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

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.

Inclusion Criteria: * 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 Exclusion Criteria: * Individuals under legal guardianship * Health conditions that prevent them from understanding or completing questionnaires or participating in interviews.