25 U.S.C. § 1665n — Behavioral health research

Page 332 TITLE 25—INDIANS § 1665n (2) Report Not later than 2 years after March 23, 2010, the Secretary shall submit to the Committee on Indian Affairs of the Senate and the Com- mittee on Natural Resources of the House of Representatives a report that describes, with respect to the matters described in paragraph (1), the improvements made and needed, prob- lems or obstacles identified, and costs nec- essary to address the problems or obstacles, and any other recommendations that the Sec- retary determines to be appropriate. (Pub. L. 94–437, title VII, § 714, as added Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.) Editorial Notes CODIFICATION Section 714 of Pub. L. 94–437 is based on section 181 of title I of S. 1790, One Hundred Eleventh Congress, as re- ported by the Committee on Indian Affairs of the Sen- ate in Dec. 2009, which was enacted into law by section 10221(a) of Pub. L. 111–148. PRIOR PROVISIONS A prior section 1665m, Pub. L. 94–437, title VII, § 714, as added Pub. L. 102–573, title VII, § 702(a), Oct. 29, 1992, 106 Stat. 4581, authorized appropriations through fiscal year 2000 to carry out this subchapter, prior to the gen- eral amendment of this subchapter by Pub. L. 111–148. § 1665n. Behavioral health research (a) In general The Secretary, in consultation with appro- priate Federal agencies, shall make grants to, or enter into contracts with, Indian tribes, tribal organizations, and urban Indian organizations or enter into contracts with, or make grants to ap- propriate institutions for, the conduct of re- search on the incidence and prevalence of behav- ioral health problems among Indians served by the Service, Indian tribes, or tribal organiza- tions and among Indians in urban areas. Re- search priorities under this section shall in- clude— (1) the multifactorial causes of Indian youth suicide, including— (A) protective and risk factors and sci- entific data that identifies those factors; and (B) the effects of loss of cultural identity and the development of scientific data on those effects; (2) the interrelationship and interdepend- ence of behavioral health problems with alco- holism and other substance abuse, suicide, homicides, other injuries, and the incidence of family violence; and (3) the development of models of prevention techniques. (b) Emphasis The effect of the interrelationships and inter- dependencies referred to in subsection (a)(2) on children, and the development of prevention techniques under subsection (a)(3) applicable to children, shall be emphasized. (Pub. L. 94–437, title VII, § 715, as added Pub. L. 111–148, title X, § 10221(a), Mar. 23, 2010, 124 Stat. 935.) Editorial Notes CODIFICATION Section 715 of Pub. L. 94–437 is based on section 181 of title I of S. 1790, One Hundred Eleventh Congress, as re- ported by the Committee on Indian Affairs of the Sen- ate in Dec. 2009, which was enacted into law by section 10221(a) of Pub. L. 111–148. PART B—INDIAN YOUTH SUICIDE PREVENTION § 1667. Findings and purpose (a) Findings Congress finds that— (1)(A) the rate of suicide of American Indi- ans and Alaska Natives is 1.9 times higher than the national average rate; and (B) the rate of suicide of Indian and Alaska Native youth aged 15 through 24 is— (i) 3.5 times the national average rate; and (ii) the highest rate of any population group in the United States; (2) many risk behaviors and contributing factors for suicide are more prevalent in In- dian country than in other areas, including— (A) history of previous suicide attempts; (B) family history of suicide; (C) history of depression or other mental illness; (D) alcohol or drug abuse; (E) health disparities; (F) stressful life events and losses; (G) easy access to lethal methods; (H) exposure to the suicidal behavior of others; (I) isolation; and (J) incarceration; (3) according to national data for 2005, sui- cide was the second-leading cause of death for Indians and Alaska Natives of both sexes aged 10 through 34; (4)(A) the suicide rates of Indian and Alaska Native males aged 15 through 24 are— (i) as compared to suicide rates of males of any other racial group, up to 4 times great- er; and (ii) as compared to suicide rates of females of any other racial group, up to 11 times greater; and (B) data demonstrates that, over their life- times, females attempt suicide 2 to 3 times more often than males; (5)(A) Indian tribes, especially Indian tribes located in the Great Plains, have experienced epidemic levels of suicide, up to 10 times the national average; and (B) suicide clustering in Indian country af- fects entire tribal communities; (6) death rates for Indians and Alaska Na- tives are statistically underestimated because many areas of Indian country lack the proper resources to identify and monitor the presence of disease; (7)(A) the Indian Health Service experiences health professional shortages, with physician vacancy rates of approximately 17 percent, and nursing vacancy rates of approximately 18 percent, in 2007; (B) 90 percent of all teens who die by suicide suffer from a diagnosable mental illness at time of death;