TY  - JOUR
PY  - 2019//
TI  - Change pathways in indigenous and nonindigenous youth suicide
JO  - Suicide and life-threatening behavior
A1  - Goebert, Deborah A.
A1  - Hamagami, Fumiaki
A1  - Hishinuma, Earl S.
A1  - Chung-Do, Jane J.
A1  - Sugimoto-Matsuda, Jeanelle J.
SP  - 193
EP  - 209
VL  - 49
IS  - 1
N2  - 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>
LA  - en
SN  - 0363-0234
UR  - http://dx.doi.org/10.1111/sltb.12420
ID  - ref1
ER  -