Basma Guarmit1, Paul Brousse1, Aude Lucarelli1, Gerd Donutil2, Claire Cropet3, Emilie Mosnier4,3, Philippe Travers1, Mathieu Nacher5,6. 1. Pôle des centres délocalisés de prévention et de soins, Centre hospitalier Andrée-Rosemon, 97306, Cayenne, Guyane, France. 2. Pôle des urgences, Centre hospitalier Andrée-Rosemon, 97306, Cayenne, Guyane, France. 3. Centre d'investigation clinique-épidémiologie clinique Antilles-Guyane, CIC INSERM 1424, 97306, Cayenne, Guyane, France. 4. Équipe EA3593, écosystèmes amazoniens et pathologie tropicale, université des Antilles et de la Guyane, 97300, Cayenne, France. 5. Équipe EA3593, écosystèmes amazoniens et pathologie tropicale, université des Antilles et de la Guyane, 97300, Cayenne, France. mathieu.nacher66@gmail.com. 6. Centre d'investigation clinique-épidémiologie clinique Antilles-Guyane, CIC INSERM 1424, 97306, Cayenne, Guyane, France. mathieu.nacher66@gmail.com.
Abstract
OBJECTIVE: The overall rate of suicide in French Guiana is estimated at 6 per 100,000, a rate that is lower than in mainland France. Given the frequent reports of suicide in Amerindian communities, our hypothesis was that this figure fails to capture a more contrasted reality. Our objective was to refine estimates and determine suicide rates in remote villages of French Guiana. METHODS: We included patients for whom a suicide attempt or suicide was mentioned in medical records. The Health centers were grouped into two zones according to geographical remoteness. RESULTS: The highest suicide rates observed in the remote Amerindian villages of Camopi and Trois Sauts were, respectively, 118 and 78/100,000. The median age at the time of suicide was significantly younger in remote zones [23 years (95% CI 21.59-25.06)] than in non-remote zones-[27 years (95% CI 24.47-29.31)]. The most frequent methods were hanging (78%) and intoxication (22%). CONCLUSIONS: The suicide rate in remote areas in French Guiana was eight times higher than in France. The suicide of young people in remote areas in French Guiana and specifically in Amerindian villages must be better understood and prevented with contextualized and adapted care.
OBJECTIVE: The overall rate of suicide in French Guiana is estimated at 6 per 100,000, a rate that is lower than in mainland France. Given the frequent reports of suicide in Amerindian communities, our hypothesis was that this figure fails to capture a more contrasted reality. Our objective was to refine estimates and determine suicide rates in remote villages of French Guiana. METHODS: We included patients for whom a suicide attempt or suicide was mentioned in medical records. The Health centers were grouped into two zones according to geographical remoteness. RESULTS: The highest suicide rates observed in the remote Amerindian villages of Camopi and Trois Sauts were, respectively, 118 and 78/100,000. The median age at the time of suicide was significantly younger in remote zones [23 years (95% CI 21.59-25.06)] than in non-remote zones-[27 years (95% CI 24.47-29.31)]. The most frequent methods were hanging (78%) and intoxication (22%). CONCLUSIONS: The suicide rate in remote areas in French Guiana was eight times higher than in France. The suicide of young people in remote areas in French Guiana and specifically in Amerindian villages must be better understood and prevented with contextualized and adapted care.
Entities:
Keywords:
Amerindians; French Guiana; Isolation; Maroons; Suicide
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