Mental Health Reinforcement in Wayapi and Teko Communities in French Guiana : Evaluation of the Impact of a Mediation Based Activity in Municipalities of Camopi and Trois Saut in French Guiana
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Change in the incidence of suicidal behaviours (suicidal ideation, suicide attempts, and suicide deaths) in the villages of Camopi and Trois-Sauts before and after the deployment of CHWs
研究概览
简要总结
In French Guiana, Indigenous people experience high levels of psychological distress and higher rates of suicidal behavior than the rest of the population.
The Wayãpi and Teko communities living in Camopi and Trois-Sauts are particularly affected.
Since 2025, Community Workers (CHWs) from these communities have been appointed to facilitate access to care, improve communication between residents and health services, and strengthen support in situations of distress.
To date, no scientific evaluation has been conducted to measure the actual impact of this initiative. This research therefore aims to better understand mental health in these communities and to assess the effect of the community mediators' work.
The results will help improve suicide prevention efforts and adapt public health policies to local realities.
The purpose of this study is to assess the impact of CHWs activities on:
- suicidal behavior,
- psychological distress,
- alcohol use,
- use of health care services, within the Wayãpi and Teko communities of Camopi and Trois-Sauts.
详细描述
* Rational of the study
The mental health of Indigenous peoples is a major public health and social justice issue. Approximately 370 million Indigenous people live in more than 90 countries, sharing common experiences of historical exclusion, territorial dispossession, and socioeconomic marginalization. These structural determinants result in persistent health inequalities, including suicide rates that are frequently higher than national averages.
International data show significant variability-ranging from 0 to 187.5 suicides per 100,000 people -highlighting the importance of cultural and historical contexts. Ethnicity is not a risk factor in and of itself; vulnerabilities arise from the interaction between historical trauma, socioeconomic conditions, and local cultural dynamics.
The literature highlights three key factors:
- Structural vulnerability, linked to poverty, discrimination, and limited access to specialized services.
- Historical and intergenerational trauma linked to colonization, forced displacement, and assimilation policies, which contribute to mental health disorders.
- Resources for resilience: cultural continuity, local governance, and strong kinship networks.
研究设计
- 研究类型
- 观察性
- 观察模型
- 其他
- 时间视角
- 其他
入排标准
- 年龄范围
- 12 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- Age > 12 years
- Members of the Wayãpi or Teko communities residing in Camopi or Trois-Sauts.
- No objection to participating in the study and to the use of their data after receiving information in local languages and in French
排除标准
- Individuals under legal guardianship
- Health conditions that prevent them from understanding or completing questionnaires or participating in interviews.
结局指标
主要结局
Change in the incidence of suicidal behaviours (suicidal ideation, suicide attempts, and suicide deaths) in the villages of Camopi and Trois-Sauts before and after the deployment of CHWs
时间窗: From inclusion to 12, 24 and 30 months after CHWs intervention
Change in the incidence of suicidal behaviours (suicidal ideation, suicide attempts, and suicide deaths) in the study population, comparing retrospective suicidal behaviour rates in the 5 years before with propective suicidal behaviour rates at 12, 24 and 30 months after the intervention of CHWs among the study population
次要结局
- Prevalence of psychological distres(From inclusion to 12, 24 and 30 months)
- Prevalence of alcohol use pattern(From inclusion to 12, 24 and 30 months)
- Health-care utilisation(From inclusion to 12, 24 and 30 months)
- Cultural representations of mental health and CHWs intervention(From inclusion to 12, 24 and 30 months)
- Community perceptions of mental health and of CHWs intervention(From inclusion to 12, 24 and 30 months)
- Social cohesion and community resilience indicators(From inclusion to 12, 24 and 30 months)
- Management needs of CHWs(At 12, 24 and 30 months)
研究者
研究点 (1)
标识符
- NCT 编号
- NCT07808801
- 其他研究编号
- MCS Impact
日期
- 首次提交
- (28天前)
- 首次发布
- (21天前)
- 主要完成日期
- (2年后)
- 研究完成日期
- (2年后)
- 最近核实
- (2个月前)
- 最近更新
- (21天前)
监管与共享
- FDA 监管药物
- 否
- FDA 监管器械
- 否
- 个体参与者数据共享计划
- UNDECIDED
- 是否有结果
- 否
Only aggregated data will be shared