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Article ; Online: Commentary: A Movement to Reclaim American Indian Health through Tribal Sovereignty, Community Partnerships, and Growing Tribally-Driven Health Research.

O'Keefe, Victoria M

American Indian and Alaska native mental health research (Online)

2019 Volume 26, Issue 2, Page(s) 172–176

MeSH term(s)	Community-Based Participatory Research ; Human Rights ; Humans ; Indians, North American ; Minority Health
Language	English
Publishing date	2019-11-06
Publishing country	United States
Document type	Journal Article
ZDB-ID	2079045-4
ISSN	1533-7731 ; 0893-5394
ISSN (online)	1533-7731
ISSN	0893-5394
DOI	10.5820/aian.2602.2019.172
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Article ; Online: Examining the unique impacts of Potentially Traumatic Experiences (PTE) and discrimination events on Post-Traumatic Stress Disorder (PTSD) and suicidal thoughts and behaviors among Multiracial/ethnic adults in the United States.

Shaff, Jaimie / O'Keefe, Victoria M / Atkin, Annabelle L / Wang, Xinzi / Wilcox, Holly C

Journal of affective disorders

2023 Volume 347, Page(s) 51–56

Abstract: Background: Suicide and PTSD are pressing public health issues in the US, with discrimination and potentially traumatic experiences (PTEs) influencing mental health. However, the unique effects of these factors on Multiracial/ethnic adults' PTSD and ... ...

Abstract	Background: Suicide and PTSD are pressing public health issues in the US, with discrimination and potentially traumatic experiences (PTEs) influencing mental health. However, the unique effects of these factors on Multiracial/ethnic adults' PTSD and suicidal thoughts/behaviors (STB) are not thoroughly researched. Methods: Using a cross-sectional design, an online survey was conducted (N = 1012) from October to December 2022. Multivariable logistic regression models analyzed relationships between PTEs, discriminatory events, and mental health outcomes, accounting for sociodemographics. Results: After adjusting for demographics, exposure to PTEs and discrimination correlated with heightened odds of PTSD and STB. Individual lifetime discrimination experiences and specific PTEs demonstrated varying associations with STB and PTSD. The study underscores discrimination's relevance as a risk factor. Limitations: The study's cross-sectional nature restricts causality or temporality interpretations. Moreover, the convenience sample of English-speaking online participants might not be reflective of all Multiracial/ethnic US adults. Conclusions: Findings underscore PTEs and discrimination's interconnectedness in Multiracial/ethnic mental health outcomes. Discrimination might pose similar risks to PTEs. Acknowledging discrimination as potential precursors for PTSD and STB aids accurate diagnosis and effective treatment planning. Incorporating racial/ethnic discrimination and traumatic experiences into PTSD conceptualization and assessment is pivotal. This knowledge informs tailored interventions and mental health education for this population.
MeSH term(s)	Adult ; Humans ; United States/epidemiology ; Stress Disorders, Post-Traumatic/epidemiology ; Stress Disorders, Post-Traumatic/diagnosis ; Suicidal Ideation ; Cross-Sectional Studies ; Racial Groups ; Suicide
Language	English
Publishing date	2023-11-14
Publishing country	Netherlands
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, N.I.H., Extramural
ZDB-ID	135449-8
ISSN	1573-2517 ; 0165-0327
ISSN (online)	1573-2517
ISSN	0165-0327
DOI	10.1016/j.jad.2023.11.035
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Article ; Online: Working Together to Advance Indigenous Interests with Community Psychology.

O'Keefe, Victoria M / Hartmann, William E

American journal of community psychology

2019 Volume 64, Issue 1-2, Page(s) 185–190

MeSH term(s)	Community Mental Health Services ; Health Services, Indigenous ; Humans ; Indians, North American/psychology ; Mental Disorders/ethnology ; Mental Disorders/psychology ; Mental Disorders/therapy ; Psychology/methods
Language	English
Publishing date	2019-08-28
Publishing country	England
Document type	Introductory Journal Article
ZDB-ID	222658-3
ISSN	1573-2770 ; 0091-0562
ISSN (online)	1573-2770
ISSN	0091-0562
DOI	10.1002/ajcp.12381
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Zs.A 1176: Show issues

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Article ; Online: Centering Community Strengths and Resisting Structural Racism to Prevent Youth Suicide: Learning from American Indian and Alaska Native Communities.

