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Cited by 7Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbuseIndigenous Health, Education, and Rights

The WHO/START study in New Caledonia: A psychological autopsy case series.

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Goodfellow, Benjamin, Kõlves, Kairi, Selefen, Anne-Cécile, Massain, Tiffany, Amadéo, Stéphane, De Leo, Diego·2020·Journal of Affective Disorders
DOI 10.1016/j.jad.2019.11.020
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Abstract

Background Limited information is available about suicidal behavior in the Pacific Islands. Forty percent of the New Caledonian population is indigenous Kanak; insights into the characteristics of suicide deaths in this population compared to other ethnic groups would be valuable. The aim of this paper is to deepen our understanding of the cultural underpinnings of suicide in New Caledonia by presenting the results of the WHO/START psychological autopsy study.Method A case-series psychological autopsy study was conducted based on medical, police files, and interviews with relatives of 52 individuals who died by suicide in 2014 and 2015 in New Caledonia.Results Kanak indigenous individuals represented more than half of suicides. Prevalence of mental disorders was identified in 62% of suicide decedents; a previous suicide attempt was frequent (37% of cases). A serious argument with a partner was the most prevalent life event (60%). Few warning signs were present among young people and Kanak in general.Conclusion Comparison with information on the general population suggests indigenous Kanak are more vulnerable and that having a mental health disorder plays an important role in suicide. Violent arguments with a partner could also be a major risk factor. Traditional protective factors (being employed, living with their family or partner, religion) appeared to have limited effect on suicide. Mental health promotion, prevention, and care should be prioritized. Prevention strategies, including domestic violence prevention are recommended in New Caledonia. Further research is needed to better identify young and Kanak subjects at risk of suicide.

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Authors
Goodfellow, B., Kõlves, K., Selefen, A.-C., Massain, T., Amadéo, S., & De Leo, D.
Affiliations
  • Griffith University (AU)
  • Gouvernement de la Nouvelle-Calédonie (NC)
Corresponding author
Goodfellow, Benjamin
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2020-02
Volume
262
Pages
366-372
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2019.11.020
OpenAlex
W2985943720
Cited by
7
References
29
Citations by year
2025: 2 · 2024: 2 · 2022: 1 · 2021: 2
FWCI
0.88
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
  • Griffith Research Online (submittedVersion, other-oa)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Social Sciences › Health › Indigenous Health, Education, and Rights
Keywords
suicide, Kanak people, indigenous peoples, Pacific Islands, New Caledonia, psychological autopsy, mental illness, suicide attempts, intimate partner conflict, warning signs, suicide prevention, domestic violence, cultural factors in suicide, protective factors
MeSH terms
Adolescent, Adult, Aggression, Autopsy, Mental Disorders, Ethnicity, Female, Humans, Male, Middle Aged, New Caledonia, Research Design, Risk Factors, Suicide, Violence, Prevalence, Population Groups, Young Adult

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