The topnym Watshishou is also used for the nearby Watshishou River. It is probably the same as the "R. Oueachechou" on Boishébert's 1715 map, and Oydchechou on Bellin's 1744 map. Later maps spell it Watcheeshoo, Watsheeshou, Watscheeshoo, Watsjishu and Watchichou. The Dictionary of Rivers and Lakes of the Province of Quebec gives it as Watshishou. In the Innu language it means "white mountain" or "bright mountain". It probably refers to the landmark polished granite Watshishou Hill, high to the east of the mouth of the Watshishou River. Others say the word comes from watsh and shu, meaning small mountain.
Fishing
Joseph Tanguay, originally from Berthier, settled at the Little Watshishou River in 1854. Tanguay and his sons fished mostly for salmon on the Corneille, Petite Watshishou, Watshishou and Quetachou rivers. In 1862 Tanguay moved to Baie Piashti, which was renamed Baie Johan-Beetz in 1925. Today the Baie-Johan-Beetz Outfitter supports fishing on the river, including for Atlantic salmon and landlocked salmon. There are seven fishing holes on the stream, which can be fished with waders or from a boat from mid-June to the end of August. The outfitter provides three chalets on the river between the highway and the Gulf. The Pourvoirie du Lac Holt also supports fishing on the river. The Little Watshishou River has icy, often tumultuous waters, with beautiful rapids and waterfalls. Fish species include Atlantic salmon, brook trout, American eel and ninespine stickleback. Atlantic salmon use the last of the river, up to a waterfall that blocks their way. A 2018 North Atlantic Salmon Conservation Organization Rivers Database Report gave the status of the river as "Not Threatened With Loss". In May 2015 the Ministry of Forests, Wildlife and Parks of Quebec announced a sport fishing catch-and-release program for large salmon on sixteen of Quebec's 118 salmon rivers. These were the Mitis, Laval, Pigou, Bouleau, aux Rochers, Jupitagon, Magpie, Saint-Jean, Corneille, Piashti, Watshishou, Little Watshishou, Nabisipi, Aguanish and Natashquan rivers. The Quebec Atlantic Salmon Federation said that the measures did not go nearly far enough in protecting salmon for future generations. In view of the rapidly declining Atlantic salmon population catch-and-release should have been implemented on all rivers apart from northern Quebec.