Suicide remains a significant public health crisis in the United States. Suicide ranks in the top ten for causes of death and injury in the country. For American Indian and Alaska Natives (AI/AN), in 2016, suicide rates were recorded and shown to be higher in AI/ANs, followed by Whites, followed by Blacks, Asians/Pacific Islanders and Hispanics. Many risk factors exist for suicide among AI/Ans; for adults, suicide is related to male gender, alcohol, illicit drug use, death by firearm, loose tribal social integration, rapid socioeconomic change, physical and sexual abuse. In younger members of AI/AN Tribal populations, risk factors include physical and sexual abuse, family disruption, previous suicide attempts, lack of religious identification, depression, anxiety, high acculturation pressure, overweight, and social isolation. Pueblo of Acoma is not immune to suicide risk factors and their impact on the lifespan of the Tribe.
The POASPIP application has been centered on community engagement, workforce enhancement, and SMART goals and objectives. Results will be monitored through qualitative and quantitative data collected by the POASPIP and analyzed by key program staff and community members of work forces and advisory groups. Outcomes of the POASPIP will be measured by pre-SPIP and annual POASPIP community awareness, readiness, and satisfaction surveys to inform program staff and leadership on the successes and barriers to future outcomes.
The POASPIP will provide an evolutionary change to the former MSPI programming through enhancement and further support of what has been a central piece of the HHSD foundation in suicide prevention, intervention, postvention efforts.