Abstract

Globally, authorities and “experts” continually assert that suicide is a major public health concern and it is preventable. However, decades of suicide prevention strategies have seen “more of the same” action plans but no change in the upward suicide trend. Therefore, the current suicide prevention model is less relevant to indigenous and minority populations with a high suicide rate. Current suicide statistics for Maori, New Zealand’s indigenous population are unacceptably high. The Maori suicide rate is about 19 per 100,000 roughly averaging about 104 deaths per year over the last six years. Maori claim that before colonisation suicide was non-existent. There is certainly evidence to support such a claim. e.g., historical suicide data suggested that the number of Maori youth suicide deaths was less than five until the 1970s and 1980s. Maori now have the dubious honour of having the highest rates of mortality and morbidity outcomes, including higher rates of suicide. Neither Maori nor the authorities responded with an action plan when suicide numbers spiked in 1960 and 1967. Subsequently, the number of suicides rose sharply to over one hundred where they stayed. It is plausible that exposure to Western ideals as well as social insensitivity to Maori beliefs and needs may have led to a cultural dealignment during the1960s and 1970s. This cultural shift also may be due to the application of a Western model of suicide prevention based on mental illness. The Western model does not work in preventing suicide and conflicts with indigenous cultures.

Highlights

  • The eleventh world suicide prevention day was observed in September 2013

  • It is plausible that exposure to Western ideals as well as social insensitivity to Maori beliefs and needs may have led to a cultural dealignment during the1960s and 1970s. This cultural shift may be due to the application of a Western model of suicide prevention based on mental illness

  • The question arises—what is meant by world suicide prevention day? What does the world do on this day that it does not do the rest of the year? What have we gained from marking a day for suicide prevention? Suicide trends follow a cyclic pattern: maybe on this day suicide will be prevented or at least the cycle will be broken

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Summary

Introduction

The eleventh world suicide prevention day was observed in September 2013. A quick search of the internet re-. In New Zealand the authorities claim success when facing a cycle down-turn and demand more funding to provide more mental health services. When facing a cycle up-turn, they explain that suicide is a complex public health issue with lots of complex socio-economic risk factors and demand more funding in order to provide outreach mental illness health services to all sectors of society. Several issues arise here : 1) There is no statistical evidence to support a causal link between mental illness and suicide; 2) mental health services treat the “patient” for depression or the symptoms that are presented but not for suicide; 3) this approach is not prevention because an event has occurred. We raise some important issues relevant to suicide prevention for Maori people in New Zealand, in order to stimulate debate and provide appropriate suicide prevention action plans

Background
Methodology
Suicide
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Discussion and Conclusions
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