Non-fatal suicidal behaviours in French Polynesia: Results of the WHO/START study and its implications for prevention

Abstract

Suicide prevention activities specific to the findings and the socio-cultural context of French Polynesia should be considered.

Supportive effect of body contact care with ylang ylang aromatherapy and mobile intervention team for suicide prevention: A pilot study

“… 15 , 16 The results were similar to those of the original study: a decrease in deaths by suicide (though this was not significant in FP) and no difference in SA recurrence. 15 , 16 A project has begun to develop a new suicide prevention protocol in FP, based on the results of the WHO START survey, the experience of suicide prevention in the community obtained by the SOS Suicide non-governmental organization since 2001, and a review of the literature on suicide prevention in the Asia Pacific region. One idea that emerged (which drew mainly from the START survey) was that more direct and proximal contacts may have a greater effect on the prevention of suicidal acts than telephone reminders.…”

“…Further analyses were carried out on different subgroups using a per-protocol analysis (Table 3). There was a lower rate of SA and suicides in the BCC/MIT intervention group than in the control group in subjects with a history of SA (2.1% vs. 16 Regarding measures of depression, anxiety and suicidal ideation in patients who participated only in BCC (without MIT), there was a significant reduction in scores after treatment versus before (all P < 0.01) ( Table 4). The mean MADRS score (7.4 vs. 26) was above the minimal threshold, suggesting a major depressive episode (20)(21) before the protocol and was below the depression threshold (set at 15) after the intervention.…”

“…The average BSSI score (4.72 vs. 13.1) also decreased between pre-protocol and post-protocol evaluation. The BSSI scores were high (reference scores [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] before the intervention and dropped to average after treatment (reference scores of [4][5][6][7][8][9][10]. No safety issues were observed with the BCC treatment.…”

“…The WHO Suicide Trends in At-Risk Territories (START) survey, 15 , 16 a brief intervention using psychoeducation and telephone contacts based on the WHO SUPRE-MISS survey protocol, was evaluated in French Polynesia (FP) from 2008 to 2010 for 100 case patients and 100 control patients admitted to the Central Hospital of French Polynesia (CHPF) after an SA. 15 , 16 The results were similar to those of the original study: a decrease in deaths by suicide (though this was not significant in FP) and no difference in SA recurrence. 15 , 16 A project has begun to develop a new suicide prevention protocol in FP, based on the results of the WHO START survey, the experience of suicide prevention in the community obtained by the SOS Suicide non-governmental organization since 2001, and a review of the literature on suicide prevention in the Asia Pacific region.…”

Suicide in French Polynesia: a retrospective analysis based on medicolegal documents and interview with family

“…Male sex was a risk factor for suicide in FP, in contrast to the sex ratio found in suicide attempts. 4 This higher risk of suicide among men suggests that more intense follow-up is required along with a prevention strategy targeting men, such as the 'Man Up' campaign developed in Australia. 25 The fact that lethal suicidal behaviour mainly concerns adults in FP suggests that there should be an increase in the funding of adult with psychiatric disorders.…”