@article{ref1,
title="Change pathways in indigenous and nonindigenous youth suicide",
journal="Suicide and life-threatening behavior",
year="2019",
author="Goebert, Deborah A. and Hamagami, Fumiaki and Hishinuma, Earl S. and Chung-Do, Jane J. and Sugimoto-Matsuda, Jeanelle J.",
volume="49",
number="1",
pages="193-209",
abstract="Multivariate dynamic relationships among suicide attempts, anxiety and/or depressive symptoms, hope, and help-seeking were examined across time in Native Hawaiian and non-Hawaiian adolescents, using data from a 5-year longitudinal cohort study (N = 7,317). The rate of suicide attempts decreased over time, but this reduction was significantly less among Native Hawaiian youth than their non-Hawaiian peers. There were also significant differences between groups in hope and help-seeking, with Native Hawaiian youth increasing help-seeking and decreasing hope to a greater degree. Youth-centered, cultural approaches to suicide prevention are essential in enhancing well-being in indigenous communities.<br><br>© 2018 The American Association of Suicidology.<p /> <p>Language: en</p>",
language="en",
issn="0363-0234",
doi="10.1111/sltb.12420",
url="http://dx.doi.org/10.1111/sltb.12420"
}