Community case study: Suicide cluster in a small Manitoba community

Author(s): Macdonald, S., Hildahl, K.

Journal/Book: Can J Psychiatry. 1998; 43: 260-441 Maclaren St, Ottawa on K2H 2P3, Canada. Canadian Psychiatric Assoc. 823-828.

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. Ii 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 3 of the suicides. Previous sexual assault was cited in 3 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,vith 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.

Note: Article Wilkie C, 29 Exmouth Blvd, Winnipeg, MB R3P 0C3, CANADA

Keyword(s): suicide; cluster suicide; substance abuse; TEENAGE SUICIDE; YOUTH SUICIDE; RISK-FACTORS; BEHAVIOR; EPIDEMIC

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