Papers by Teresa LaFromboise
The Journal of American Indian Education, May 1, 1980
Contemporary Educational Psychology, Jul 1, 2023
Presented on Tuesday, March 19, 2019.The March session of Grand Rounds, \u201cPreventing Suicidal... more Presented on Tuesday, March 19, 2019.The March session of Grand Rounds, \u201cPreventing Suicidal Behavior in American Indian and Alaska Native Communities: A Health Equity Issue,\u201d was viewed in 6 foreign countries, 42 states, and the District of Columbia.Suicide is a leading cause of death in the U.S. and suicide rates have increased more than 30 percent since 2000. Among American Indian and Alaska Native (AI and AN) communities, suicide rates are even higher than among the general population, and they are highest among youth and young adults, ages 15\u201334. Focusing on subgroups at risk, including youth among AI and AN communities, and implementing evidence-based prevention strategies is a key approach to reducing suicidal behaviors and may help reduce this health inequity.Presented by: Alex Crosby, MD, MPH, CDR, USPHS, Division of Violence Prevention, National Center for Injury Prevention and Control, CDC, ["Understanding Suicide in American Indian and Alaska Native Youths"]; Teresa LaFromboise, PhD, Professor, Developmental and Psychological Sciences Stanford Graduate School of Education, Chair, Native American Studies, Center for the Comparative Study of Race and Ethnicity, Stanford University ["Suicide Prevention in Educational Settings with American Indian Youth"]; Spero M. Manson, PhD, Distinguished Professor of Public Health and Psychiatry, Director, Centers for American Indian and Alaska Native Health, Colorado Chair in American Indian Health,University of Colorado, Anschutz Medical Campus ["Detection and Management of Suicide in Primary Care: Translating an Evidence-based Practice in Native Health Settings"]; Michael Flynn, MA, Coordinator, Occupational Health Equity Program, Training, Research, and Evaluation Branch, Education and Information Division, National Institute for Occupational Safety and Health, CDC ["An Occupational Health Perspective on Suicide among American Indian and Alaska Native Youths"].Facilitated by: John Iskander, MD, MPH, Scientific Director, Public Health Grand Rounds; Phoebe Thorpe, MD, MPH, Deputy Scientific Director, Public Health Grand Rounds; Susan Laird, MSN, RN, Communications Director, Public Health Grand Rounds.Includes video interview between Phoebe Thorpe and Spero Manson: Beyond the Data - Preventing Suicidal Behavior in American Indian and Alaska Native Communities.20190319-preventing-suicide-behavior.pdf2019659
The Counseling Psychologist, Jul 1, 1988
The Organizational and Political Issues Group focused on managerial, structural, and political is... more The Organizational and Political Issues Group focused on managerial, structural, and political issues in counseling psychology. Papers were presented by 11 counseling psychologists on 13 basic issues that had been identified by the planning
Public Health Reports, Jul 20, 2022
From 2009 to 2018, overall suicide rates in the United States increased by 20.3% and increased by... more From 2009 to 2018, overall suicide rates in the United States increased by 20.3% and increased by 43.5% among non-Hispanic American Indian and Alaska Native (AI/AN) communities. Combining years 2009 through 2018, suicide rates per 100 000 population among non-Hispanic AI/AN adolescents and young adults aged 15 to 34 years were 2 to 4 times higher than those of adolescents and young adults of other races and ethnicities. An estimated 14% to 27% of non-Hispanic AI/AN adolescents attempted suicide during that time. The elevated rates of suicidal behavior among non-Hispanic AI/AN adolescents and young adults reflect inequities in the conditions that create health. In this topical review, we describe school-based educational efforts that are driven by local AI/AN communities, such as the American Indian Life Skills curriculum, that teach stress and coping skills and show promise in reducing suicidal ideation attempts and fatalities among AI/AN adolescents. Using a social-determinants-of-health lens, we review the availability and quality of employment as an important influencer of suicidal behavior, as well as the role of the workplace as an environment for suicide prevention in AI/AN communities. Working with tribal, state, local, and federal colleagues, the public health community can implement programs known to be effective and create additional comprehensive strategies to reduce inequities and ultimately reduce suicide rates.
