Evidence map›Paper›PMID 34374620›Full record

ArticleThe American journal of drug and alcohol abuse2021

Suicide and the opioid overdose crisis among American Indian and Alaska Natives: a storm on two fronts demanding swift action.

Jerreed D Ivanich, Julia Weckstein, Paul S Nestadt, Mary F Cwik, Melissa Walls, Emily E Haroz, Victoria M O'Keefe, Novalene Goklish, Allison Barlow

Open access · greenAbstract read
In one paragraph

Article in The American journal of drug and alcohol abuse, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
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

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. A Guide to Constructing Indigenous Statistical Spaces for Prevention Science Research.Prevention science : the official journal of the Society for Prevention Research · 2026
    Article
  3. Article
  4. Article
  5. Article
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  7. School Racial Composition as a Moderator of the Effect of Discrimination on Mental Health and Substance use Among American Indian Adolescents.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Jerreed D IvanichCenters for American Indian and Alaska Native Health, University of Colorado - Anschutz Medical Campus, Aurora, CO, USA.ORCID 0000-0002-0794-4835
Julia WecksteinDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Paul S NestadtDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Mary F CwikCenter for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Melissa WallsCenter for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.ORCID 0000-0001-6324-457X
Emily E HarozCenter for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Victoria M O'KeefeCenter for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Novalene GoklishCenter for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Allison BarlowCenter for American Indian Health, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Johns Hopkins University · USNative Health · US

Funding

Understanding the intersection between opioids and suicide through the Southwest HubU19MH113136 · NIMH · JOHNS HOPKINS UNIVERSITY · PI CWIK, MARY · 2017 to 2023
$11.4M
The Elders' Resilience Curriculum: Toward Building Empirical Evidence for a Culturally Grounded American Indian Youth Suicide Prevention InterventionK01MH122702 · NIMH · JOHNS HOPKINS UNIVERSITY · PI O’KEEFE, VICTORIA · 2020 to 2024
$964k
SuSt-AInS: Sustainment of suicide prevention programs in American Indian SettingsK01MH116335 · NIMH · JOHNS HOPKINS UNIVERSITY · PI HAROZ, EMILY · 2018 to 2022
$733k
NIMH NIH HHS K01 MH116335NIMH NIH HHS K01 MH122702NIMH NIH HHS U19 MH113136
6 · The paper itself

Abstract

The opioid crisis in the United States has received national attention and critical resources in the past decade. However, what has been overlooked is the effect the opioid crisis may be having on a three-decade suicide crisis among American Indian and Alaska Native (AIAN) communities that already have too few resources to address behavioral and mental health issues. This paper describes recent epidemiological trends associated with both opioid overdose and suicide at a national level for AIANs and the rest of the United States. We used data reported by the Centers for Disease Control and Prevention to report historical trends of opioid overdose and suicide for AIAN and non-AIAN populations. We found alarming and potentially correlated trends of opioid use and suicidality among AIAN populations. We highlight both current and future research that will be essential to understanding and addressing the unique intersection between opioid and suicide risk and protective factors to inform dual prevention and intervention efforts among AIAN populations with potential relevance to public health response among other at-risk populations.

Indexed as

Alaska NativesAmerican Indian or Alaska NativeAdolescentAdultAgedAged, 80 and overChildHumansMiddle AgedOpiate OverdoseOpioid EpidemicSuicideSyndemicUnited StatesYoung AdultAlaska NativeAmerican Indianco-occurrenceopioidssuicide

Identifiers

PMID34374620
PMCPMC9091944
OpenAlexW3192007110

What OpenQuestion holds

Textmetadata
LicenceTDM
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.