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Indian Health Service The Federal Health Program for American Indians and Alaska Natives

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A woman in a Walk for Life t-shirt.

One Sky Center: the AI/AN National Resource Center for Substance Abuse and Mental Health ServicesExit Disclaimer: You Are Leaving is a National Resource Center for American Indian and Alaska Native Health, Education and Research dedicated to quality health care across Indian Country. Current initiatives include Evidence-Based Practices in Indian Country and a Native-to-Native Mentorship program for graduate students and junior and mid-career faculty interested in substance abuse research.

SAVE (Suicide Awareness Voices of Education)Exit Disclaimer: You Are Leaving has a number of resources available on their website, including pages for the Native American populationExit Disclaimer: You Are Leaving on what to do to help someone who may be suicidal.

The National Suicide Prevention Lifeline (NSPL) created a presentation on the Suicide Prevention Lifeline’s American Indian Initiative [PDF - 588 KB]Exit Disclaimer: You Are Leaving to assist centers in becoming more aware of American Indian/Alaska Native communities, culture and needs.

The National Suicide Prevention Lifeline Wallet Card: Suicide Prevention: Learn the Warning SignsExit Disclaimer: You Are Leaving is available to download or order from SAMHSA. The card lists warning signs and urges those who exhibit signs of suicide to contact a mental health professional or call the toll-free suicide prevention hotline.

National Suicide Prevention Lifeline Wallet Card: Having Trouble Coping? With Help Comes HopeExit Disclaimer: You Are Leaving is also available to download or order from SAMHSA. The card lists signs of depression and urges people who are having trouble coping after a traumatic event to call the hotline.

Through SAMHSA, the NSPL also offers three guides in booklet form to taking care of yourselfExit Disclaimer: You Are Leaving, loved onesExit Disclaimer: You Are Leaving, or, for medical providers, patientsExit Disclaimer: You Are Leaving after a suicide attempt.

SOS Signs of SuicideExit Disclaimer: You Are Leaving, from Screening for Mental Health, is a two-day secondary school-based intervention that includes screening and education to prevent suicide attempts, increase knowledge about suicide and depression, and increase help-seeking behavior.

The National Aboriginal Health Organization (NAHO) is a Canadian not-for-profit organization dedicated to improving the physical, mental, emotional, social and spiritual health of First Nations, Inuit and Métis individuals, families and communities. Their Assessment and Planning Tool Kit for Suicide Prevention in First Nations Communities [PDF - 1 MB]Exit Disclaimer: You Are Leaving may be downloaded from their site.

A project of the Montana-Wyoming Tribal Leaders Council, Planting Seeds of HopeExit Disclaimer: You Are Leaving aims to improve access to suicide prevention services across all Montana and Wyoming’s tribal by promoting awareness, and providing training, screening and interventions.

The QPR InstituteExit Disclaimer: You Are Leaving offers one-hour QPR suicide prevention training that teaches how to recognize the warning signs of a suicide crisis and how to question, persuade, and refer (QPR) someone to get help.

Applied Suicide Intervention Skills Training (ASIST)Exit Disclaimer: You Are Leaving is a two-day workshop for those who want to feel more comfortable, confident and competent in helping prevent the immediate risk of suicide.

safeTALKExit Disclaimer: You Are Leaving is a three-hour training that prepares people 15 and older to identify people with thoughts of suicide and connect them to suicide first aid resources.

Tools and Toolkits

One Sky Center offers a template designed to assess community suicide prevention components, the American Indian Community Suicide Prevention Assessment Tool [DOC - 124 KB]Exit Disclaimer: You Are Leaving

Screening for Mental HealthExit Disclaimer: You Are Leaving www.ihs.govalso has a downloadable questionnaire, Act now to stop a suicide—What to look for—and what to do if you are concerned about someone [PDF - 1.45 MB]Exit Disclaimer: You Are Leaving

SAMHSA’s Preventing Suicide: A Toolkit for High SchoolsExit Disclaimer: You Are Leaving provides guidance for designing and implementing strategies to prevent suicide and promote behavioral health. It includes tools to implement a multifaceted suicide prevention program that responds to students' needs and cultures.

