Despite being at the highest risk of suicide, American Indian/Alaskan Native (AIAN) emerging adults are underrepresented in mental health research. There is great diversity in individual and community experiences and access within AIAN-identifying individuals, prompting the need for research on risk and protective factors of suicidality within AIAN-emerging adults.
Data from AIAN-identifying emerging adults (mean age = 24.4 years) collected between 2017-2020 (N=2,551) were drawn from the Healthy Minds Study, a national annual panel study on mental/behavioral health within higher education settings. Multivariate logistic regressions (conducted in 2022) were used to evaluate risk and protective factors associated with suicidality (ideation, planning, attempt) by gender (male, female, trans/gender non-binary).
Suicidal ideation rates were high; over one in five AIAN emerging adults reported ideation, 1 in ten reported planning, and 3% reported attempt in the prior year. AIAN identifying as a gender minority (trans/non-binary) were three times more likely to report suicidality across event type. Across all gender-identities, suicidality was significantly associated with non-suicidal self-injury and self-perceived need for help; flourishing was predictive of lower odds of suicidality event for male and female-identifying AIAN students.
Suicidality is high for AIAN college-attending students, particularly for gender-minority identifying students. Embracing a strength's based approach to highlight student awareness of mental health services is critical. Future research should examine protective factors as well as community and structural factors which might provide meaningful support within and outside of university contexts for students facing individual, relational or challenges within their communities.
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