Cultural Diversity & Ethnic Minority Psychology, Jul 1, 2010
Despite a number of investigations into the protective effects of ethnic and cultural identity am... more Despite a number of investigations into the protective effects of ethnic and cultural identity among a variety of diverse populations, there have been relatively few studies that examine the relationship between this identity and American Indian mental health. This brief report investigates the associations between ethnic/cultural identification and feelings of hopelessness among American Indian adolescents. Data were drawn from middle-school respondents on a reservation community at 2 time points 14 months apart. Although White cultural identification was significantly and negatively correlated with hopelessness at 14 months, Indian cultural identification was not associated with hopelessness at either time point. These results are discussed with attention to the developmental stage of our respondents and to the possibility of social dynamics relevant to this particular reservation community.
Journal of Non-White Concerns in Personnel and Guidance, Apr 1, 1981
... Journal of Communica-tion, 1970.20, 134-141. Deloria, V. Behind the trail of broken treaties.... more ... Journal of Communica-tion, 1970.20, 134-141. Deloria, V. Behind the trail of broken treaties. New York: Dell, 1974. Deloria, V. Curter diedforyoursins. New York: Macmillan, 1969. ... Dubuque, Iowa: Brown, 1979. Locklear, HW American Indian myths. Social Work, 1972.17, 72-80. ...
The Counseling Psychologist, Jul 1, 1992
Despite the existence of Criteria 2 -cultural and individual differences -in the American Psychol... more Despite the existence of Criteria 2 -cultural and individual differences -in the American Psychological Association (APA) accreditation of doctoral training in counseling psychology, few programs offer, much less require, course work on service delivery to or research with ethnic minorities. The goal of this article is to present a model for organizing and evaluating cross-cultural content throughout each phase of clinical and research training during doctoral study in scientist-practitioner programs. First described is an overview of the separate course, area of concentration, interdisciplinary, and integration models for the promotion of cultural understanding in psychology. Then a series of specific recommendations along the lines of the integration model are provided for the development of cross-cultural competence beginning with institutional modifications at the departmental level. Specific additions to research and clinical course work are suggested along with information on available resources for curricular reform in each area. Finally, an apprenticeship continuum from prepracticum to internship is presented as a guide for making more culturally relevant both research and clinical mentoring.
Archives of Suicide Research, Jul 1, 2006
Journal of Counseling and Development, 1990
There is no abstract.
Journal of Health and Social Behavior, Dec 1, 2002
American Indian adults are thought to experience significant depressive symptoms at rates several... more American Indian adults are thought to experience significant depressive symptoms at rates several times higher than adults in the general population, yet we know very little about factors associated with depressive symptoms among this under studied group. Many researchers have argued that depressive symptoms are associated with conflicts between American Indian traditional cultural values, practices, and beliefs and those of the majority culture. This report, based on a sample 287 American Indian adults from the upper Midwest, takes into account two measures of cultural effects: perceived discrimination, as one indicator of culture conflict, and traditional practices, as a measure of cultural identification. The results indicate that discrimination is strongly associated with depressive symptoms among American Indian adults and that engaging in traditional practices is negatively related to depressive symptoms. Moreover, interaction effects between perceived discrimination and traditional practices indicate that engaging in traditional practices buffers the negative effects of discrimination among those who regularly participate in them.
