Scholars@Duke
Anna Fetter

Anna Fetter

Assistant Professor in Psychiatry and Behavioral Sciences
Psychiatry, Child & Family Mental Health & Community Psychiatry

Selected Publications

Measurement invariance of the revised multigroup ethnic identity measure among a national sample of Native American and Alaska Native college students.

Journal Article Cultur Divers Ethnic Minor Psychol · June 16, 2025 OBJECTIVES: Developing a healthy ethnic-racial identity (ERI) is a vital developmental task for ethnically or racially marginalized individuals, promoting positive mental health and psychosocial adjustment. However, no prior study has evaluated whether one ... Full text Link to item Cite

Diagnosable Mental Disorders Among American Indians and Alaska Natives in the United States: A Scoping Review

Journal Article Clinical Psychology Science and Practice · October 14, 2024 Objective: American Indian/Alaska Native (AI/AN) communities experience critical health inequities in the United States. In American mental health research, these inequities are defined by disorders classified in the Diagnostic and Statistical Manual of Me ... Full text Cite

Supporting the Next Generation of Indigenous Psychologists: An Illustrative Case Example

Journal Article Counseling Psychologist · October 1, 2024 To effectively increase American Indian/Alaska Native (AI/AN) representation in the psychological workforce and prepare AI/AN psychologists to serve AI/AN communities, transformation is critically needed in graduate training programs. Therefore, we provide ... Full text Cite

Behavioral health services for urban American Indians and Alaska Natives: A thematic analysis of interviews with 10 program directors.

Journal Article Psychol Serv · November 2023 Urban Indian Health Programs (UIHPs) are one of the primary sources of government-funded health care for the millions of American Indian and Alaskan Native (AI/AN) people living in urban areas. The goal of this study is to better understand what services a ... Full text Link to item Cite

The impact of historical loss on Native American college students' mental health: The protective role of ethnic identity.

Journal Article J Couns Psychol · October 2023 Culturally relevant stressors and protective factors are vital to understanding and effectively supporting Native American/Alaska Native (NA/AN) college students' mental health and well-being. This study examined the theorized pathways among historical los ... Full text Link to item Cite

A systematic review of research methodologies in American Indian and Alaska Native suicide research from 2010 to 2020.

Journal Article Cultur Divers Ethnic Minor Psychol · July 2023 OBJECTIVES: American Indians and Alaska Natives (AIANs) experience significant disparities in their prevalence of suicidal ideation, attempts, and deaths when compared to all other racial/ethnic groups in the United States. In this systematic review (SR), ... Full text Link to item Cite

Risk Factors for Suicidal Behaviors in American Indian and Alaska Native Peoples: A Systematic Review

Journal Article Clinical Psychological Science · May 2023 American Indian/Alaska Natives (AI/ANs) experience disproportionate rates of suicide, but current strategies for suicide prevention have not reduced these health disparities. Therefore, to gain insight into factors that may affect risk trajectorie ... Full text Cite

American Indian Behavioral Health Treatment Preferences as Perceived by Urban Indian Health Program Providers.

Journal Article Qual Health Res · February 2022 Behavioral health services specifically targeted for ethnoracial clients are typically tailored to the specific needs and preferences of these populations; however, little research has been done with American Indian clients specifically. To better understa ... Full text Link to item Cite

Attempted Suicide in American Indian and Alaska Native Populations: A Systematic Review of Research on Protective Factors

Journal Article Clinical Psychology Science and Practice · January 1, 2022 American Indian and Alaska Native (AIAN) populations contend with disproportionately high rates of suicide. The study of protective factors is essential for highlighting resilience and formulating potential interventions for suicide. We systematically revi ... Full text Cite

Suicide interventions for American Indian and Alaska Native populations: A systematic review of outcomes

Journal Article Ssm Mental Health · December 1, 2021 Objective: A 2018 Center for Disease Control and Prevention report estimated that 22.1 per 100,000 American Indian/Alaska Native (AI/AN) individuals died by suicide, much higher than the overall U.S. rate of 14.2. To understand how to remedy this problem, ... Full text Cite

Internship Experiences Among College Students Attending an HBC: A Longitudinal Grounded Theory Exploration

Journal Article Journal of Career Assessment · November 2021 Internships are a form of experiential learning whereby students can apply and practice their skills in a professional setting while gaining career and life experience. This study explored internship experiences among students attending an Histori ... Full text Cite

Pursuing the Promise of Preschool: An Exploratory Investigation of the Perceptions of Parents Experiencing Homelessness.

Journal Article Early Child Educ J · 2021 Rates of homelessness are worsening in the United States, with a third of individuals experiencing homelessness being families with children. These families face many challenges, including limited social supports, insufficient access to services, and menta ... Full text Link to item Cite

College Student Psychological Distress: Relationship to Self‐Esteem and Career Decision Self‐Efficacy Beliefs

Journal Article The Career Development Quarterly · December 2019 College students experience a number of stressors, such as adjustment to a new environment, postgraduation planning, and the balancing of changing roles and responsibilities. These stressors may contribute to increased rates of psychological distre ... Full text Cite