Wexler, Lisa / White, Lauren A / O'Keefe, Victoria M / Rasmus, Stacy / Haroz, Emily E / Cwik, Mary F / Barlow, Allison / Goklish, Novalene / Elliott, Emma / Pearson, Cynthia R / Allen, James

Archives of suicide research : official journal of the International Academy for Suicide Research

2024 , Page(s) 1–16

Abstract: The persistence of extreme suicide disparities in American Indian and Alaska Native (AI/AN) youth signals a severe health inequity with distinct associations to a colonial experience of historical and on-going cultural, social, economic, and political ... ...

Abstract	The persistence of extreme suicide disparities in American Indian and Alaska Native (AI/AN) youth signals a severe health inequity with distinct associations to a colonial experience of historical and on-going cultural, social, economic, and political oppression. To address this complex issue, we describe three AI/AN suicide prevention efforts that illustrate how strengths-based community interventions across the prevention spectrum can buffer suicide risk factors associated with structural racism. Developed and implemented in collaboration with tribal partners using participatory methods, the strategies include universal, selective, and indicated prevention elements. Their aim is to enhance systems within communities, institutions, and families by emphasizing supportive relationships, cultural values and practices, and community priorities and preferences. These efforts deploy collaborative, local approaches, that center on the importance of tribal sovereignty and self-determination, disrupting the unequal power distribution inherent in mainstream approaches to suicide prevention. The examples emphasize the centrality of Indigenous intellectual traditions in the co-creation of healthy developmental pathways for AI/AN young people. A central component across all three programs is a deep commitment to an interdependent or collective orientation, in contrast to an individual-based mental health suicide prevention model. This commitment offers novel directions for the entire field of suicide prevention and responds to calls for multilevel, community-driven public health strategies to address the complexity of suicide. Although our focus is on the social determinants of health in AI/AN communities, strategies to address the structural violence of racism as a risk factor in suicide have broad implications for all suicide prevention programming.
Language	English
Publishing date	2024-01-19
Publishing country	England
Document type	Journal Article
ZDB-ID	1283671-0
ISSN	1543-6136 ; 1381-1118
ISSN (online)	1543-6136
ISSN	1381-1118
DOI	10.1080/13811118.2023.2300321
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Zs.A 4465: Show issues

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Article ; Online: Suicide in the pediatric population: screening, risk assessment and treatment.

Cwik, Mary F / O'Keefe, Victoria M / Haroz, Emily E

International review of psychiatry (Abingdon, England)

2020 Volume 32, Issue 3, Page(s) 254–264

Abstract: The number of children and adolescents dying by suicide is increasing over time. Patterns for who is at risk are also changing, leading to a need to review clinical suicide prevention progress and identify limitations with existing practices and research ...

Abstract	The number of children and adolescents dying by suicide is increasing over time. Patterns for who is at risk are also changing, leading to a need to review clinical suicide prevention progress and identify limitations with existing practices and research that can help us further address this growing problem. This paper aims to synthesise the literature on paediatric suicide screening, risk assessment and treatment to inform clinical practice and suicide prevention efforts. Our review shows that universal screening is strongly recommended, feasible and acceptable, and that there are screening tools that have been validated with youth. However, screening may not accurately identify those at risk of dying due to the relative rarity of suicide death and the associated research and clinical challenges in studying such a rare event and predicting future behaviour. Similarly, while risk assessments have been developed and tested in some populations, there is limited research on their validity and challenges with their implementation. Several promising suicide-specific treatments have been developed for youth, but overall there is an insufficient number of randomised trials. Despite great need, the research evidence to support screening, risk assessment and treatment is still limited. As suicide rates increase for children and adolescents, continued research in all three domains is needed to reverse this trend.
MeSH term(s)	Adolescent ; Child ; Humans ; Risk Assessment ; Suicide/prevention & control ; Suicide/statistics & numerical data
Language	English
Publishing date	2020-01-10
Publishing country	England
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Review
ZDB-ID	1018090-4
ISSN	1369-1627 ; 0954-0261
ISSN (online)	1369-1627
ISSN	0954-0261
DOI	10.1080/09540261.2019.1693351
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Zs.A 2819: Show issues

