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Suicide and Indigenous People: Understanding Risks and Sustaining Cultural Resistance

About the Course

The first study explores the lived experiences of suicide risk and resilience among Alaska Native and American Indian (AN/AI) people in a tribal health system, while the second study provides a qualitative examination of a community of indigenous people having a markedly lower rate of both mental health services use and suicides.

This course is based on the reading-based online article, Narrative Approaches to North American Indigenous People Who Attempt Suicide created by Lewis Mehl-Madrona, MD, PhD. et al and the reading-based online article, Lived Experiences of Suicide Risk and Resilience among Alaska Native and American Indian People created by Jennifer L. Shaw, PhD (Medical Anthropology) et al. in 2019.

Publication Date:

The Permanente Journal 2020: Int. J. Environ. Res. Public Health 2019

Course Material Authors

Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Lewis Mehl-Madrona, MD, PhD.

Lewis Mehl-Madrona M.D., Ph.D. (Cherokee and Lakota heritage) is certified in psychiatry, geriatrics, and family medicine. His research collaborations include work on the psychology of pregnancy and birthing, nutritional approaches to autism and diabetes, the use of healing circles to improve mental health, and the outcomes of people with illnesses who work with traditional healers. During his career, he has worked in residency training programs, in rural emergency medicine, and in psychiatric settings, as well as working on reservations and with tribes. He has also published over 100 papers in refereed journals and authored several books.

Jennifer L. Shaw, PhD (Medical Anthropology)

Since 1998, Jennifer has conducted mixed-methods and applied health research on diverse topics as a medical anthropologist. She joined the SCF Research department in 2010 and is now a Senior Researcher. Her team works closely with behavioral services and has led research efforts on suicide prevention, substance abuse prevention and treatment, palliative care, and depression management. She has had multiple works published in peer reviewed journals.

Course Creator

David M. Lutkemeier

David Lutkemeier holds a BA degree in psychology, a master’s degree in developmental psychology, and a doctorate degree from the University of Cincinnati in Special Education and Psychology. He is certified as a psychologist by the Arizona Board of Psychologist Examiners, as well as holding public school superintendent certification in Arizona and California. Dr. Lutkemeier has worked as an assistant professor at Arizona State University, a school psychologist, special education director, assistant superintendent, and superintendent in both Arizona and California. David, working as a consultant with a national curriculum management group (CMSi) has completed over two dozen comprehensive district-wide curriculum audits in 15 states over the past 20 years and has worked as a test developer for CE Learning Systems for the past ten years.

Recommended For:

Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge.

Course Objectives:

After taking this course, you should be able to:

  1. Identify differences between traditional North American Indigenous and mainstream culture, especially as they may impact the delivery and/or outcomes of behavioral health services.
  2. Describe culturally appropriate and culturally inappropriate approaches and practices used when working with a Native population.
  3. Discuss how providers may develop an understanding of culture differences and how these differences might impact the therapeutic relationship.

Disclosure to Learners

Disclosure of Relevant Financial Relationships

CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Commercial support

There is no commercial support for this distance-learning course.

Exam Questions

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Course Number 103234
1.75 CE credit hour
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  • Reading-Based Online
Exam Fee $10.45
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