ArticlePrevention science : the official journal of the Society for Prevention Research2018
Multi-Level Cultural Intervention for the Prevention of Suicide and Alcohol Use Risk with Alaska Native Youth: a Nonrandomized Comparison of Treatment Intensity.
Article in Prevention science : the official journal of the Society for Prevention Research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 6 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
53 citing papers in PubMed, 6 syntheses or guidelines pooled it, 104 citations in OpenAlex.
- Gender in suicide prevention in adolescents and young adults: a systematic review.BMC public health · 2026Pooled it
- Histories of violence among clients seeking substance use disorder treatment: a systematic mapping review.Frontiers in psychiatry · 2024Pooled it
- What can primary care services do to help First Nations people with unhealthy alcohol use? A systematic review: Australia, New Zealand, USA and Canada.Addiction science & clinical practice · 2020Pooled it
- Preventing Substance Use Among Indigenous Adolescents in the USA, Canada, Australia and New Zealand: a Systematic Review of the Literature.Prevention science : the official journal of the Society for Prevention Research · 2020Pooled it
- Global incidence of suicide among Indigenous peoples: a systematic review.BMC medicine · 2018Pooled it
- Mental health interventions for suicide prevention among indigenous adolescents: a systematic review.Sao Paulo medical journal = Revista paulista de medicinaPooled it
- Baseline results from NenŨnkUmbi/EdaHiYedo: A randomized clinical trial to improve sexual and reproductive health among American Indian adolescents.Journal of adolescence · 2023Trial
- Knowing Who You Are (Becoming): Effects of a university-based elder-led cultural identity program on Alaska Native students' identity development, cultural strengths, sense of community, and behavioral health.The American journal of orthopsychiatry · 2023Trial
- A Pilot Randomized Controlled Trial Evaluating Peer Recovery Coaches for Addiction Recovery Among Indigenous Americans.Journal of the American Psychiatric Nurses AssociationTrial
- Understanding Youth Suicide Risk Through Changes in Protective Strength Factors.Behavioral sciences (Basel, Switzerland) · 2026Article
- Bridging traditions and prevention: Insights into implementing and sustaining substance use programs for urban AI/AN communities.Journal of substance use and addiction treatment · 2026Article
- My Pathway to Healing (MP2H): a pilot randomized implementation trial to promote healing from the impacts of adverse childhood experiences, trauma, and suicide risk among Native American adults-trial rationale and protocol.Pilot and feasibility studies · 2026Article
- Cultural Guideposts of Health: A crisis response evaluation framework for California's diverse Indigenous communities.Journal of public health research · 2026Article
- Native American Youth Reflections on Participation in a School-Based Mental Health Intervention Program.International journal for human caring · 2025Article
- Community-based Suicide Interventions in Rural United States: A Scoping Review.Community mental health journal · 2025Article
- Rural Community-Based Interventions to Improve the Mental Health and Wellbeing of Children and Young People: A Rapid Scoping Review of the Quantitative and Qualitative Evidence.Journal of community psychology · 2025Article
- Healing of the Canoe: Preliminary Suicide Prevention Outcomes Among Participating and Non-Participating Youth.Prevention science : the official journal of the Society for Prevention Research · 2025Article
- The predictive association between social support, communal mastery, and response to culturally adapted cognitive processing therapy among Native American women.Journal of traumatic stress · 2025Article
- Scoping Review of Outdoor and Land-Based Prevention Programs for Indigenous Youth in the United States and Canada.International journal of environmental research and public health · 2025Article
- Suicidality and Non-Suicidal Self-Injury: A Narrative Review of Measurement, Risk, and Disparities among Minoritized and System-Involved Youth in the USA.Children (Basel, Switzerland) · 2024Review
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
Suicide and alcohol use disorders are primary determinants of health disparity among Alaska Native people in contrast to the US general population. Qungasvik, a Yup'ik word for toolbox, is a strengths-based, multi-level, community/cultural intervention for rural Yup'ik youth ages 12-18. The intervention uses "culture as intervention" to promote reasons for life and sobriety in young people using local expertise, high levels of community direction, and community based staff. The intervention is grounded in local practices and adaptive to local cultural differences distinctive to rural Yup'ik communities. The current study compares the effectiveness of high-intensity intervention in one community (treatment), operationalized as a high number of intervention activities, or modules, implemented and attended by youth, contrasted to a lower intensity intervention in a second community (comparison) that implemented fewer modules. A Yup'ik Indigenous theory of change developed through previous qualitative and quantitative work guides intervention. In the model, direct intervention effects on proximal or intermediate variables constituting protective factors at the individual, family, community, and peer influences levels lead to later change on the ultimate prevention outcome variables of Reasons for Life protective from suicide risk and Reflective Processes about alcohol use consequences protective from alcohol risk. Mixed effects regression models contrasted treatment and comparison arms, and identified significant intervention effects on Reasons for Life (d = 0.27, p < .05) but not Reflective Processes.
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Registered trials
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.