ArticlePrevention science : the official journal of the Society for Prevention Research2022
Protective Factors as a Unifying Framework for Strength-Based Intervention and Culturally Responsive American Indian and Alaska Native Suicide Prevention.
Article in Prevention science : the official journal of the Society for Prevention Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.
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The trial behind it
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Who cites it
48 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health effects of Indigenous language use and revitalization: a realist review.International journal for equity in health · 2022Pooled it
- A protocol for collaborative research to understand protection, recovery, and resilience after youth suicide attempt in Kalaallit Nunaat (Greenland).International journal of circumpolar health · 2026Article
- Coping with suicidal crisis in Kalaallit Nunaat (Greenland): inuit youth lived experiences of recovery and protective processes - a qualitative pilot study.International journal of circumpolar health · 2026Article
- Developmental Trajectories of Alcohol, Mental Health and Physical Health among American Indian and First Nation Adolescents: Understanding the Role of Land-Based Cultural Engagement, Family, and Peers.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- A Guide to Constructing Indigenous Statistical Spaces for Prevention Science Research.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Motivations for Nonuse as Predictors of Substance Use Among Reservation-Based Youth in a Computerized Screening and Brief Intervention: The Power of Positive People.Journal of child & adolescent substance use · 2026Article
- Beyond Risk Prediction: Considering Upstream Universal Suicide Prevention to Decrease Risk and Increase Resilience.Behavioral sciences (Basel, Switzerland) · 2026Review
- Social networks, cultural pride, and historical loss among non-reservation American Indian/Alaska native emerging adults.BMC public health · 2025Article
- Compounding risks of chronic health conditions and substance use disorder on healthcare burden in the USA: Analysis of NSDUH data (2021-2023).Addictive behaviors reports · 2025Article
- Discrimination, psychosocial resources, and sleep: A test of the reserve capacity model.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2025Article
- Suicide in subjects under the age of 30: a retrospective analysis.International journal of legal medicine · 2025Article
- Psychometric evaluation of the Chinese version of the shortened version of the RFL-OA scale (SRFL-OA).BMC geriatrics · 2025Article
- Social support, spirituality, and executive functions: An event-related potential (ERP) study of neural mechanisms of cultural protective factors in American Indians (AIs).The American psychologist · 2025Article
- Caring Text Messages for Suicide Prevention in Urban American Indian Youth: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- From Weaving Healthy Families to Weaving Healthy Communities: An Indigenist Dissemination and Implementation Approach Integrating Talking Circle Feedback.Research square · 2025Article
- An approach to capturing the cultural contexts of health behaviours.Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025Review
- An Examination of the Relationship Between Social Support Networks and Opioid Misuse Among American Indian/Alaska Native Populations: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- 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
- Protective factors for suicidality: a qualitative follow-up of the youth and mental health study cohort.BMC public health · 2025Article
- Developing Indigenous-Centered Healing, Health, and Wellness Frameworks to Strengthen Indigenous Health Systems, Decolonize Public Health, and Achieve Health Equity.American journal of public health · 2025Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
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.
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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.