Citation

Wilkie C, MacDonald S, Hildahl K. Can. J. Psychiatry 1998; 43(8): 823-828.

Affiliation

Selkirk Mental Health Centre, Manitoba. umwilki6@cc.manitoba.ca

Copyright

(Copyright © 1998, Canadian Psychiatric Association, Publisher SAGE Publications)

DOI

unavailable

PMID

9806089

Abstract

OBJECTIVES: To review a cluster of suicides and suicidal ideation in a First Nations community. METHOD: The medical records and autopsy reports of the victims are reviewed. Collateral information obtained in the community is presented. A series of psychiatric assessments conducted at the local health centre in a 3-day period is outlined. The dilemma of developing appropriate treatment plans is discussed. RESULTS: In the period from February 3 to May 5, 1995, an isolated northern Manitoba First Nations community had 6 suicides in a population of less than 1500. Several other suicide attempts occurred. Community resources were strained. Alcohol was a factor in 4 of the suicides. Previous sexual assault was cited in 4 of 5 female cases presenting with suicidal ideation. CONCLUSIONS: Cluster suicide is a shared psychiatric and public health problem of major concern. Dreams of beckoning are common following a suicide. Communities should have a prepared plan to deal with a suicide. Resources should be provided quickly in an effort to prevent a cluster of suicides from occurring. High-risk individuals must be identified. Substance abuse must be addressed. Resources to assess and treat victims of sexual abuse must be available.

Language: en