Cultural & Racial Diversity Category

Suicide and Indigenous People: Understanding Risks and Sustaining Cultural Resistance

1.75 CE Hour
369 members have taken this course

Updated 19 days ago. Consider reviewing the exam questions below before taking the exam.

About the Course

The first study explores the lived experiences of suicide risk and resilience among Alaska Native and American Indian (AN/AI) people in a tribal health system, while the second study provides a qualitative examination of a community of indigenous people having a markedly lower rate of both mental health services use and suicides.

This course is based on the reading-based online article, Narrative Approaches to North American Indigenous People Who Attempt Suicide created by Lewis Mehl-Madrona, MD, PhD. et al and the reading-based online article, Lived Experiences of Suicide Risk and Resilience among Alaska Native and American Indian People created by Jennifer L. Shaw, PhD (Medical Anthropology) et al. in 2019.

Publication Details

Publication Date: The Permanente Journal 2020: Int. J. Environ. Res. Public Health 2019

Course Material Authors

Course Material Authors authored the material only, and were not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Lewis Mehl-Madrona, MD, PhD.

Lewis Mehl-Madrona M.D., Ph.D. (Cherokee and Lakota heritage) is certified in psychiatry, geriatrics, and family medicine. His research collaborations include work on the psychology of pregnancy and birthing, nutritional approaches to autism and diabetes, the use of healing circles to improve mental health, and the outcomes of people with illnesses who work with traditional healers. During his career, he has worked in residency training programs, in rural emergency medicine, and in psychiatric settings, as well as working on reservations and with tribes. He has also published over 100 papers in refereed journals and authored several books.

Jennifer L. Shaw, PhD (Medical Anthropology)

Since 1998, Jennifer has conducted mixed-methods and applied health research on diverse topics as a medical anthropologist. She joined the SCF Research department in 2010 and is now a Senior Researcher. Her team works closely with behavioral services and has led research efforts on suicide prevention, substance abuse prevention and treatment, palliative care, and depression management. She has had multiple works published in peer reviewed journals.

Target Audience

Counselors, marriage and family therapists,nurses, nurse practitioners, physicians, psychologists and social workers. This course is appropriate for all levels of knowledge.

Learning Objectives

After taking this activity, you should be able to:

  1. 1 Identify differences between traditional North American Indigenous and mainstream culture, especially as they may impact the delivery and/or outcomes of behavioral health services.
  2. 2 Describe culturally appropriate and culturally inappropriate approaches and practices used when working with a Native population.
  3. 3 Discuss how providers may develop an understanding of culture differences and how these differences might impact the therapeutic relationship.

Disclosure to Learners

CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Material Authors

Any relevant financial disclosures for course material authors can be found in the article.

Commercial support

There is no commercial support for this distance-learning course.

Use our CE Approvals tool to look up your state requirements and how can help you meet them, or log in to your member account to show approvals relevant to your licensure.

Joint Accreditation (JA)

1.75 Psychologist CE credit hour
1.75 IPCE CE credit hour
1.75 AMA PRA Category 1 CE credit hour
1.75 Nursing CE credit hour
1.75 Social Worker CE credit hour
Eligible until Feb 1st, 2028
In support of improving patient care, CE Learning Systems, LLC, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
More Info
Logo: Jointly Accredited Provider (tm) - Interprofessional Continuing Education

American Psychological Association (APA)

1.75 CE credit hour
Eligible until Feb 1st, 2028
Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs.
More Info
Logo: American Psychological Association

Association of Social Work Boards (ASWB ACE)

1.75 CE credit hour
Eligible until Feb 1st, 2028
As a Jointly Accredited Organization, CE Learning Systems LLC is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.75 continuing education credit(s).
More Info
Logo: ASWB ACE approved continuing education

NAADAC, the Association for Addiction Professionals (NAADAC)

1.75 CE credit hour
Eligible until Sep 29th, 2026
This course has been approved by CE Learning Systems, service provider of Impact CE, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #192243, CE Learning Systems is responsible for all aspects of their programming.
More Info
NAADAC Approved Education Provider

