Wilkie C, Macdonald S, Hildahl K
Selkirk Mental Health Centre, Manitoba.
Can J Psychiatry. 1998 Oct;43(8):823-8. doi: 10.1177/070674379804300807.
To review a cluster of suicides and suicidal ideation in a First Nations community.
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.
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.
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.
回顾一个原住民社区中的一系列自杀及自杀意念事件。
对受害者的病历和尸检报告进行回顾。呈现从社区获取的旁证信息。概述在当地健康中心于3天内进行的一系列精神病学评估。讨论制定适当治疗方案时所面临的困境。
在1995年2月3日至5月5日期间，马尼托巴省北部一个与世隔绝的原住民社区，在不到1500人的人口中发生了6起自杀事件。还出现了其他几起自杀未遂事件。社区资源紧张。4起自杀事件中酒精是一个因素。在出现自杀意念的5名女性案例中，有4例提到曾遭受性侵犯。
群体性自杀是一个备受关注的共同的精神病学和公共卫生问题。自杀后出现召唤的梦境很常见。社区应有应对自杀的预案。应迅速提供资源，以防止群体性自杀事件发生。必须识别出高危个体。必须解决药物滥用问题。必须提供评估和治疗性虐待受害者的资源。
