Excerpt:
"In the past few years, self-destructive behavior among American Indians has received considerable concern. It is not clear whether this concern is in response to a recent rise in the incidence of self-destruction among American Indians or to the new realization of a chronic problem. Some evidence indicates that certain suicidal behavior has cultural roots within some tribes, however, other people, most notably many contemporary Indians, maintain that self-destruction is a relatively recent development. Whichever may be more correct, suicide, suicide attempts, and other forms of self-destruction have recently been recognized as major problems among a number of American Indian groups."

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