American Nurses Credentialing Center (ANCC)

1.75 CE credit hour
Eligible until Feb 1st, 2028
More Info

Florida Certification Board (FCB)

1.75 CE credit hour
Eligible until Dec 30th, 2027
Impact CE, a service of CE learning Systems, is approved by the Florida Certification Board (FCB) to offer continuing education programs (Provider # 5069A).
More Info

Florida Board of Nursing

1.75 CE credit hour
Eligible until Feb 1st, 2028
CE Learning Systems, LLC has been approved by the Florida Board of Nursing, Provider number: 50-315. Nurses completing course 20-202944258 receive 1.75 credit hours. Certificate must be retained for at least 4 years, do not forward certificate to the Board of Nursing.
More Info

Missouri Credentialing Board (MCB)

1.75 CE credit hour
Eligible until Dec 30th, 2026
AddictionCounselorCE is an approved provider of the Missouri Substance Abuse Professional Credentialing Board (Provider #101). AddictionCounselorCE maintains responsibility for this course and its contents.
More Info

New York State Office of Addiction Services and Supports (OASAS)

1.75 CE credit hour

CASAC

Renewal: Yes

CPS, CPP

Section: Section 1
Renewal: Yes
Initial: Yes
Eligible until Feb 27th, 2028
More Info

New York Education Department Board of Marriage and Family Therapy

1.75 CE credit hour
Eligible until May 30th, 2027
CE Learning Systems, LLC (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0045.
More Info

Virginia Certification Board (VCB)

1.75 CE credit hour
Eligible until Jul 31st, 2026
Virginia Certification Board educational provider # 106
More Info

Course Material

Exam Questions come from both of the articles listed.

Narrative Approaches to North American Indigenous People Who Attempt Suicide

References are located at the end of the article.

Lived Experiences of Suicide Risk and Resilience among Alaska Native and American Indian People

References begin on page 11.

Lived Experiences of Suicide Risk and Resilience among AN/AI People

Alternate link – References begin on page 11.

Access Course Material

Viewing External Material

This course material is hosted by , a web site separate from Impact CE. When you're done, just close the tab/window to return to this course page.

Exam Questions

All exam questions for the course are visible on this page for members of Impact CE.

Membership is free, and you can register today! You'll only pay when you're ready to purchase a course, or if you take advantage of the Unlimited Package.

If you're already a member, please sign in to see the exam questions for this and all other courses.

Discuss this course

You can share your thoughts about this course after you pass the exam.

Sign In or Register to get started.
$15.75

Course Details

1.75 CE Hours
Reading Online
Course 103234

Profession Group

  • Addictions
  • Addictions

Availability

This course is available until Jan 4th, 2039.

Frequently Asked Questions

Yes, most likely. Look Up Your State Board for more detailed information. Logged-in site members will see the relevant approval information displayed in the Approvals tab for every course.

If you are having trouble using Impact CE, please contact us! We would be happy to accommodate your needs right away, and your input will help us make Impact CE more accessible for future users too.

Use the Enroll In This Course button and just follow the instructions! You don't pay anything until you're ready to take an exam.

To complete the course, review the course objectives, then review the material, and then pass the exam with a score of 75% or greater and lastly complete an evaluation.

Most of our self-paced courses are based on online articles available for free to the public. Some courses, such as those based on books, require that you purchase the material. Use the Materials tab for more info. Live courses simply require that you attend.

Your certificate(s) will be available to download or email immediately when you pass the course exam and complete the evaluation.

Yes! Use the Help widget at the bottom-right of the screen anywhere on Impact CE to search our help docs, or to ask our support team for help. Unlike most of our competitors, Impact CE has live US-based support reps to help you by email, chat, or phone.

Start your CE Journey now - complete your first course today, on us.

Try for free - no commitment required.

Copyright © 2026 CE Learning Systems LLC

Please Confirm