National studies show homicide and legal intervention are the third leading cause of death for Indian youth fifteen to twenty-four; the homicide rate among American Indians is 1.2 times that of the general U.S. population.
Despite many causes for concern in the Native American population, the culture still maintains strong values, beliefs, and support systems. Native Americans traditionally have respected the unique individual differences among people. Common Native American expressions of this value include staying out of other's affairs and verbalizing personal thoughts or opinions only when asked. Returning this courtesy is expected by many Native Americans as an expression of mutual respect. Quietness or silence is a value that serves many purposes in Indian life. Historically the cultivation of this value contributed to survival. In social situations, when they are angry or uncomfortable, many Indians remain silent. Non-Indians sometimes view this trait as indifference, when in reality, it is a very deeply embedded form of Indian interpersonal etiquette. In Native American life, the virtue of patience is based on the belief that all things unfold in time. Like silence, patience was a survival virtue in earlier times. In social situations, patience is needed to demonstrate respect for individuals, reach group consensus, and all time for "the second thought." Overt pressure on Indian students to make quick decisions or responses without deliberation should be avoided in most educational situations. In traditional Indian life, work is always directed to a distinct purpose and is done when it needs to be done. The non-materialistic orientation of many Indians is one outcome of this value. As a value, attitude, and behavior, mutualism permeates everything in the traditional Indian social fabric. Mutualism promotes a sense of belonging and solidarity with group members cooperating to gain group security and consensus.