Weill Cornell Medical College, New York, NY.
Lauren TingeyMary F. Cwik, Lauren Tingey, Alexandra Maschino, Novalene Goklish, Francene Larzelere-Hinton, and Allison Barlow are with the Department of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, MD. John Walkup is with the Division of Child and Adolescent Psychiatry, Weill Cornell Medical College, New York, NY.
Alexandra MaschinoMary F. Cwik, Lauren Tingey, Alexandra Maschino, Novalene Goklish, Francene Larzelere-Hinton, and Allison Barlow are with the Department of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, MD. John Walkup is with the Division of Child and Adolescent Psychiatry, Weill Cornell Medical College, New York, NY.
Novalene GoklishMary F. Cwik, Lauren Tingey, Alexandra Maschino, Novalene Goklish, Francene Larzelere-Hinton, and Allison Barlow are with the Department of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, MD. John Walkup is with the Division of Child and Adolescent Psychiatry, Weill Cornell Medical College, New York, NY.
Francene Larzelere-HintonMary F. Cwik, Lauren Tingey, Alexandra Maschino, Novalene Goklish, Francene Larzelere-Hinton, and Allison Barlow are with the Department of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, MD. John Walkup is with the Division of Child and Adolescent Psychiatry, Weill Cornell Medical College, New York, NY.
John WalkupMary F. Cwik, Lauren Tingey, Alexandra Maschino, Novalene Goklish, Francene Larzelere-Hinton, and Allison Barlow are with the Department of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, MD. John Walkup is with the Division of Child and Adolescent Psychiatry, Weill Cornell Medical College, New York, NY.
Allison BarlowMary F. Cwik, Lauren Tingey, Alexandra Maschino, Novalene Goklish, Francene Larzelere-Hinton, and Allison Barlow are with the Department of International Health, Center for American Indian Health, Johns Hopkins School of Public Health, Baltimore, MD. John Walkup is with the Division of Child and Adolescent Psychiatry, Weill Cornell Medical College, New York, NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe evaluated the impact of a comprehensive, multitiered youth suicide prevention program among the White Mountain Apache of Arizona since its implementation in 2006.

methodsUsing data from the tribally mandated Celebrating Life surveillance system, we compared the rates, numbers, and characteristics of suicide deaths and attempts from 2007 to 2012 with those from 2001 to 2006.

resultsThe overall Apache suicide death rates dropped from 40.0 to 24.7 per 100 000 (38.3% decrease), and the rate among those aged 15 to 24 years dropped from 128.5 to 99.0 per 100 000 (23.0% decrease). The annual number of attempts also dropped from 75 (in 2007) to 35 individuals (in 2012). National rates remained relatively stable during this time, at 10 to 13 per 100 000.

conclusionsAlthough national rates remained stable or increased slightly, the overall Apache suicide death rates dropped following the suicide prevention program. The community surveillance system served a critical role in providing a foundation for prevention programming and evaluation.

Indexed as

Indians, North AmericanPopulation SurveillanceAdolescentAdultAgedArizonaChildFemaleHumansMaleMiddle AgedSuicideSuicide, AttemptedSuicide PreventionYoung Adult

Identifiers

PMID27736202
PMCPMC5105000

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.