Contemporary Clinical Trials, Sep 1, 2016
Diabetes is highly prevalent, affecting over 25 million adults in the US, yet it can be effective... more Diabetes is highly prevalent, affecting over 25 million adults in the US, yet it can be effectively prevented through lifestyle interventions, including the well-tested Diabetes Prevention Program (DPP). American Indian/Alaska Native (AIAN) adults, the majority of whom live in urban settings, are more than twice as likely to develop diabetes as non-Hispanic whites. Additionally, prevalent mental health issues and psychosocial stressors may facilitate progression to diabetes and hinder successful implementation of lifestyle interventions for AIAN adults. This 2-phased study first engaged community stakeholders to develop culturally-tailored strategies to address mental health concerns and psychosocial stressors. Pilot testing (completed) refined those strategies that increase engagement in an enhanced DPP for urban AIAN adults. Second, the enhanced DPP will be compared to a standard DPP in a randomized controlled trial (ongoing) with a primary outcome of body mass index (BMI) and a secondary outcome of quality of life (QoL) over 12 months. Obese self-identified AIAN adults residing in an urban setting with one or more components of the metabolic syndrome (excluding waist circumference) will be randomized to the enhanced or standard DPP (n = 204). We hypothesize that addressing psychosocial barriers within a culturally-tailored DPP will result in clinical (BMI) and superior patient-centered (QoL) outcomes as compared to a standard DPP. Exploratory outcomes will include cardiometabolic risk
Journal of Adolescence, Jun 1, 1988
A description of cultural considerations associated with American It~dian 1 adolesc, ~nted within... more A description of cultural considerations associated with American It~dian 1 adolesc, ~nted within a transacttona, logical t cultural values and cultur: Indians a~ssoeiated with dcath are discussed in terms of person variables and and Ameri~n l~dian individual and community effo~s at " ~he V ~ ~S dynamic between pc~n and en ~ronmenta l~ emphasis ~red essential for inclusion in the des~n of in~rventions to prevent sui~d~. Existing interventMn effo~s wi~ Americmn Indian adoie~ent suicide attempters are reviewed and a sch~l-wide cognitive beha~ based on the transa~ionai model o[ coping widl suicide is ing, ~cial adapted ar coping be enhanced and suicide ameliorated.
Suicide and Life Threatening Behavior, Jun 1, 2008
The Zuni Life Skills Development Program, an effective community-initiated and high-school-based ... more The Zuni Life Skills Development Program, an effective community-initiated and high-school-based suicide prevention intervention, is featured. Development and evaluation of this intervention are followed by note of the specific challenges associated with stabilizing the program. A more tribally diverse, culturally-informed model entitled the American Indian Life Skills Development Curriculum is then presented to illustrate a hybrid approach to the cultural tailoring of interventions. This curriculum is broad enough to address concerns across diverse American Indian tribal groups yet respectful of distinctive and heterogeneous cultural beliefs and practices. Finally, we reflect upon issues in community-based research that emerged during this collaboration. Suicide and suicide-related behaviors are a lation until age 45, when the rate begins to resemble that of the general U.S. population major public health concern for American Indian adolescents, yet their risk behavior (Goldsmith, Pellmar, Kleinman, & Bunney, 2002). pattern remains undefined. Suicide is the second leading cause of death among American In studying adolescents from three culturally distinct American Indian tribes, Indian adolescents and young adults in the 15-to 24-year-old age group and is the third Novins, Beals, Roberts, and Manson (1999) noted that the correlates of suicidal ideation leading cause of death in the 10-to 14-yearold age group (Centers for Disease Control, differed between tribes but were consistent with the tribe's social structure, individual 2005). In addition, among American Indian youth age 5 to 14 years, the rate of suicide is and gender expectations, support systems, and conceptualization of death. These find-2.1 per 100,000 compared with .8 per 100,000 for U.S. youth in the same age ings underscore the need for caution when generalizing across tribes about cultural in-group; the rate of suicide among American Indian youth age 15 to 24 years is 37.4 per fluences on suicidal behavior. The variability in rates and manifestation of symptoms may 100,000 compared with 11.4 per 100,000 for all U.S. youth in the same age group (Indian be a function of contagion within close-knit and isolated communities rather than differ-Health Service, 2002). Suicidal behaviors (i.e., suicidal ideation, suicide plans, and sui-ences in cultural mores or practices. Additional risk factors noted in the Novins et al. cide attempts) increase with age in this popu-(1999) report, such as weak American Indian identity and loss of cultural supports, have
The Counseling Psychologist, Oct 1, 1985
Uploads
Papers by Teresa LaFromboise