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SAMHSA’s Award-Winning Newsletter
May/June 2010, Volume 18, Number 3 

I think over again my small adventures My fears, those small ones that seemed so big For all the vital things I had to get and reach And yet there is only one great thing, the only thing To live to see the great day that dawns And the light that fills the world. - Unknown Inuit

This guide begins with a poem (above) and ends with a poem (see below). “We needed a way to capture the humanity,” said Cynthia K. Hansen (see her first-person story Commitment, Hope, Community).

Suicide Prevention in Native Populations: Helping Youth “Live To See the Great Day That Dawns”

“Suicide and suicidal behavior are preventable.” Those are the first words in the recent free publication from SAMHSA that offers guidance to communities with a particularly high-risk population—American Indian and Alaska Native (AI/AN) youth and young adults.

The 172-page publication, To Live To See the Great Day That Dawns: Preventing Suicide by American Indian and Alaska Native Youth and Young Adults, helps address the problem of suicide and promote mental health among Native young people. The guide answers the question, “What are the strengthening factors that are known to help protect young people against suicide?”

As a culturally appropriate resource, this guide is urgently needed. More than 61 percent of American Indians and Alaska Natives are under age 34. That means “they are the center of hope for the survival of their people and their culture,” the guide explains.

Unfortunately, data show that these young people have the highest suicide rate of any cultural or ethnic group in the United States.

Acknowledged as a “starting point,” the guide is organized to help readers understand the complex, but necessary, process of developing suicide prevention plans within a cultural context. The publication is for tribal leaders, elders, healers, youth activists, community organizers, school administrators, and others in the community.

“So many people helped with this publication and made an effort to address this topic with reality and also a profound sense of hope that we can save lives,” said Anne Mathews-Younes, Ed.D., Director, Division of Prevention, Traumatic Stress, and Special Programs, at SAMHSA’s Center for Mental Health Services (CMHS). “It’s definitely a work in progress. It’s a real collaboration, emerging from the community.”

Holistic Approach

As one of SAMHSA’s 10 Strategic Initiatives, “Prevention of Substance Abuse and Mental Illness” encompasses more than a focus on those who may be at risk for suicide. Prevention also includes programs to promote youth mental health, as well as actions that a community can take in response to a suicide, to help the community heal and to prevent related suicidal behaviors.

Specifically, this guide:

  • Explores cultural issues around prevention.
  • Describes approaches that respectfully address these issues as part of prevention planning.
  • Provides practical tools and resources for assessment, program selection, coalition-building, and strategies used as part of a comprehensive plan.

“Suicide is a complex issue,” said CAPT Maria Dinger, R.N., BSN, M.S., Chief, Suicide Prevention Branch, Division of Prevention, Traumatic Stress, and Special Programs, at CMHS. “Everyone is needed, and everyone has a role in suicide prevention.”

As the guide began with an Inuit poem, the guide ends with a poem from White Buffalo Calf Woman of the Lakota, to give a creative voice to this experience of families dealing with suicide.

To order a free copy, call 1-877-SAMHSA-7 (1-877-726-4727). Ask for publication number SMA10-4480. For more information, see SAMHSA’s CMHS Web site.

When one sits in the Hoop of People, One must be responsible because All of Creation is related. And the hurt of one is the hurt of all. And the honor of one is the honor of all. And whatever we do affects everything in the universe. -White Buffalo Calf Woman


What’s in the Guide? Chapter by Chapter . . .

Cover of To Live To See the Great Day That Dawns

Illustrated with graphics on almost every page, To Live To See the Great Day That Dawns includes:

Culture, Community, and Prevention explores risk and protective factors and the ways in which AI/AN cultures can help promote the mental health of young people.

Breaking the Silence around the Suicide Conversation helps break down the myths that often surround suicide. These myths are barriers to a community’s open discussion of potential solutions.

Responding to Suicide deals specifically with actions that a community might take after a suicide occurs.

Community Readiness discusses the stages of change that a community goes through as it confronts the possible causes of and solutions to suicide.

Community Action describes the public health approach to prevention, with SAMHSA’s Strategic Prevention Framework as a model for action.

Promising Suicide Prevention Programs describes programs for preventing suicide among AI/AN youth.

Throughout the guide are boxes titled “Questions for Seeking the Wisdom of Elders.” The questions explore a community’s traditional ways of maintaining “balance” or “harmony” among its members.

The guide includes a suicide prevention assessment resource tool created by R. Dale Walker, M.D., Director of the One Sky Center in Portland, OR. In addition, the guide includes myths, a glossary, statistics, Web resources, an extensive bibliography, and an entire chapter of Federal resources.

  Cover Story & Related Articles  
Promoting Wellness in Early Childhood

Promoting Wellness in Early Childhood

Project LAUNCH focuses on children from birth to age 8.

  From the Administrator  
Your Responses to What's in a Term?

Your Responses to “What’s in a Term?”

Comments are continuing to arrive in SAMHSA’s email reader-response box. Thank you! Read the responses so far.

Your Comments, Ideas, Personal Stories . . .

Your Comments, Ideas, Personal Stories . . .

SAMHSA has received more than 150 emails in response to the Administrator’s call for comments. Read selected responses.

  Health Reform  

Affordable Care Act: Implications for Behavioral Health

The Act improves services for people who have mental health and substance use disorders.

  Suicide Prevention in American  
  Indian Communities  
Helping Youth “Live To See the Great Day That Dawns”

Helping Youth “Live To See the Great Day That Dawns”

AI/AN youth are 10 times more likely to attempt suicide.

First-Person: Commitment, Hope, Community

Collaborating across tribes helped create a needed publication for AI/AN youth.

  Teens & Substance Abuse  
Adolescents Do What Every Day?

Adolescents Do What Every Day?

A day in the life may include more than texting and homework.

Tobacco Sales to Minors Increasing?

Tobacco Sales to Minors Increasing?

Sales of tobacco to minors increased nationally in 2009.

Youth Smoking & Maternal Risk Factors

Youth Smoking & Maternal Risk Factors

If a mother smokes, does that affect her teen?

Teen Smoking: New Data

Trends in young people’s smoking habits.

TIP 49 in Your Pocket

TIP 49 in Your Pocket

Pocket “Quick Guides” for counselors and physicians.

By Metro Area: Treatment Data

By Metro Area: Treatment Data

Activities in 27 metro areas include Baltimore and San Diego — Metro Briefs.

PRISM Awards Honor Films, Television

PRISM Awards Honor Films, Television

Kudos for the realistic depiction of substance abuse and mental illness in film and TV.

  Staff in the News  
Leadership Award to Kana Enomoto

Leadership Award to Kana Enomoto

The Arthur S. Flemming Awards honors SAMHSA’s Kana Enomoto.

  Ending Seclusion & Restraint  

Organizations Making a Difference

SAMHSA honors facilities for reducing these practices.

  Drug Abuse Warning Network  

Rise in Nonmedical Use of Pain Relievers

Emergency visits double for prescription opioid pain relievers.

  Recovery Month  
Toolkits, Posters Available

Toolkits, Posters Available

For September, planning materials at


Substance Abuse & Mental Health Services Administration – 1 Choke Cherry Road – Rockville, MD 20857
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