Feasibility of a Community Intervention for the Prevention of Suicide and Alcohol Abuse with Yup'ik Alaska Native Youth: The Elluam Tungiinun and Yupiucimta Asvairtuumallerkaa Studies
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The Elluam Tungiinun and Yupiucimta Asvairtuumallerkaa studies evaluated the feasibility of a community intervention to prevent suicide and alcohol abuse among rural Yup'ik Alaska Native youth in two remote communities. The intervention originated in an Indigenous model of protection, and its development used a community based participatory research process. Feasibility assessment aimed to assess the extent to which (1) the intervention could be implemented in rural Alaska Native communities, and (2) the intervention was capable of producing measurable effects. Scales maximally sensitive to change were derived from earlier measurement work, and the study contrasted implementation process and outcomes across the two communities. In one community, medium dose response effects ( d = .30–.50), with dose defined as number of intervention activities attended, were observed in the growth of intermediate protective factors and ultimate variables. In the other community, medium dose effects were observed for one intermediate protective factor variable, and small dose effects were observed in ultimate variables. Differences across communities in resources supporting intervention explain these contrasting outcomes. Results suggest implementation in these rural Alaska settings is feasible when sufficient resources are available to sustain high levels of local commitment. In such cases, measureable effects are sufficient to warrant a prevention trial.
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Culturally relevant practices implemented by culturally-informed staff, such as those in the Healing of the Canoe program and the Qungasvik model, can significantly improve outcomes when integrated into prevention efforts.
“This aligns with the literature indicating that culturally relevant practices implemented by culturally-informed staff, such as those observed in the Healing of the Canoe program and the Qungasvik model, can significantly improve outcomes when integrated into prevention efforts (Donovan et al., 2015; Mohatt et al., 2014).”
From Bridging Traditions and Prevention: Insights into Implementing and Sustaining Substance Use Programs for Urban AI/AN Communities (2026) · cites this paper as Mohatt et al., 2014
The Method (Intervention Procedures; page unavailable) describes the Qungasvik as a culturally contextualized prevention toolbox, and the Discussion (Feasibility; page unavailable) describes implementation with local staff and community advisors. The Results (Measureable Effects; page unavailable) report positive associations between intervention dose and some outcomes, but this was a feasibility study, several effects were not significant, and it did not isolate the effect of culturally informed staff. The source therefore does not support the broader claim that those practices and staff significantly improve outcomes in prevention efforts generally. (LLM, conf=0.88)
Experimental — accuracy not yet measuredThis finding is particularly relevant in light of previous studies that emphasize the importance of community engagement and trust in the effectiveness of prevention programs.
“This finding is particularly relevant in light of previous studies that emphasize the importance of community engagement and trust in the effectiveness of prevention programs (Mohatt et al., 2014).”
From Bridging Traditions and Prevention: Insights into Implementing and Sustaining Substance Use Programs for Urban AI/AN Communities (2026) · cites this paper as Mohatt et al., 2014
The Discussion section, “Implications of Contrasting Findings across Two Communities” (page unavailable), says community leadership and commitment were required for effective implementation and contrasts the communities’ levels of involvement. This supports the importance of community engagement in this intervention, but the passages do not identify trust as a factor in prevention-program effectiveness. (LLM, conf=0.85)
Experimental — accuracy not yet measuredThe Qungasvik program for Yup'ik Alaska Native young people used local cultural values and practices in its suicide prevention design and showed medium dose-response effects on protective factors.
“The Qungasvik program for Yup’ik Alaska Native young people used local cultural values and practices in its design and approach to suicide prevention, and showed medium dose-response effects on protective factors (Mohatt et al., 2014).”
From Bridging Traditions and Prevention: Insights into Implementing and Sustaining Substance Use Programs for Urban AI/AN Communities (2026) · cites this paper as Mohatt et al., 2014
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Flagged first, then by citations
Research works printed but not linked: 3
- Allen J Mohatt GV Beehler S Rowe HL (this issue) People Awakening: Collaborative research with Alaska Native communities to address alcohol use disorders and suicide related health disparities American Journal of Community Psychology
- Nunnally JC Bernstein IH 1994 Psychometric Theory New York, NY McGraw-Hill
- Rasmus S Mohatt GV Ebbesson G Alstrom D Hubalik N Moses C Nicolai D Elluam Tungiinun Community Planning Group, & Yupiucimta Asvairtuumallerkaa Community Planning Group (this issue) Grounding Intervention in Culture: Description of a Community Based Participatory Process of Community Intervention Development American Journal of Community Psychology
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- Authors
- Mohatt, G. V., Fok, C. C. T., Henry, D., & Allen, J.
- Affiliations
- University of Alaska Fairbanks (US)
- University of Illinois Chicago (US)
- University of Minnesota (US)
- Corresponding author
- Allen, James
- Venue
- American Journal of Community Psychology
- Publisher
- Wiley
- Published
- 2014-06-21
- Volume
- 54
- Issue
- 1-2
- Pages
- 153-169
- ISSN
- 0091-0562 (ISSN-L)
- 1573-2770
- PMC
- PMC4124932
- OpenAlex
- W1994427205
- Cited by
- 59
- References
- 49
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 9 · 2023: 3 · 2022: 8 · 2021: 10 · 2020: 2 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 3 · 2015: 3 · 2014: 5
- FWCI
- 6.34
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- Locations
- American Journal of Community Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (R21AA016098, R01AA011446)
- National Institute on Drug Abuse (T32DA037183)
- National Institute of General Medical Sciences (P30GM103325)
- National Center for Research Resources (P20RR061430)
- National Institute on Minority Health and Health Disparities (R24MD001626)
- Topics
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- suicide prevention, alcoholism prevention, community-based intervention, community-based participatory research, intervention feasibility, protective factors, dose-response relationship, intervention implementation
- MeSH terms
- Suicide Prevention, Adolescent, Alaska, Alcoholism, Child, Inuit, Feasibility Studies, Female, Humans, Male, Rural Population, Suicide, Community-Based Participatory Research
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