The inexorable death of first peoples: an open letter to the WHO
Bibliographic record
Abstract
Indigenous communities experience some of the highest rates of suicide globally, especially among young people. This worrying epidemic has already been shown in Inuit communities of North America and Greenland1Crawford A Inuit take action toward suicide prevention.Lancet. 2016; 388: 1036-1038Summary Full Text Full Text PDF PubMed Scopus (12) Google Scholar, 2Webster PC Canada's indigenous suicide crisis.Lancet. 2016; 387: 2494Summary Full Text Full Text PDF PubMed Scopus (8) Google Scholar and the Amazonian groups of Guyana, but recently has been shown to extend to Australian First Nations people (mainly Aboriginal individuals).3Cousins S Suicide in Indigenous Australians: a “catastrophic crisis”.Lancet. 2017; 389: 242Summary Full Text Full Text PDF PubMed Scopus (3) Google Scholar The international scientific community has already been alerted to the obsolescence of WHO's definition of health,4Charlier P Coppens Y Malaurie J et al.A new definition of health? An open letter of autochthonous peoples and medical anthropologists to the WHO.Eur J Intern Med. 2017; 37: 33-37Summary Full Text Full Text PDF PubMed Scopus (21) Google Scholar and the need to adapt patterns of suicide prevention procedures used in high-income areas to indigenous communities.5Charlier P Malaurie J Wasserman D et al.The EPA guidance on suicide treatment and prevention needs to be adjusted to fight the epidemics of suicide at the North Pole area and other autochthonous communities.Eur Psychiatry. 2017; 41: 129-131Summary Full Text Full Text PDF PubMed Scopus (3) Google Scholar But beyond advocating for interdisciplinary care—mainly anthropological and medical, notably in its psychiatric aspect—could the WHO (urgently) formally acknowledge suicide in indigenous groups as a key issue to stop this seemingly universal phenomenon? The problem of increasing suicide rates in indigenous communities is diffuse and affects the entire planet. Diverse ethnic groups are unable to cope with the loss of their benchmarks caused by rapid modernisation. In the absence of any flexible and speedy reaction, the risk is simple: the inexorable death of the first peoples, and the health community's total culpability. We declare no competing interests.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.010 | 0.072 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.006 | 0.009 |
| Scholarly communication | 0.008 | 0.014 |
| Open science | 0.004 | 0.006 |
| Research integrity | 0.036 | 0.041 |
| Insufficient payload (model declined to judge) | 0.009 | 0.006 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".