title: Non-fatal suicidal behaviours in French Polynesia: Results of the WHO/START study and its implications for prevention.
abstract: OBJECTIVE
  This is the first research article examining non-fatal suicidal behaviours (NFSB) in French Polynesia. The study was conducted in the frames of the WHO/START Study in 2008-2010. The main objective of the investigation was to obtain reliable data in order to develop evidence-based suicide prevention strategies.
  
  
  METHODS
  Interviews with people presenting with NFSB at the Emergency Department (ED) of the French Polynesia Hospital (CHPF) were conducted by emergency and psychiatry departments' staff examining socio-demographic and clinical information and motives triggering suicidal behaviour. Odds ratios and rate ratios with 95% confidence intervals were calculated.
  
  
  RESULTS
  There were 556 presentations of NFSB by 515 persons at the ED of CHPF (ratio 1.08) with the average rate of 75 per 100,000 for those treated in the hospital. An estimate of cases occurring in remote islands might bring the rate for the whole French Polynesia around 94 per 100,000. NFSB was more prevalent in females; rates for both genders were highest in the age group 25-35 years and 15-24 years. The main suicide method was drug poisoning by psychotropic drugs. The most frequent psychiatric disorder was mood disorder (45.3%); however, 26% of subjects had no 'major' psychiatric disorders, with 14.5% without a psychiatric diagnosis or only reactive disorders (F43-11.7%). There was a high prevalence of previous NFSB (52.1%).
  
  
  CONCLUSIONS
  Study includes only NFSB seeking medical help from the biggest hospital in the country.
  
  
  CONCLUSIONS
  Suicide prevention activities specific to the findings and the socio-cultural context of French Polynesia should be considered.
authors.affiliation: Centre Hospitalier de Polynésie Française (CHPF), Tahiti, French Polynesia; Centre de Prévention du Suicide de Polynésie Française (CPSPF), Tahiti, French Polynesia; Unité Inserm U1178, Paris, France; Centre des Nouvelles Etudes sur le Pacifique (CNEP), Université de Nouvelle Calédonie, New Caledonia. Electronic address: amadeo@mail.pf.
authors.forename: Stéphane
authors.initials: S
authors.lastname: Amadéo
authors.affiliation: Australian Institute for Suicide Research and Prevention (AISRAP), National Centre of Excellence in Suicide Prevention, WHO Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Brisbane, Australia.
authors.forename: Kairi
authors.initials: K
authors.lastname: Kõlves
authors.affiliation: Centre de Prévention du Suicide de Polynésie Française (CPSPF), Tahiti, French Polynesia.
authors.forename: Aurelia
authors.initials: A
authors.lastname: Malogne
authors.affiliation: Centre Hospitalier de Polynésie Française (CHPF), Tahiti, French Polynesia.
authors.forename: Moerani
authors.initials: M
authors.lastname: Rereao
authors.affiliation: Université de Polynésie Française (UPF), Tahiti, French Polynesia.
authors.forename: Patrick
authors.initials: P
authors.lastname: Favro
authors.affiliation: Direction de la Santé Publique de Polynésie Française, Tahiti, French Polynesia.
authors.forename: Ngoc
authors.initials: N
authors.lastname: Lam Nguyen
authors.affiliation: Unité Inserm U1178, Paris, France; Centre Hospitalier Universitaire, Martinique, France.
authors.forename: Louis
authors.initials: L
authors.lastname: Jehel
authors.affiliation: Australian Institute for Suicide Research and Prevention (AISRAP), National Centre of Excellence in Suicide Prevention, WHO Collaborating Centre for Research and Training in Suicide Prevention, Griffith University, Brisbane, Australia.
authors.forename: Diego
authors.initials: D
authors.lastname: De Leo
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019964:Mood Disorders / Q000523:psychology; D011114:Polynesia; D012737:Sex Factors; D059020:Suicidal Ideation; D013405:Suicide / Q000523:psychology; D013406:Suicide, Attempted / Q000523:psychology*; D055815:Young Adult; D000092864:Suicide Prevention
keywords: French Polynesia; Non-fatal suicidal behaviour; Pacific Islands; Suicide prevention