Descriptive epidemiology of suicide attempts and suicide in the remote villages of French Guiana

Guarmit, Basma; Brousse, Paul; Lucarelli, Aude; Donutil, Gerd; Cropet, Claire; Mosnier, Émilie; Travers, Philippe

doi:10.1007/s00127-018-1570-6

Cited by 7 publications

(7 citation statements)

References 20 publications

(19 reference statements)

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“…The most frequently used methods are hanging (72%) and AP (18%). Also, voluntary AP accounted for 50% of hospital stays for suicide attempts recorded between 2015 and 2017 in French Guiana [ 64 ]. Women account for two-thirds of suicide attempts, with a 3.7 times higher incidence of AP than men.…”

Section: Discussionmentioning

confidence: 99%

“…Women account for two-thirds of suicide attempts, with a 3.7 times higher incidence of AP than men. In the Maripasoula municipality, the rate of suicide attempts by paraquat absorption was the highest, at 46% [ 64 ]. Albano et al [ 8 ], in a systematic review of toxicological findings of self-poisoning suicidal deaths, found that the most involved substances in low- and middle-income countries with significant agricultural areas were pesticides such as organophosphates and carbamates.…”

Section: Discussionmentioning

confidence: 99%

“…The scientific literature reflects the sociodemographic, cultural, geographical, and spatial–temporal variability of APs [ 64 , 67 , 68 , 69 ]. All these parameters and the prevalence of APs observed in our study highlight the need for a toxicovigilance center (TVC) dedicated to French Guiana.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical and Epidemiological Characteristics of Severe Acute Adult Poisonings in French Amazonia: Urgent Need for a Toxicovigilance Monitoring Framework

Pujo,

Simon,

Lontsi Ngoulla

et al. 2024

Toxics

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Background: Acute poisonings (AP) are a significant public health problem, accounting for a high number of emergency department visits and thousands of deaths worldwide. This study aimed to assess the epidemiology of AP in an adult population admitted to Cayenne Hospital (French Guiana) and to investigate the clinical and sociodemographic characteristics. Methods: We conducted a monocentric retrospective study from January 2010 to December 2022, including patients over eighteen years of age who had been admitted to the emergency department of Cayenne Hospital for acute poisoning. Results: We included 425 patients. The median age was 34 years (IQR: 25–47). The sex ratio (M/F) was 0.52. A psychiatric disorder was found in 41.9% of patients. The Poisoning Severity Score (PSS) on admission was 1 or 2 for 84% of patients, and the mortality rate was 3.9%. The main involved toxicants were psychotropic drugs (43.1%), benzodiazepines (34.8%), and paracetamol (25.6%). The most lethal toxic was paraquat (5.2%). Intoxication was due to intentional self-poisoning in 84.2% of cases. Independent factors associated with severe poisoning (PSS 3 or 4) were chloroquine, neuroleptics, or paraquat poisoning; metabolic acidosis; and hyperglycemia (>5.5 mmol/L). The mortality rate was 3.9%, and the most involved toxic in death was paraquat. Conclusion: This study shows the frequent and deadly use of paraquat in APs in French Guiana. Urgent attention should be given to establishing a toxicovigilance monitoring framework and an antipoison center in the region.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical and Epidemiological Characteristics of Severe Acute Adult Poisonings in French Amazonia: Urgent Need for a Toxicovigilance Monitoring Framework

Pujo,

Simon,

Lontsi Ngoulla

et al. 2024

Toxics

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“…Women in French Guiana are substantially more affected by overweight/obesity and type 2 diabetes [ 18 ]. Although women consume more health services, they remain more affected by these major risk factors [ 21 , 22 ], and when exposed, they are more prone to cardiovascular risks than men [ 23 ]. The proportion of obese (body mass index > 30 kg/m 2 ) was greater among French Guianese women (23%) than in women in mainland France (12%) and French Guianese men (13% versus 12% in mainland France) [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Complex Sex Differences in Life Expectancy in French Guiana

