The suicide rate per capita in the Cook Islands is worse than in New Zealand, according to NGO Te Kainga O Pa Taunga.
The mental health organisation is led by Mereana Taikoko, who says two to three Cook Islanders are taking their lives every year.
Mrs Taikoko marked World Suicide Prevention Day last week by spreading awareness about the problem in the Cooks, where she says mental illness is stigmatised.
She told Ben Robinson Drawbridge the suicide problem is at its worst at the end of the year.
These are services across the Pacific for people who may be thinking about suicide, or those who are concerned about family or friends.
Lifeline 23000 or 25144
Lifeline 667 0565
Fiji Womens' Crisis Centre 3313300 (24 hours) Mobile: 9209470
In Papua New Guinea:
Lifeline Port Moresby 326 0011
1-Tok Kaunselin Helpim Lain 7150 8000
Samoa Lifeline 800-5433
In the Cook Islands:
Te Kainga O Pa Taunga 20162
In New Zealand:
Need to Talk? Free call or text 1737 any time to speak to a trained counsellor, for any reason.
Lifeline: 0800 543 354 or text HELP to 4357
Suicide Crisis Helpline: 0508 828 865 / 0508 TAUTOKO (24/7). This is a service for people who may be thinking about suicide, or those who are concerned about family or friends.
Depression Helpline: 0800 111 757 (24/7)
Samaritans: 0800 726 666 (24/7)
Youthline: 0800 376 633 (24/7) or free text 234 (8am-12am), or email firstname.lastname@example.org
What's Up: online chat (7pm-10pm) or 0800 WHATSUP / 0800 9428 787 children's helpline (1pm-10pm weekdays, 3pm-10pm weekends)
Kidsline (ages 5-18): 0800 543 754 (24/7)
Rural Support Trust Helpline: 0800 787 254
Healthline: 0800 611 116
Rainbow Youth: (09) 376 4155
If it is an emergency and you feel like you or someone else is at risk, call 111.