After a Suicide: A Toolkit for SchoolsExit Disclaimer: You Are Leaving from the American Foundation for Suicide Prevention (AFSP)Exit Disclaimer: You Are Leaving www.ihs.govand the Suicide Prevention Resource Center (SPRC)Exit Disclaimer: You Are Leaving, includes an overview of key considerations, general guidelines for action, templates, and sample materials, all in an easily accessible format applicable to diverse populations and communities.

The >National Indian Child Welfare Association (NICWA)Exit Disclaimer: You Are Leaving designed the Ensuring the Seventh Generation: Youth Suicide Prevention Toolkit [PPT - 3 MB] Exit Disclaimer: You Are Leaving for child welfare and mental health programs focused on victims of abuse, children in out-of-home care, and witnesses of violence to educate tribal child welfare workers of the warning signs of suicide, risk and protective factors, suicide prevention and intervention methods.

Promoting Emotional Health and Preventing Suicide: A Toolkit for Senior Living CommunitiesExit Disclaimer: You Are Leaving equips senior living staff with resources to promote mental health and prevent suicide and encourage active participation among residents, and may be downloaded or ordered through SAMHSA.

The Suicide Prevention Resource Center (SPRC)Exit Disclaimer: You Are Leaving offers "Suicide Prevention among LGBT Youth: A Workshop for Professionals Who Serve Youth"Exit Disclaimer: You Are Leaving The kit contains materials to help staff in schools, youth-serving organizations, and suicide prevention programs host a workshop to take action to reduce suicidal behavior among lesbian, gay, bisexual, and transgender (LGBT) youth.

Suicide Postvention

The NSPL's Lifeline Online Postvention Manual [PDF - 104 KB] Exit Disclaimer: You Are Leaving, part of the Suicide Prevention Lifeline’s American Indian Initiative, offers guidance for schools and communities on handling online messaging to promote healing after a suicide.

ConnectExit Disclaimer: You Are Leaving, a prevention, intervention, and postvention training program for professionals, community stakeholders, and youth, collaboratively creates a safety net for people at risk and provides a comprehensive postvention response after a suicide.

The NSPL has collected links to sites listing therapists and support groups on their TherapyExit Disclaimer: You Are Leaving page .

The Suicide Grief Support Quick Reference site was created in response to results from a questionnaire sent to 150 NSPL crisis centers to strengthen their ability to support survivors. It lists resources for survivors, caregivers and online grief support at: Disclaimer: You Are Leaving


Statement before the Committee on Indian Affairs, United States Senate, by Randy Grinnell, MPH, Deputy Director, Indian Health Services on "The Preventable Epidemic: Youth and the Urgent Need for Mental Health Care Resources in Indian Country, March 25, 2010" [PDF - 7 MB]Exit Disclaimer: You Are Leaving

From the Urban Indian Health Institute, a report summarizing existing programs to highlight approaches to address depression through outreach, education, screening and treatment: "Addressing Behavioral Health Among American Indians and Alaska Natives: A Literature Review" [PDF - 7 MB]Exit Disclaimer: You Are Leaving

The Centers for Disease Control and Prevention (CDC) offers Suicide Prevention Tools and Knowledge BriefsExit Disclaimer: You Are Leaving and links to tools to help suicide prevention practitioners and others increase awareness of suicide as a public health issue, and use connectedness and community resources to prevent suicide.

The Northwest Portland Area Indian Health Board (NPAIHB)Exit Disclaimer: You Are Leaving site has published a Tribal Suicide Action Plan [PDF - 4 MB]Exit Disclaimer: You Are Leaving available for download on their site.

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