Since last September, there have been 100 suicide attempts in the Northern Ontario town of Attawapiskat, and the First Nations community has declared a state of emergency.

“We live in such an impoverished environment, it seems like so much despair, and at times it just seems hopeless,” says Jackie Hookimaw who lives there. “We’re getting sick from poor water, and poor living conditions. We’re depressed and stressed out.”

But Hookimaw says this past weekend was overwhelming and scary.

“I heard that there were young kids that went outside the community, to the outskirts, and they wanted to hang themselves,” she says. “Somebody spotted them in time and the police were informed, and they were picked up right away.”

“They tried to hang themselves.”

Life in the remote community of 2,000 residents is tough. Hookimaw says some of her neighbors rely on hunting and fishing to make it through the harsh winters. They hunt geese, moose and caribou, and fish in the Attawapiskat River.

Some researchers have suggested that self-inflicted injuries are among the leading causes of death among First Nations people, and that states of emergency like this latest one in Attawapiskat are not new.

Hookimaw’s great-niece Sheridan took her own life last year. She was only 13. Since then, there’s been an alarming number of suicide attempts.

“Canada needs to act upon this and do something,” Hookimaw says. “This cannot be tolerated any more.”

Canada’s health minister called the current crisis “one of the most serious and pressing tragedies” facing Canada. She sent an emergency team of social workers and grief counsellors to the town.

There’s been speculation in the media that drug abuse, bullying, and physical and sexual abuse have contributed to Attawapiskat’s wave of suicide attempts.

Amy Hookimaw, another relative of Jackie’s, posted this on Facebook:

The news from Attawapiskat is provoking much consternation, and may spur a national conversation about higher rates of poverty, addiction and incarceration associated with many of Canada’s First Nations communities, and their higher rates of suicide.

Ontario’s Regional Chief Isadore Day, who oversees health policies for the Assembly of First Nations, told the CBC that Attawapiskat requires immediate intervention: “What needs to be done is investment and a sustained approach to not just deal with the immediate impact or situation, but we need to get to the root cause and figure out what’s really going on.”

Canada’s Prime Minister Justin Trudeau has called the situation “heartbreaking”:

The news from Attawapiskat is heartbreaking. We’ll continue to work to improve living conditions for all Indigenous peoples.

— Justin Trudeau (@JustinTrudeau) April 10, 2016

Canada’s 1.4 million indigenous peoples make up about 4 percent of the country’s population. Local First Nations representative Charlie Angus says indigenous communities need aid.

“If these were non-aboriginal children, all the resources would be in their schools,” he says. “When they’re aboriginal children, well, hey, you can take a number and stand in line. And meanwhile, kids are dying every day.”

From PRI’s The World ©2016 PRI