Basurko

Imounga

Wang

et al. 2023

IJERPH

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In the complex context of French Guiana, different vulnerabilities and different risk factors between genders may lead to complex differences in health outcomes, mortality, and life expectancy. Our aim was, thus, to compare male and female mortality and life expectancy, to compare it between French Guiana and mainland France, and to look at temporal trends and the main specific causes of death in order to identify actionable singularities. National databases were used to obtain life expectancy at birth, at 20, 40, and 60 years, and mortality statistics. Standardized death rates and causes of death for French Guiana and mainland France were obtained through the CEPIDC, which analyzes information from death certificates. When comparing with mainland France, life expectancy at birth was significantly shorter both in males and females (mean = −2.9 years); life expectancy at 20 years, which allows to remove the effect of the greater child mortality in French Guiana, was also shorter in French Guiana for males (mean = −1.8 years) and females (mean = −2 years). The differences between mainland France and French Guiana regarding life expectancy at 40 and 60 years (mean = −1.5 and −1.3 years) was mainly found among females, males in French Guiana life expectancy at 40 and 60 years was closer to that in mainland France (mean = −0.8 and −0.6 years). Although they have a greater life expectancy at birth than men, women in French Guiana are substantially more affected by overweight/obesity and type 2 diabetes. The observed patterns of life expectancy at different ages presumably reflect the burden of external causes and AIDS in males and perhaps metabolic diseases in women.

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“…68 ). Le taux de suicide parmi ces jeunes serait entre 8 et 20 fois plus élevé que celui relevé en Guyane et dans l'Hexagone [ 15 , 154 , 275 ]. Les peuples amérindiens côtiers (Kaliña, Palikur et Arawak) sont également concernés, mais à moindre échelle.…”

Section: Phénomènes Spécifiques à La Guyaneunclassified

Panorama des pathologies infectieuses et non infectieuses de Guyane en 2022

EPELBOIN,

ABBOUD,

ABDELMOUMEN

et al. 2023

Mtsi

Self Cite

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Résumé Source de nombreux mythes, la Guyane représente un territoire exceptionnel par la richesse de sa biodiversité et par la variété des communautés qui la composent. Seul territoire européen en Amazonie, entouré du géant brésilien et du méconnu Suriname, on y lance des fusées Ariane 6 depuis Kourou tandis que 50% de la population vit en dessous du seuil de pauvreté. Cette situation paradoxale est source de problématiques de santé spécifiques à ce territoire, qu'il s'agisse de maladies infectieuses à germes méconnus, d'intoxications, ou de pathologies chroniques. Certaines maladies infectieuses telles que la fièvre Q, la toxoplasmose, la cryptococcose ou l'infection à VIH sont communes aux pays tempérés, mais présentent en Guyane des spécificités entraînant une prise en charge et un raisonnement médical parfois différents. Parallèlement à ces pathologies, de nombreuses maladies tropicales sont par ailleurs présentes sur un mode endémique et / ou épidémique telles que le paludisme, la leishmaniose, la maladie de Chagas, l'histoplasmose ou la dengue. De plus, la dermatologie amazonienne est extrêmement variée, allant de pathologies rares, mais graves (ulcère de Buruli, lèpre), à d'autres fréquentes et bénignes telles que les poux d'agouti (acariens de la famille des Trombiculidae) ou la papillonite. Les envenimations par la faune sauvage ne sont pas rares, et méritent une prise en charge appropriée au taxon incriminé. Les pathologies obstétricale, cardiovasculaire et métabolique cosmopolites prennent parfois en Guyane une dimension particulière à prendre en compte dans la prise en charge des patients. Enfin, différents types d'intoxication sont à connaître par les praticiens, notamment aux métaux lourds. Les ressources de niveau européen offrent des possibilités diagnostiques et thérapeutiques inexistantes dans les pays et régions des environs, permettant ainsi la prise en charge de maladies peu connues ailleurs. Du fait de ces mêmes ressources de niveau européen, la recherche en Guyane occupe une place clé au sein de la région amazonienne, malgré une population moins nombreuse que dans les pays alentour. Ainsi, certaines pathologies telles que l'histoplasmose du patient immunodéprimé, la toxoplasmose amazonienne ou la fièvre Q ne sont pratiquement pas décrites dans les pays voisins, probablement du fait d'un sous-diagnostic lié à des ressources plus limitées. La Guyane joue ainsi un rôle moteur dans l’étude de ces pathologies. L'objectif de ce panorama est d'orienter les soignants venant ou exerçant en Guyane dans leur pratique quotidienne, mais également les praticiens prenant en charge des personnes au retour de Guyane.

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Descriptive epidemiology of suicide attempts and suicide in the remote villages of French Guiana

Abstract: 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.

Cited by 7 publications

References 20 publications

Clinical and Epidemiological Characteristics of Severe Acute Adult Poisonings in French Amazonia: Urgent Need for a Toxicovigilance Monitoring Framework

Clinical and Epidemiological Characteristics of Severe Acute Adult Poisonings in French Amazonia: Urgent Need for a Toxicovigilance Monitoring Framework

Complex Sex Differences in Life Expectancy in French Guiana

Panorama des pathologies infectieuses et non infectieuses de Guyane en 2022

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