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Mental and Behavioral Health - American Indians/Alaska Natives

  • In 2017, 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 the feeling that everything is an effort, all or most of the time, 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
  • The overall death rate from suicide for American Indian/Alaska Native adults is about 20 percent higher as compared to the non-Hispanic white population.
  • Adolescent American Indian/Alaska Native females, ages 15-19, have a death rate that is three times higher than for non-Hispanic white females in the same age groups.

MENTAL HEALTH STATUS

Serious psychological distress in the past 30 days among adults 18 years of age and over, percent, 2015-2016
American Indian/Alaska Native*
Non-Hispanic White
American Indian/Alaska Native / Non-Hispanic White Ratio
9.2
3.7
2.5

Source: CDC, 2018. Health United States, 2017. Table 46.
http://www.cdc.gov/nchs/data/hus/hus17.pdf [PDF | 10.22MB]   


Percent of population with feelings of sadness, hopelessness, worthlessness, or that everything is an effort, all or most of the time, among persons 18 years of age and over, 2017
 
American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native / Non-Hispanic White Ratio
Sadness
--
2.6
--
Hopelessness
1.1
1.9
0.6
Worthlessness
0.9
1.8
0.5
Everything is an effort
11.7
6.1
1.9

Source: CDC 2019. Summary Health Statistics: National Health Interview Survey: 2017. Table A-7.
https://www.cdc.gov/nchs/nhis/shs/tables.htm


Percent of population with serious psychological distress among persons 18 years of age and over, 2017
 
American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native / Non-Hispanic White Ratio
Total
--
3.4
--

Source: CDC 2019. Summary Health Statistics: National Health Interview Survey: 2017. Table A-8.
https://www.cdc.gov/nchs/nhis/shs/tables.htm

DEATH RATES

Age-adjusted death rates for suicide, by sex, race and Hispanic origin, 2017
 
American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native /Non-Hispanic White Ratio
Male
33.8
28.2
1.2
Female
11.0
7.9
1.4
Total
22.1
17.8
1.2

Source: CDC, 2019. National Vital Statistics Report. Vol. 68, No. 09. Table 10.
https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09.pdf [PDF | 2MB]


Age-adjusted death rates for suicide, age, race and Hispanic origin, 2016
American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native / Non-Hispanic White Ratio
13.5
17.0
0.8

Source: CDC, 2018. Health United States, 2017. Table 30.
https://www.cdc.gov/nchs/data/hus/hus17.pdf [PDF | 10.22MB]


Death rates for suicide, age, race and Hispanic origin, 2016: Men
 
American Indian/Alaska Native Men
Non-Hispanic White Men
American Indian/Alaska Native Men / Non-Hispanic White Men Ratio
15-24 years
32.6
26.6
1.2
25-44 years
33.6
24.5
0.7
45-64 years
19.8
33.5
0.6
65 years and over
11.8
36.5
0.3
All ages
20.7
36.1
0.6

Source: CDC, 2018. Health United States, 2017. Table 30.
https://www.cdc.gov/nchs/data/hus/hus17.pdf [PDF | 10.22MB]


Death rates for suicide, age, race and Hispanic origin, 2016: Women
 
American Indian/Alaska Native Women
Non-Hispanic White Women
American Indian/Alaska Native Women / Non-Hispanic White Women Ratio
15-24 years
11.8
6.1
1.9
25-44 years
10.7
10.3
1.0
45-64 years
4.1
13.0
0.3
65 years and over
--
6.2
--
All ages
6.4
7.9
0.8

Source: CDC, 2018. Health United States, 2017. Table 30.
http://www.cdc.gov/nchs/data/hus/hus17.pdf [PDF | 10.22MB]

ADOLESCENTS

Death rates for suicide: ages 15 - 19, 2017
 
American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native / Non-Hispanic White Ratio
Male
47.2
22.0
2.1
Female
17.4*
5.8
3.0
Total
32.5
14.1
2.3

Source: CDC, 2019. National Center for Injury Prevention and Control. Web Based Injury Statistics Query and Reporting System (WISQARS) [Accessed 08/02/2019]
https://www.cdc.gov/injury/wisqars/index.html


Suicidal ideation among students in grades 9–12, 2017
Percent of students who seriously considered suicide
 
American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native / Non-Hispanic White Ratio
Men
--
13.0
--
Women
--
21.2
--
Total
19.0
17.3
1.1

Source: CDC 2019. High School Youth Risk Behavior Survey Data.
Available at https://nccd.cdc.gov/youthonline. [Accessed 08/02/2019]


Suicidal ideation among students in grades 9–12, 2017
Percent of students who attempted suicide
 
American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native / Non-Hispanic White Ratio
Men
--
4.6
--
Women
--
7.3
--
Total
--
6.1
--

Source: CDC 2019. High School Youth Risk Behavior Survey Data.
Available at https://nccd.cdc.gov/youthonline. [Accessed 08/02/2019]

ACCESS TO HEALTH CARE

Percent of adults age 18 and over who received mental health services in the past year, 2018
American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native / Non-Hispanic White Ratio
14.1
18.6
0.8

SAMHSA, 2019. Results from the 2018 National Survey on Drug Use and Health: Mental Health Detailed Tables. Table 8.17B
https://www.samhsa.gov/data/report/2018-nsduh-detailed-tables


Percent of adults age 18 and over who received prescription medications for mental health services, 2018
American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native / Non-Hispanic White Ratio
11.6
15.4
0.8

SAMHSA, 2019. Results from the 2018 National Survey on Drug Use and Health: Mental Health Detailed Tables. Table 8.21B
https://www.samhsa.gov/data/report/2018-nsduh-detailed-tables 


Percent of adults age 18 and over with past year major depressive episode who received treatment for the depression, 2018
American Indian/Alaska Native
Non-Hispanic White
American Indian/Alaska Native / Non-Hispanic White Ratio
61.2
68.5
0.9

SAMHSA, 2019. Results from the 2018 National Survey on Drug Use and Health: Mental Health Detailed Tables. Table 8.39B
https://www.samhsa.gov/data/report/2018-nsduh-detailed-tables

*All data in the above surveys relate to non-Hispanic American Indians/Alaska Natives.


1CDC. National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS). [Accessed 08/02/2019]. https://www.cdc.gov/injury/wisqars/index.html

2U.S. Surgeon General, 2001. http://www.ncbi.nlm.nih.gov/books/NBK44251

Last Modified: 9/25/2019 11:44:00 AM