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Article ; Online: Honoring our teachings: children's storybooks as indigenous public health practice.

Maudrie, Tara L / Grubin, Fiona / Conrad, Maisie / Velasquez Baez, Jocelyn / Saniguq Ullrich, Jessica / Allison-Burbank, Joshuaa / Martin, Lisa / Austin, Crystal / Joyner, Joelle / Ronyak, Marcella / Masten, Kristin / Ingalls, Allison / Haroz, Emily E / O'Keefe, Victoria M

Frontiers in public health

2024 Volume 12, Page(s) 1354761

Abstract: Introduction: American Indian and Alaska Native (AIAN) communities continue to flourish and innovate in the face of the COVID-19 pandemic. Storytelling is an important tradition for AIAN communities that can function as an intervention modality. To ... ...

Abstract	Introduction: American Indian and Alaska Native (AIAN) communities continue to flourish and innovate in the face of the COVID-19 pandemic. Storytelling is an important tradition for AIAN communities that can function as an intervention modality. To support the needs of AIAN children and caregivers, we (a collaborative workgroup of Indigenous health researchers) developed a culturally grounded storybook that provides pandemic-related public health guidance and mental health coping strategies woven with Inter-Tribal values and teachings. Methods: A collaborative workgroup, representing diverse tribal affiliations, met via four virtual meetings in early 2021 to discuss evolving COVID-19 pandemic public health guidance, community experiences and responses to emerging challenges, and how to ground the story in shared AIAN cultural strengths. We developed and distributed a brief survey for caregivers to evaluate the resulting book. Results: The workgroup iteratively reviewed versions of the storyline until reaching a consensus on the final text. An AI artist from the workgroup created illustrations to accompany the text. The resulting book, titled Our Smallest Warriors, Our Strongest Medicine: Honoring Our Teachings during COVID-19 contains 46 pages of text and full-color illustrations. An online toolkit including coloring pages, traditional language activities, and caregiver resources accompanies the book. We printed and distributed 50,024 physical copies of the book and a free online version remains available. An online survey completed by Discussion: The development of this storybook provides insights for creative dissemination of future public health initiatives, especially those geared toward AIAN communities. The positive reception and widespread interest in the storybook illustrate how braiding AIAN cultural teachings with public health guidance can be an effective way to disseminate health information. This storybook highlights the importance of storytelling as an immersive learning experience through which caregivers and children connect to family, community, culture, and public health guidance. Culturally grounded public health interventions can be effective and powerful in uplifting AIAN cultural values and promoting health and well-being for present and future generations.
MeSH term(s)	Child ; Humans ; Indians, North American/psychology ; Pandemics ; Alaska Natives ; Public Health Practice ; COVID-19
Language	English
Publishing date	2024-02-23
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2711781-9
ISSN	2296-2565 ; 2296-2565
ISSN (online)	2296-2565
ISSN	2296-2565
DOI	10.3389/fpubh.2024.1354761
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Article ; Online: Food Stress and Diabetes-Related Psychosocial Outcomes in American Indian Communities: A Mixed Methods Approach.

Maudrie, Tara L / Aulandez, Kevalin M W / O'Keefe, Victoria M / Whitfield, Frances R / Walls, Melissa L / Hautala, Dane S

Journal of nutrition education and behavior

2022 Volume 54, Issue 12, Page(s) 1051–1065

Abstract: Objective: Explore the relationship between diabetes-related psychosocial outcomes and food stress in American Indian communities.: Design: Convergence model of a mixed methods triangulation study.: Setting: Five American Indian reservation ... ...

