An Exploratory Pilot Qualitative Study That Explores the Influences on Mental Health and Well-Being in Indigenous Youth and Young Adults

Background: Suicide is the second leading cause of death among American Indian (AI) adolescents and young adults in the 15- to 24-year-old age group and is the third leading cause of death in the 10- to 14-year-old age group. Methods: Key informant interviews were conducted with AI youth (n = 10) ages 12-18, and young AI adults (n = 10) ages 19-24 to gather input on activities and programs to decrease AI suicidal-related behaviors in Nebraska. These interviews were 45 min in length at maximum. Themes were created once the interviews were completed. Results: The overarching theme was creating and implementing more suicide prevention programs and cultural activities for these age groups. Respondents identified three important characteristics that they believe all programs should have: (1) positive reinforcement, (2) culturally-centered activities, and (3) strength-based approaches that are not from a negative or punitive viewpoint. Conclusion: The results from these interviews can be used to build strengths-based approaches to promoting positive mental health in Indigenous communities and can lead to other successful programs and activities.