"The hardest ones are the kids. The deaths are disturbing but so are the funerals," he says. "At the funerals you see the glamorised attention they get. They've got their names written all over the windows in honour of this kid because he took his life. Kids see that. Kids want attention. This is how they're going to get attention. I've heard them say: when I go, I hope that's how they honour me."
In fact, Native Americans teenagers are more likely to kill themselves than any other minority group. Some statistics show the rate at three times the national average. But those figures shield the fact that self-harm is most likely to occur on poorer reservations, such as Pine Ridge and neighbouring Rosebud; here rates are far higher.
"They were sitting in the cars," Howe says, choking up. "They were just looking at me. Because you know most babies don't cry if they're raised in a secure environment. So I went out there and took their diaper bags. And they left."
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