Abstract	Objective: Explore the relationship between diabetes-related psychosocial outcomes and food stress in American Indian communities. Design: Convergence model of a mixed methods triangulation study. Setting: Five American Indian reservation communities in the Midwest. Participants: One-hundred ninety-two participants were randomly selected from tribal health centers using clinic patient records and were surveyed about diabetes distress, empowerment, and food stress across 4 different time points. Seventeen focus group discussions were conducted and transcribed, and a mix of purposive and convenience sampling was used. Phenomenon of interest: Psychosocial outcomes associated with (or related to) diabetes and food stress. Analysis: Quantitative: Multiple linear regression was performed to explore relationships between food stress and diabetes distress and empowerment. Qualitative: Open coding of data identified portions of the transcripts related to food followed by a deductive approach on the basis of the components of quantitative food stress. Results: Food stress in the forms of (1) not having enough money for food and not having enough time for cooking or shopping (P = 0.08) and (2) inadequate food access and being on a special diet (P = 0.032) were associated with increased diabetes distress. Lower diabetes empowerment was associated with not having enough money for food and being on a special diet (P = 0.030). Our qualitative data mirrored quantitative findings that experiencing multiple forms of food stress negatively impacted diabetes psychosocial outcomes and illuminated the cyclical role mental health can play in relationships to food. Conclusions and implications: Our findings highlight that experiencing food stress negatively affects diabetes empowerment and diabetes distress. These findings emphasize the importance of improving community food environments and addressing individual food access for diabetes management and prevention initiatives in American Indian communities.
MeSH term(s)	Humans ; Indians, North American/psychology ; American Indian or Alaska Native ; Diabetes Mellitus/epidemiology ; Focus Groups ; Food
Language	English
Publishing date	2022-10-14
Publishing country	United States
Document type	Journal Article
ISSN	1878-2620
ISSN (online)	1878-2620
DOI	10.1016/j.jneb.2022.06.004
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Article ; Online: Impacts of COVID-19 on a Food Security Study with the Baltimore Native Community.

Maudrie, Tara L / Nguyen, Cassandra J / Jernigan, Valarie Blue Bird / Lessard, Kerry Hawk / Richardson, Dustin / Gittelsohn, Joel / O'Keefe, Victoria M

American Indian and Alaska native mental health research (Online)

2022 Volume 29, Issue 2, Page(s) 8–31

Abstract: Urban American Indian/Alaska Native peoples experience disproportionate levels of food insecurity when compared to the general US population. Through a collaborative research partnership between Native American Lifelines of Baltimore, an Urban Indian ... ...

Abstract	Urban American Indian/Alaska Native peoples experience disproportionate levels of food insecurity when compared to the general US population. Through a collaborative research partnership between Native American Lifelines of Baltimore, an Urban Indian Health Program, and a Johns Hopkins Bloomberg School of Public Health student-led research team, food security was identified as a priority issue. A sequential explanatory mixed methods study was planned to explore food security and food sovereignty in the Baltimore Native community prior to the COVID-19 pandemic. Due to the local impact of COVID-19, a community-based participatory research approach guided the community-academic team to revise the original study and increase understanding of how the pandemic impacted food security in the community. This article highlights the lessons learned and strengths of using a community-based participatory approach to guide adaptations made due to COVID-19 to this research study. By utilizing a co-learning approach and emphasizing flexibility, we were able to collaboratively collect meaningful data to drive future community solutions to food insecurity while building an evidence base for policy changes to better support urban Native food security.
MeSH term(s)	Baltimore ; COVID-19 ; Food Security ; Humans ; Indians, North American ; Pandemics
Language	English
Publishing date	2022-07-27
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2079045-4
ISSN	1533-7731 ; 1533-7731
ISSN (online)	1533-7731
ISSN	1533-7731
DOI	10.5820/aian.2902.2022.8
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Article: Development of "CULTURE FORWARD: A strengths and culture-based tool to protect our native youth from suicide".

