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DOI: Objective: Due to the high rates of suicide reported among many ethnic minorities, a systematic review is presented on suicide in indigenous populations of Latin America. Results: From an initial total of articles, 41were included for data extraction.
They include 21 from Brazil, 13 from Colombia, 2 from Chile, 1 from Peru, and 4 articles grouped from different countries. Suicide is a public health issue in many communities. Lifestyle changes, industrialisation, environmental degradation, and alcohol have led the indigenous population experiencing what has been described as "cultural death. High rates of suicide have been reported among ethnic minorities world-wide, including the Scandinavian Sami in Europe 1 , different North American natives 2 , 3 as well as Australian aboriginals.
Several anecdotal cases of suicide among indigenous people of Colombia and Brazil have been reported in the press, one of them the self-immolation of Maobe in , the young leader of the Nukak ethnic group, which has been considered the last Amazonic ethnic group to be "discovered" in Colombia, as recently as Mental disorders have not been fully studied in Latin American indigenous groups.
Common stressors include high rates of alcoholism, 7 - 9 or culturally-related dissociation-like syndromes sometimes labeled as "ataques de nervios". Despite some isolated publications on suicide in Latin America, 12 , 13 we did not find a general review of this topic.
The objective of our study was to perform a systematic review of both peer-reviewed articles and grey literature on the incidence, the geographic and ethnic distribution, and the risk factors associated with suicide in indigenous Latin Americans. An additional search for "grey literature" was done in Scholar Google using suicide and Spanish or Portuguese equivalents associated with each Latin American country.