2. ND Adolescent Suicide Prevention Project Mental Health Association of ND 701-255-3692 Mark LoMurray, LSW Outreach Services Inc. 701-223-1650

3. Quick Facts on ND Suicide #2 Cause of death of 10 - 24 year olds#2 Cause of death of 10 - 24 year olds Nation’s 2nd highest suicide rate for 10- 14 year oldsNation’s 2nd highest suicide rate for 10- 14 year olds Nation’s 6th highest suicide rate for 15- 19 year olds.Nation’s 6th highest suicide rate for 15- 19 year olds. In past year 7% of ND teens report having made a suicide attemptIn past year 7% of ND teens report having made a suicide attempt

4. . Age Comparison - Suicide Rates

5. Teen and Young Adult Risk

6. ND Suicide Prevention Recent History 1991-93 Training of 82 crisis teams 1995-97 Local suicide prevention task forces developed in some regions 1997 ND Childhood Fatality Review Committee developed 1998 1st national suicide prevention plan written with assistance from 12 from ND 1999 ND Adolescent Suicide Prevention Task Force develops 1st state plan

7. Suicide Prevention Strategies for Year 2000 Promote five key strategiesPromote five key strategies Train in all RCSCC and TSCCC areas.Train in all RCSCC and TSCCC areas. Professional organizations - implement one strategy.Professional organizations - implement one strategy. Policy maker education and awareness projectPolicy maker education and awareness project

8. Causes of Death Region VII ND 10-24 Years Old 1992-1996

9. Key Adolescent Risk Factors Impulsive Aggressiveness DepressionDrug/Alcohol

12. Indian Children in ND Average age of Northern Plains Indians is 18 years old compared to ND average of 32 years oldAverage age of Northern Plains Indians is 18 years old compared to ND average of 32 years old 43% of American Indian population is under the age of 20.43% of American Indian population is under the age of 20. 15,500 Indian children in North Dakota15,500 Indian children in North Dakota 41% live off reservation in near-by communities 41% live off reservation in near-by communities

13. Indian Children Health Issues 13 percent of Indian deaths are under age 25 compared to 4% U.S.13 percent of Indian deaths are under age 25 compared to 4% U.S. Accident death rate for Indian children ages 5-14 is double the U.S. rate. (20.8)Accident death rate for Indian children ages 5-14 is double the U.S. rate. (20.8) Diabetes prevelance are 2-3 times higherDiabetes prevelance are 2-3 times higher Suicide for 15-24 years old is 3 times the national rate.Suicide for 15-24 years old is 3 times the national rate.

14. Indian Children Health Funding Indian Health Services is funded at 65% of need.Indian Health Services is funded at 65% of need. IHS mental health is funded at 25% of need.IHS mental health is funded at 25% of need. IHS per capita expenditure in 1997 was $1,132 compared to U.S. per capita expenditure of $3,261.IHS per capita expenditure in 1997 was $1,132 compared to U.S. per capita expenditure of $3,261.

19. Five Key Suicide Prevention Strategies Asset Building/RelationshipsAsset Building/Relationships Youth LeadershipYouth Leadership Community Gatekeeper TrainingCommunity Gatekeeper Training Assessment Tool ImplementationAssessment Tool Implementation Means Restriction ApproachesMeans Restriction Approaches

20. UND Mentoring: Drug Behavior Results after 8 months

21. UND Mentoring: Conflict Behavior after 8 months

22. UND Mentoring: Mood Changes after 8 months

23. A Circle of Protection Healthy Beliefs Clear Boundaries Healthy Relationships Leadership Opportunities

24. “We must promote public awareness that suicides are preventable. We must enhance resources in communities for suicide prevention programs and mental and substance abuse disorder assessment and treatment. Dr. David Satcher United States Surgeon General July 28, 1999