A/HRC/51/28/Add.1 recognized as full subjects of rights and as rights holders, instead of recipients of charity. It is particularly worrying that State programmes to support persons with disabilities are not promoted at the community level and that the scant support available for indigenous persons with disabilities tends to be provided through community-led schemes, as in the case of Kéköldi, the funding for which is often temporary. There is a lack of State programmes to support indigenous persons with disabilities and their families in the areas of education, employment and assistance. 87. The Special Rapporteur is concerned about the absence of State-run programmes to prevent suicide and to prevent and treat addiction among indigenous persons, despite the high rate of attempted suicide of 27.4 per cent recorded among indigenous persons in 2017, compared with a rate of 14.94 per cent for the population as a whole. 16 He is also concerned that the loss of cultural identity, the lack of appropriate education and job opportunities and the presence of drug trafficking are the chief factors driving the high rates of suicide and addiction among indigenous young people, particularly in the Talamanca region. Indigenous young persons have no choice but to resort to assistance schemes set up by their own peoples. 88. The Special Rapporteur congratulates Costa Rica for its efforts to promote culturally appropriate schemes, such as Mujeres Semilla Gestoras de Vida. In indigenous territories, however, public investment in economic programmes to increase production and output is limited, inaccessible and fails to take account of indigenous peoples’ realities, which is not conducive to the self-sufficient, comprehensive development or well-being of indigenous peoples. 89. The Special Rapporteur wishes to note that undocumented indigenous migrants, such as the Miskito, suffer even more from unemployment and insufficient pay and protection for their rights. VI. Conclusions and recommendations 90. The Special Rapporteur wishes to underscore the openness and cooperativeness of the Government and various State institutions. They acknowledge the challenges identified and the need to undertake a reform process, in order to advance the protection of indigenous peoples’ rights, and are prepared to accept the observations constructively. The Special Rapporteur acknowledges the new Government’s political will and the progress it has made; he urges the Government to continue making progress. 91. The Special Rapporteur points out that the structural causes of violations of indigenous peoples’ rights are the lack of an appropriate land restitution policy and of a legal framework ensuring recognition of indigenous peoples and their own authorities. He is particularly concerned about the structural racism that permeates State institutions, in particular at the local level; the failure to realize indigenous peoples’ economic, social and cultural rights; and the lack of effective measures to protect human rights defenders. 92. The Special Rapporteur underscores that the State must work together cooperatively with the indigenous peoples on applying all the recommendations included in this report. Legal and institutional framework 93. The Special Rapporteur recommends that the State: (a) Comprehensively revise the current legal framework by incorporating the recognition of indigenous peoples and their collective rights, including the right to indigenous justice at the constitutional and legal levels, and adjustments to the terminology relating to peoples and territories; 16 14 Ibid. GE.22-11025