Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-26T02:01:23.371Z Has data issue: false hasContentIssue false

The Epidemiology of Māori Suicide in Aotearoa/New Zealand

Published online by Cambridge University Press:  05 May 2015

Nicole M. Coupe*
Affiliation:
University of Auckland

Abstract

Suicide is a Māori Public Health Issue. Suicide rates in Aotearoa/New Zealand are amongst the highest in OECD countries in the 15-24 year age group and second only to Hungary in other age groups (WHO, 1996; Disley & Coggan, 1996). Suicide is the leading cause of death for young people under the age of 25 years in Aotearoa/New Zealand and a major public health problem (Coggan, 1997). Approximatel, 540 New Zealanders kill themselves each year (Rose, Hatcher, & Koelmeyer, 1999). The total Māori suicide rate (per 100 000) increased to 17.5 in 1997, compared to non-Māori (13.1), and the Māori youth suicide rate (33.9) far exceeded the equivalent non-Māori rate (24.3), reflecting the disparity between Māori and non-Māori (Ministry of Health, 1997). This paper aims to present epidemiological data on Māori suicide and then use the existing literature to discuss possible reasons for the high Māori rate.

Type
Articles
Copyright
Copyright © University of Papua New Guinea and Massey University, New Zealand/Aotearoa 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Australian version of the World Health Organisation's International Classification of Diseases, 9th revision (2nd edition), Clinical Modification (ICD-9-CMA-II). 1998.Google Scholar
Beautrais, A. L., Joyce, P. R., & Mulder, R. T. (1996). Access to firearms and the risk of suicide: A case control study. Australian and New Zealand Journal of Psychiatry, 30, 741748.CrossRefGoogle ScholarPubMed
Beautrais, A. L., Joyce, P. R., & Mulder, R. T. (1997). Precipitating factors and life events in serious suicide attempts among youths aged 13 through 24 years. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 15431551.Google ScholarPubMed
Brent, D. A., Bridge, J., & Johnson, B. (1996). A controlled family study of adolescent suicide victims. Archives of General Psychiatry, 53, 11451152.CrossRefGoogle ScholarPubMed
Brent, D. A., Perper, J. A., Moritz, G., Allman, C., Friend, SA., Roth, C., Schweers, J., Balach, L., & Baugher, M. (1993). Psychiatric risk factors for adolescent suicide: A case control study. Journal of the American Academy of Child and Adolescent Psychiatry, 32, 521529.CrossRefGoogle ScholarPubMed
Coggan, C. A. (1997). Suicide and attempted suicide in New Zealand: A growing problem for young males. The NZ Public Health Report, 4, 4951.Google Scholar
Coggan, C., Disley, B., Patterson, P., & Norton, R. (1997). Risk taking behaviours among a sample of New Zealand adolescents. Australian and New Zealand Journal of Public Health, 21, 455461.CrossRefGoogle ScholarPubMed
Coggan, C., Fanslow, J., & Norton, R. (1995). Intentional injury in New Zealand: Analysis and Monitoring Report, 4. Wellington: Public Health Commission.Google Scholar
Coupe, N. M. (2000a). Māori attempted suicide: A case control study in Auckland, New Zealand. Tomaiora Seminar Series, Department of Mäori & Pacific Health: University of Auckland.Google Scholar
Coupe, N. M. (2000b, 03). Māori suicide prevention in Aotearoa/New Zealand. Pacific Health Dialogue: Journal of - Community Health and Clinical Medicine for the Pacific. Māori Health in New Zealand. Faculty of Medical and Health Sciences, University of Auckland.Google Scholar
Crombie, I. K. (1990). Suicide in England and Wales and in Scotland: An examination of divergent trends. British Journal of Psychiatry, 157, 529532.Google ScholarPubMed
Department of Corrections. (1996). Report of the Māori Suicide Review Group. Wellington: New Zealand.Google Scholar
De Wilde, E. J., Kienhorts, I. C. W. M., & Diekstra, R. F. W. (1992). The relationship between adolescent suicidal behaviour and life events in childhood and adolescence. American Journal of Psychiatry, 149, 4551.Google ScholarPubMed
Disley, B. (1997). An overview of mental health in New Zealand. In Mental health in New Zealand from a mental public health perspective. Wellington: Ministry of Health.Google Scholar
