Responding to concerning posts on social media: Insights and solutions from American Indian and Alaska Native youth.

Purpose: This study aimed to understand American Indian and Alaska Native (AI/AN) adolescents' perspectives on concerning social media posts, including those expressing suicidal intent. Methods: A purposive sample of AI/AN youth were recruited; trained facilitators conducted focus groups. Participants discussed experiences viewing concerning posts on social media. Qualitative analysis used the constant comparative method. Results: A total of 32 AI/AN youth ages 14-22 participated. Three salient themes emerged: 1) youth typically respond alone; 2) barriers to action; 3) recommended training and support trusted adults, anonymity, and privacy. Conclusion: Study findings will guide the development of resources trusted by AI/AN youth.