We're in!

• In 2009, suicide was the second leading cause of death for American Indian/Alaska Natives between the ages of 10 and 34.¹
• American Indian/Alaska Natives are twice as likely to experience feelings of nervousness or restlessness as compared to non-Hispanic Whites.
• Violent deaths – unintentional injuries, homicide, and suicide – account for 75% of all mortality in the second decade of life for American Indian/Alaska Natives.²
• While the overall death rate from suicide for American Indian/Alaska Natives is comparable to the White population, adolescent American Indian/Alaska Native females have death rates at almost four the rate for White females in the same age groups.

MENTAL HEALTH STATUS:

Serious psychological distress among adults 18 years of age and over, percent, 2009-2010

American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native/ Non-Hispanic White Ratio
5.2	3.1	1.7

Source: CDC, 2012. Health United States, 2011. Table 59.
http://www.cdc.gov/nchs/data/hus/hus11.pdf [PDF | 9.8MB]

Percent of population with feelings of sadness, hopelessness, worthlessness, or that everything is an effort, all of the time, among persons 18 years of age and over, 2010

	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native/ Non-Hispanic White Ratio
Sadness	2.7	2.8	1.0
Hopelessness	2.0	2.0	1.0
Worthlessness	2.6	1.7	1.5
Everything is an effort	11.0	5.6	2.0

Source:  CDC 2012. Summary Health Statistics for U.S. Adults: 2010. Table 14.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_252.pdf [PDF | 3.1MB]

Percent of population with feelings of nervousness or restlessness, among persons 18 years of age and over, 2010

	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native/ Non-Hispanic White Ratio
Nervousness, all or most of time	7.9	4.9	1.6
Restlessness, all or most of time	13.8		2.2

Source:  CDC 2012. Summary Health Statistics for U.S. Adults: 2010. Table 16.
http://www.cdc.gov/nchs/data/series/sr_10/sr10_252.pdf [PDF | 3.1MB]

DEATH RATES:

Age-Adjusted Death Rates for suicide, by sex, race and Hispanic Origin, 2009

	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native /Non-Hispanic White Ratio
Male	17.4	23.2	0.8
Female	6.4	6.0	1.1
Total	11.9	14.3	0.8

Source:  CDC, 2012. National Vital Statistic Report. Vol. 60, Num 3 Table 17 and Table 16.
http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_03.pdf [PDF | 2MB]

Age-adjusted death rates for suicide, by race, 2009

American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native/ White Ratio
11.9	14.3	0.8

Source: CDC, 2012. Health United States, 2011. Table 24.
http://www.cdc.gov/nchs/data/hus/hus11.pdf [PDF | 9.8MB]

Death rates for suicide, age, race and Hispanic origin, 2009: Men

	American Indian/Alaska Native Men	Non-Hispanic White Men	American Indian/Alaska Native Men/ Non-Hispanic White Men Ratio
15-24 years	36.0	18.9	1.9
25-44 years	24.5	28.8	0.9
45-64 years	17.6	33.7	0.5
65 years and over	-	33.1	-
All ages	17.4	23.2	0.8

Source: CDC, 2012. Health United States, 2011. Table 39.
http://www.cdc.gov/nchs/data/hus/hus11.pdf [PDF | 9.8MB]

Death rates for suicide, age, race and Hispanic origin, 2009: Women

	American Indian/Alaska Native Women	Non-Hispanic White Women	American Indian/Alaska Native Women/ Non-Hispanic White Women Ratio
15-24 years	13.4	4.0	3.6
25-44 years	9.2	8.1	1.1
45-64 years	6.7	10.6	0.6
65 years and over	-	4.5	-
All ages	6.4	6.0	1.1

Source:  CDC, 2012. Health United States, 2011. Table 39.
http://www.cdc.gov/nchs/data/hus/hus11.pdf [PDF | 9.8MB]

ADOLESCENTS:

Death rates for suicide: Ages 15 - 19, 2009

	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native/ Non-Hispanic White Ratio
Male	31.1	14.0	2.2
Female	10.0.7	3.5	2.9
Total	20.7	8.9	2.3

Source:  CDC. National Center for Injury Prevention and Control. Web-based Injury Statistics
Query and Reporting System (WISQARS). [Accessed 07/07/2012].
http://www.cdc.gov/injury/wisqars/index.html

Suicidal ideation among students in grades 9-12, 2009
Percent of students who seriously considered suicide

	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native/ Non-Hispanic White Ratio
Men	14.3	12.8	1.1
Women	29.9	18.4	1.6
Total	21.8	15.5	1.4

Source: CDC, 2012. High School Youth Risk Behavior Survey Data. [Accessed 07/07/2012]
http://apps.nccd.cdc.gov/youthonline

Suicidal ideation among students in grades 9-12, 2009 Percent of students who attempted suicide

	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native/ Non-Hispanic White Ratio
Men	10.0	4.6	2.2
Women	19.9	7.9	2.5
Total	14.7	6.2	2.4

Source: CDC, 2012. High School Youth Risk Behavior Survey Data. [Accessed 07/07/2012]
http://apps.nccd.cdc.gov/youthonline

ACCESS TO HEALTH CARE:

Percent of Adults who received mental health treatment or counseling in the past year, 2008

	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native/ Non-Hispanic White Ratio
Male	8.8	10.8	0.8
Female	10.2	20.8	0.5
Total	9.6	16.0	0.6

Source:  2010 National Healthcare Disparities Report. Table 17_3_1.2a and 2b
http://www.ahrq.gov/qual/qrdr10/index.html

Percent of Adults who received prescription medications for mental health treatment or counseling, 2008

	American Indian/Alaska Native	Non-Hispanic White	American Indian/Alaska Native/ Non-Hispanic White Ratio
Male	-	9.1	-
Female	8.6	18.3	0.5
Total	7.2	13.9	0.5

Source:  2010 National Healthcare Disparities Report. Table 17_3_3.2a and 2b
http://www.ahrq.gov/qual/nhqr10/index.html

NOTE: * Rates based on 20 or fewer deaths may be unstable. Use with caution.