Hanging and Poisoning Autopsies in Fiji

Pridmore, Saxby; Lawler, Anthony; Couper, David J.

doi:10.3109/00048679609062666

Cited by 10 publications

(10 citation statements)

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“…The ethnic differences identified in our study are consistent with previous case series from Fiji,2 10 11 and the observation of elevated rates of suicide among the Indian diaspora in other countries 2–5 8 11. While the context is likely to be complex, a range of sociocultural and behavioural factors have been postulated, including the high social mobility, breakdown in the extended family system and rapid cultural transformation as well as impulsivity, aggression and easy accessibility to agents such as pesticides 5 11…”

Section: Discussionsupporting

confidence: 92%

“…Routinely reported poisoning statistics in Fiji are not usually disaggregated by ethnicity, but hospital-based studies in Fiji suggest that the Indian diaspora are overrepresented in hospitalisations and deaths due to poisoning in Fiji 10 11. The aim of this study was to investigate systematically the population-based incidence and demographic characteristics of poisoning resulting in death or hospital admission in Viti Levu, the largest island in Fiji.…”

Section: Introductionmentioning

confidence: 99%

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Population-based characteristics of fatal and hospital admissions for poisoning in Fiji: TRIP Project-11

et al. 2013

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This study investigated the incidence and characteristics of poisoning fatalities and hospital admissions among indigenous Fijians and Indians in Viti Levu, Fiji. Individuals with a mechanism of injury classified as poisoning were identified using the Fiji injury surveillance in hospitals system, a population-based registry established for 12 months in Viti Levu, and analysed using population-based denominators. The mean annual rates of fatalities and hospitalisations were 2.3 and 26.0 per 100 000, respectively. Over two-thirds of poisonings occurred among people of Indian ethnicity. Most intentional poisoning admissions occurred among women (58.3%) and in 15–29-year-old individuals (73.8%). Unintentional poisoning admission rates were highest among Indian boys aged 0–14 years. While over 75% of events occurred at home, the substances involved were not systematically identified. The findings indicate the need for a strategy that addresses the differing contexts across age group, gender and ethnicity, and a lead agency responsible for implementing and monitoring its effectiveness.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Population-based characteristics of fatal and hospital admissions for poisoning in Fiji: TRIP Project-11

et al. 2013

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“…[15][16][17][18] This reflects broader concerns regarding suicide rates in the Pacific region, which are among the highest in the world. [19][20][21][22][23] To the best of our knowledge, there are no published studies from a less-resourced Pacific Island country providing an epidemiological overview of all fatal and hospitalised injuries among youth. We considered such an overview as particularly important in Fiji, the second most populous Pacific Island country, as the country's ethnic composition could result in distinct and more complex injury profiles that require specific consideration in national injury prevention efforts.…”

Section: What This Paper Addsmentioning

confidence: 99%

“…Research on the burden of injuries among youth in Pacific Island countries and territories has largely focussed on descriptive studies examining self‐harm and its attendant risks . This reflects broader concerns regarding suicide rates in the Pacific region, which are among the highest in the world . To the best of our knowledge, there are no published studies from a less‐resourced Pacific Island country providing an epidemiological overview of all fatal and hospitalised injuries among youth.…”

mentioning

confidence: 99%

Epidemiology of fatal and hospitalised injuries among youth in Fiji (TRIP 15)

Herman

Peiris‐John

Wainiqolo

et al. 2016

J Paediatrics Child Health

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AimTo determine the burden and characteristics of fatal and hospitalised injuries among youth in Fiji.MethodsWe conducted a cross‐sectional analysis of the Fiji Injury Surveillance in Hospitals database – a prospective population‐based trauma registry – to examine the incidence and epidemiological characteristics associated with injury‐related deaths and hospital admissions among youth aged 15–24 years. The study base was Viti Levu, Fiji, during the 12‐month period concluding on 30 September 2006.ResultsOne in four injuries in the Fiji Injury Surveillance in Hospitals database occurred among youth (n = 515, incidence rate 400/100 000). Injury rates were higher among men, those aged 20–24 years compared with 15‐ to 19‐year‐olds, and indigenous Fijians (iTaukei) compared with Indians. The leading causes among indigenous Fijians were being hit by a person/object (men) and falls (women), whereas for Indians, it was road traffic injuries (men) and intentional poisoning (women). Most injuries occurred at home (39%) or on the road (22%). Of the 63 fatal events, 57% were intentional injuries, and most deaths (73%) occurred prior to hospitalisation. Homicide rates were four times higher among indigenous Fijians than Indians, whereas suicide rates were five times higher among Indians compared with indigenous Fijians.ConclusionsImportant ethnic‐specific differences in the epidemiology of fatal and serious non‐fatal injuries are apparent among youth in Fiji. Efforts to prevent the avoidable burden of injury among Fiji youth thus requires inter‐sectoral cooperation that takes account of important sociocultural, environmental and health system factors such as unmet mental healthcare needs and effective pre‐hospital trauma services.

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“…Among nations reporting suicide mortality data to the WHO, China is the only country in the world where female suicide is actually higher than male suicide (De Leo et al, 2006); however, several Pacific Island countries also appear to have elevated female over male suicide rates. In particular, several studies have documented high rates among young women of Indian ethnicity in Fiji (Booth, 1999; Pridmore, Lawler, & Couper, 1996; Waqanivalu, 2005). Booth's findings also demonstrate greater rates overall for young women in Fiji (38 per 100,000 for females aged between 15 and 24) and American Samoa (70 per 100,000).…”

Section: Gender Differencesmentioning

confidence: 99%

Suicidal Behavior in the Western Pacific Region: Characteristics and Trends

Milner

Wang

2009

Suicide & Life Threat Behav

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Current knowledge of suicidal behavior in the Western Pacific region is relatively limited when compared to other areas of the world. This area is characterized by a wide diversity of social, economic, and cultural aspects that do not permit any homogenous reading of suicide phenomena. Data from countries of the region included in this article suggest the existence of important differences among nations in terms of gender, age, and methods of suicide, as well role of mental illness. In addition, the Western Pacific region appears to be affected by higher rates of suicide than other areas in the world, with signs of progressive worsening in recent years and worrying predictions for the next two decades. The Suicide Trends in At-Risk Territories (START) Study, initiated by the World Health Organization Regional Office in Manila, seeks to research the incidence of both fatal and nonfatal suicidal behavior in countries of the region and to implement interventions for suicide attempters. This ambitious project is expected to standardize data collection procedures and improve the knowledge cultural factors in suicide.

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Hanging and Poisoning Autopsies in Fiji

Abstract: There is a significant racial difference in rates of suicide but the influences of region, age and method are relatively slight.

Cited by 10 publications

References 1 publication

Population-based characteristics of fatal and hospital admissions for poisoning in Fiji: TRIP Project-11

Population-based characteristics of fatal and hospital admissions for poisoning in Fiji: TRIP Project-11

Epidemiology of fatal and hospitalised injuries among youth in Fiji (TRIP 15)

Suicidal Behavior in the Western Pacific Region: Characteristics and Trends

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