@PhdThesis{Coupe2005,
author="Coupe, NM",
title="Whakamomori Maori Suicide Prevention",
year="2005",
publisher="Massey University",
address="Palmerston North",
optkeywords="Maori",
optkeywords="Suicide",
optkeywords="Suicide Prevention",
abstract="Introduction: Suicidal behaviour is a major public health issue globally. The incidence of suicide and attempted suicide internationally is excessive, particularly among indigenous populations. The M{\"a}ori (indigenous people of New Zealand) suicide and attempted suicide rates have exceeded the non-M{\"a}ori rates in New Zealand. In an attempt to address the high incidence of M{\"a}ori suicidal behaviour an epidemiological case control study was initiated.Method: 250 consecutive cases of M{\"a}ori who attempted suicide who were admitted to one of the three Auckland public hospitals were compared to 250 random, M{\"a}ori community-based controls (found through door knocking). Participants were compared on a variety of measures including the General Health Questionnaire--28 (GHQ--28), Hospital Anxiety and Depression Scale (HADS), CAGE Alcohol Screening Test; Composite International Diagnostic Interview (CIDI--suicidality), Beck{\textquoteright}s Scale of Suicide Intent (SIS); and cultural identity validated questionnaires. Results: Response rates were high for both cases (85.6\%) and controls (81.2\%). The multivariate analysis revealed that poor general health status was the key risk factor associated with attempted suicide among M{\"a}ori. Once the health indicator is taken out of the analysis, cultural identity, marijuana utilisation and interpersonal abuse are the next major risk factors in attempted suicide among M{\"a}ori.Conclusion: Suffering from poor general health can increase attempted suicide among M{\"a}ori. Having a notional identity and not being connected to M{\"a}oritanga (those things M{\"a}ori; M{\"a}ori culture) is associated with the risk of suicidal behaviour.",
optnote="exported from refbase (http://teipuwhakahauaa.co.nz/show.php?record=1358), last updated on Tue, 04 May 2010 10:55:36 +1200",
opturl="http://teipuwhakahauaa.co.nz/uploads/coupe/2005/1358_Coupe2005.pdf"
}