The State-Level Risk and Protective Factors of Suicide for American Indians and Alaska Natives

Objective. To identify the risk and protective factors of suicide among American Indians and Alaska Natives. Methods. Using a negative binomial regression analysis and state-level data, pooled data from the Center for Disease Control and Prevention (2005-2010), and the 2000 U.S. Census to examine the state-level predictors of suicide among American Indians and Alaska Natives. Results. An increase in the states urban population is associated with increased suicide rates among American Indians and Alaska Natives. An increase in the young male population is associated with decreased suicide risk for the population. No association was found related to religious adherence, or gun ownership. Conclusion. The results underscore the need for further demographic controls in the assessment of suicide for American Indians and Alaska Natives