O'Keefe, Victoria M / Waugh, Emma / Grubin, Fiona / Cwik, Mary / Chambers, Rachel / Ivanich, Jerreed / Weeks, Rose / Barlow, Allison

Cultural diversity & ethnic minority psychology

2022 Volume 28, Issue 4, Page(s) 587–597

Abstract: Objective: Indigenous knowledge and practices promote American Indian/Alaska Native (AI/AN; Native) communities' health and well-being. Historical losses and continued oppression have resulted in disproportionately higher AI/AN youth suicide rates. This ...

Abstract	Objective: Indigenous knowledge and practices promote American Indian/Alaska Native (AI/AN; Native) communities' health and well-being. Historical losses and continued oppression have resulted in disproportionately higher AI/AN youth suicide rates. This article describes the development of a new national resource guide titled "CULTURE FORWARD" for tribal leaders and stakeholders to support youth suicide prevention efforts through cultural strengths. Method: The CULTURE FORWARD guide was developed over 6 months through a community-engaged process. We conducted nine roundtables and eight interviews with a wide variety of community members, leaders, and providers representing 36 diverse tribal communities and geographic regions. Participants discussed AI/AN youth risk and protective factors, successful community efforts to prevent suicide, and content and dissemination ideas. A comprehensive literature review complemented qualitative findings. A diverse and representative National Advisory Editorial Board guided content and design throughout development. Results: Qualitative data were analyzed iteratively and thematically. Across all listening sessions, culture was identified as a key protective factor against AI/AN youth suicide. Five themes related to cultural strengths informed guide chapters. Each chapter includes an introduction; how that theme helps prevent Native youth suicide; a review of academic literature, community stories and programs; action steps; and additional resources. Conclusions: CULTURE FORWARD honors and empowers communities by weaving strands of knowledge, stories, and practical resources highlighting Native communities' strengths to protect against Native youth suicide. The guide is free online and print copies are being distributed nationally. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
MeSH term(s)	Adolescent ; Humans ; Indians, North American ; Alaska Natives ; Protective Factors ; Suicide Prevention
Language	English
Publishing date	2022-06-30
Publishing country	United States
Document type	Review ; Journal Article
ZDB-ID	1463411-9
ISSN	1939-0106 ; 1099-9809
ISSN (online)	1939-0106
ISSN	1099-9809
DOI	10.1037/cdp0000546
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Zs.A 4940: Show issues

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Article: Identifying Fibrogenic Cells Following Salivary Gland Obstructive Injury.

Altrieth, Amber L / O'Keefe, Kevin J / Gellatly, Victoria A / Tavarez, Joey R / Feminella, Sage M / Moskwa, Nicholas L / Cordi, Carmalena V / Turrieta, Judy C / Nelson, Deirdre A / Larsen, Melinda

bioRxiv : the preprint server for biology

2023

Abstract: Fibrosis results from excess extracellular matrix accumulation, which alters normal tissue architecture and impedes function. In the salivary gland, fibrosis can be induced by irradiation treatment for cancer therapy, Sjögren's Disease, and other causes; ...

Abstract	Fibrosis results from excess extracellular matrix accumulation, which alters normal tissue architecture and impedes function. In the salivary gland, fibrosis can be induced by irradiation treatment for cancer therapy, Sjögren's Disease, and other causes; however, it is unclear which stromal cells and signals participate in injury responses and disease progression. As hedgehog signaling has been implicated in fibrosis of the salivary gland and other organs, we examined contributions of the hedgehog effector, Gli1, to fibrotic responses in salivary glands. To experimentally induce a fibrotic response in female murine submandibular salivary glands, we performed ductal ligation surgery. We detected a progressive fibrotic response where both extracellular matrix accumulation and actively remodeled collagen trended upwards at 7 days and significantly increased at 14 days post- ligation. Macrophages, which participate in extracellular matrix remodeling, Gli1
Language	English
Publishing date	2023-03-10
Publishing country	United States
Document type	Preprint
DOI	10.1101/2023.03.09.531751
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