Nonsuicidal self-injury in an American Indian reservation community

Results from the White Mountain Apache surveillance system, 2007-2008

Mary F. Cwik*, Allison Barlow, Lauren Tingey, Francene Larzelere-Hinton, Novalene Goklish, John T. Walkup

*Corresponding author for this work

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Objective: To describe characteristics and correlates of nonsuicidal self-injury (NSSI) among the White Mountain Apache Tribe. NSSI has not been studied before in American Indian samples despite associated risks for suicide, which disproportionately affect American Indian youth. Method: Apache case managers collected data through a tribally mandated surveillance system. Data from 2007 and 2008 (N = 182) were examined for rates, methods, precipitants, functions, past history of self-injury and service use, by age and gender. Results: The rate of NSSI among all ages was 600 in 100,000, with individuals 10 to 14 years old disproportionately affected at a rate of 3,000 in 100,000. More females (65%) reported NSSI, and cutting was the preferred method (98%) for both genders combined. Most frequently reported precipitants were peer pressure/copying, conflict with boy/girlfriend and "depression." A substantial proportion (22%) was intoxicated/high at the time. More reported the function of NSSI was to "effect internal state" (45%) than "effect circumstances" (15%). More than one-third (39%) received ED treatment and referrals for aftercare (36%). Of those referred, only 30% followed up with services. Most (79%) reported past NSSI; 30% reported past suicidal ideation and 25% attempts. Conclusions: NSSI is a significant, largely unaddressed mental health problem among the White Mountain Apache Tribe and likely other reservation communities, especially as NSSI could serve as a precursor to suicide in this population. Interestingly, another self-destructive behavior, severe substance use, was reported to the surveillance system by Apaches and described in terms similar to NSSI, an important preliminary finding worth further exploration.

Original languageEnglish (US)
Pages (from-to)860-869
Number of pages10
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume50
Issue number9
DOIs
StatePublished - Jan 1 2011

Fingerprint

North American Indians
Wounds and Injuries
Population Groups
Suicide
Self-Injurious Behavior
Suicidal Ideation
Aftercare
Mental Health
Referral and Consultation
Depression

Keywords

  • Alcohol use
  • American Indian
  • Drug use
  • Nonsuicidal self-injury
  • Self-destructive behavior

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

Cite this

@article{c4e8ceacbcc045eea972d0d10807ab8d,
title = "Nonsuicidal self-injury in an American Indian reservation community: Results from the White Mountain Apache surveillance system, 2007-2008",
abstract = "Objective: To describe characteristics and correlates of nonsuicidal self-injury (NSSI) among the White Mountain Apache Tribe. NSSI has not been studied before in American Indian samples despite associated risks for suicide, which disproportionately affect American Indian youth. Method: Apache case managers collected data through a tribally mandated surveillance system. Data from 2007 and 2008 (N = 182) were examined for rates, methods, precipitants, functions, past history of self-injury and service use, by age and gender. Results: The rate of NSSI among all ages was 600 in 100,000, with individuals 10 to 14 years old disproportionately affected at a rate of 3,000 in 100,000. More females (65{\%}) reported NSSI, and cutting was the preferred method (98{\%}) for both genders combined. Most frequently reported precipitants were peer pressure/copying, conflict with boy/girlfriend and {"}depression.{"} A substantial proportion (22{\%}) was intoxicated/high at the time. More reported the function of NSSI was to {"}effect internal state{"} (45{\%}) than {"}effect circumstances{"} (15{\%}). More than one-third (39{\%}) received ED treatment and referrals for aftercare (36{\%}). Of those referred, only 30{\%} followed up with services. Most (79{\%}) reported past NSSI; 30{\%} reported past suicidal ideation and 25{\%} attempts. Conclusions: NSSI is a significant, largely unaddressed mental health problem among the White Mountain Apache Tribe and likely other reservation communities, especially as NSSI could serve as a precursor to suicide in this population. Interestingly, another self-destructive behavior, severe substance use, was reported to the surveillance system by Apaches and described in terms similar to NSSI, an important preliminary finding worth further exploration.",
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Nonsuicidal self-injury in an American Indian reservation community : Results from the White Mountain Apache surveillance system, 2007-2008. / Cwik, Mary F.; Barlow, Allison; Tingey, Lauren; Larzelere-Hinton, Francene; Goklish, Novalene; Walkup, John T.

In: Journal of the American Academy of Child and Adolescent Psychiatry, Vol. 50, No. 9, 01.01.2011, p. 860-869.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Nonsuicidal self-injury in an American Indian reservation community

T2 - Results from the White Mountain Apache surveillance system, 2007-2008

AU - Cwik, Mary F.

AU - Barlow, Allison

AU - Tingey, Lauren

AU - Larzelere-Hinton, Francene

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AU - Walkup, John T.

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AB - Objective: To describe characteristics and correlates of nonsuicidal self-injury (NSSI) among the White Mountain Apache Tribe. NSSI has not been studied before in American Indian samples despite associated risks for suicide, which disproportionately affect American Indian youth. Method: Apache case managers collected data through a tribally mandated surveillance system. Data from 2007 and 2008 (N = 182) were examined for rates, methods, precipitants, functions, past history of self-injury and service use, by age and gender. Results: The rate of NSSI among all ages was 600 in 100,000, with individuals 10 to 14 years old disproportionately affected at a rate of 3,000 in 100,000. More females (65%) reported NSSI, and cutting was the preferred method (98%) for both genders combined. Most frequently reported precipitants were peer pressure/copying, conflict with boy/girlfriend and "depression." A substantial proportion (22%) was intoxicated/high at the time. More reported the function of NSSI was to "effect internal state" (45%) than "effect circumstances" (15%). More than one-third (39%) received ED treatment and referrals for aftercare (36%). Of those referred, only 30% followed up with services. Most (79%) reported past NSSI; 30% reported past suicidal ideation and 25% attempts. Conclusions: NSSI is a significant, largely unaddressed mental health problem among the White Mountain Apache Tribe and likely other reservation communities, especially as NSSI could serve as a precursor to suicide in this population. Interestingly, another self-destructive behavior, severe substance use, was reported to the surveillance system by Apaches and described in terms similar to NSSI, an important preliminary finding worth further exploration.

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