Native American youth are at very high risk of dying by suicide; in fact their rates are higher than any other ethnic group. In an effort to address the problem many tribes have developed suicide prevention programs that are culturally specific and relevant to their community. Nationally, the Indian Health Service maintains a suicide prevention website. In Washington State the Tulalip and the Colville Confederated Tribes have been actively engaged in suicide prevention activities.
There are particular risk factors that need mentioning, including:
- Historical and contemporary trauma
- Arrest, incarceration or involvement in tribal court
- Out of school suspension
- History of sexual or physical abuse
- Diagnosis of conduct disorder or substance abuse
- Exposure to suicidal behavior by family and friends
As tribes work to address the high rates of youth suicide they often concentrate on enhancing the protective factors, including positive friendships and activities, being of service to others, participation in cultural rituals (like ceremonies, sweats and pow wows), family support, and Native American liaisons in the school setting.
A relationship with a trusting adult will be especially important for the Native American suicidal youth when accessing resources. Please refer to “About Suicide & Self Harm: Help for Ages 13-17” for additional information.