Disley, B., & Coggan, C. A. (1996). Youth suicide in New Zealand. Crisis, 17 116172.CrossRefGoogle ScholarPubMed
Durie, M. H., Black, T. E., Christensen, A. E., Durie, A. E., Fitzgerald, E., Taipa, J. T., Tinirau, E., & Apatu, J. (1996). Māori profiles: An integrated approach to policy and planning. Report for Te Puni Kokiri.Google Scholar
Durkheim, E. (1897, translated 1952). Suicide: A study in sociology. London: Routledge.Google Scholar
Fergusson, D., & Lynsky, M. (1995). Childhood circumstances, adolescent adjustment, and suicide attempts in a New Zealand birth cohort. Journal of the American Academy of Child and Adolescent Psychiatry, 34, 612622.CrossRefGoogle Scholar
Goldney, R. D., Winefield, A. H., Tiggemann, M., & Winefield, H. R. (1995). Persistent suicidal ideation and its enduring morbidity. In Mishara, M. L. (Ed.), The impact of suicide (pp. 123129). New York: Springer.Google Scholar
Glover, M. (1993). Te Puna Roimata: Māori women's experience of male partner violence. Waikato University: Unpublished MA thesis.Google Scholar
Joseph, P. (1997). Māori youth suicide in Aotearoa: Selected interviews with Māori Elders. Auckland: University of Auckland unpublished MA thesis.Google Scholar
Ministry of Health. (1997). Youth suicide facts 1997 statistics. http://www.moh.govt.nz Google Scholar
Morano, C. D., Cisler, R. A., & Lererond, J. (1992). Risk factors for adolescent suicidal behaviour: Loss, insufficient familial support, and hopelessness. Adolescence, 28, 851865.Google Scholar
Morrell, S., Taylor, R., & Quine, S. (1993). Suicide and unemployment in Australia. Social Science and Medicine, 36, 749756.CrossRefGoogle ScholarPubMed
Mosciki, E. K. (1995). Suicide in childhood and adolescence. In Verhulst, F. C. & Koot, H. M. (Eds.), The epidemiology of child and adolescent psychopathology. Oxford, UK: Oxford University Press.Google Scholar
New Zealand Health Technology Assessment. (1998). Youth suicide prevention by primary health care professionals: A critical appraisal of the literature. NZHTA Report 4 (revised).Google Scholar
Pōmare, E., Keefe-Ormsby, V., Ormsby, C., et al. (1995). Hāuora: Māori Standards of Health III: A study of the years 1970-1991. Wellington: Te Rōpū Rangahau Hauora A Eni Pōmare: Māori Health Research Center.Google Scholar
Pritchard, C. (1992). Is there a link between suicide and young men and unemployment? British Journal of Psychiatry, 160, 750756.CrossRefGoogle Scholar
Romans, S., Walsh, A., & Baxter, J. (1997). Women. In Ellis, P. M. & Collings, S. C. D. (Eds.), Mental health in New Zealand from a public health perspective (pp. 184206). Wellington: Ministry of Health.Google Scholar
Rose, J., Hatcher, S., & Koelmeyer, T. (1999). Suicide in Auckland 1989-1997. New Zealand Medical Journal, 112, 324–6.Google Scholar
Roy, A., Segal, N., & Canterwall, B. (1991). Suicide in twins. Archives of General Psychiatry, 53, 11451152.Google Scholar
Shaffi, M., Carrigan, S., & Whittinghill, R. (1985). Psychological autopsy of completed suicide in children and adolescents. American Journal of Psychiatry, 142, 10611064.Google Scholar
Skegg, K. (1997). Suicide and parasuicide. In Ellis, P. M. & Collings, S. C. D. (Eds.), Public Health Report: Mental Health in New Zealand from a Public Health Perspective (Chapter 23). Wellington: Ministry of Health.Google Scholar
Statistics New Zealand. (2000). Māori: Impacts of unemployment. http://www.stats.govt.nz Google Scholar
Tatz, C. (1999). Aboriginal suicide is different: Aboriginal youth suicide in NSW, ACT, and New Zealand: Towards a model of explanation and alleviation. Report to the Criminology Research Council on CRC Project 25/96-7.Google Scholar
Kokiri, Te Puni. (1996). Te Māori te Waipiro. Wellington: Te Puni Kokiri.Google Scholar
Kokiri, Te Puni. (1998). A review of the evidence: Kia Piki Te Ora O Te Taitamariki: The New Zealand Youth Suicide Prevention Strategy. Te Puni Kokiri: Ministry of Māori Development, Wellington.Google Scholar
WHO. (1996). World health annual statistics. Geneva: WHO.Google Scholar