TITLE

Epidemiology of intentional self-poisoning in rural Sri Lanka

AUTHOR(S)
Eddleston, Michael; Gunnell, David; Karunaratne, Ayanthi; De Silva, Ohammika; Sheriff, M. H. Rezvi; Buckley, Nick A.; de Silva, Dhammika
PUB. DATE
December 2005
SOURCE
British Journal of Psychiatry;Dec2005, Vol. 187, p583
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
We investigated the epidemiology of intentional self-poisoning in rural Sri Lanka by prospectively recording 2189 admissions to two secondary hospitals. Many patients were young (median age 25 years), male (57%) and used pesticides (49%). Of the 198 who died,156 were men (case fatality 12.4%) and 42 were women (4.5%). Over half of female deaths were in those under 25 years old; male deaths were spread more evenly across age groups. Oleander and paraquat caused 74% of deaths in people under 25 years old; thereafter organophosphorous pesticides caused many deaths. Although the age pattern of self-poisoning was similar to that of industrialised countries, case fatality was more than 15 times higher and the pattern of fatal self-poisoning different.
ACCESSION #
25195732

 

Related Articles

  • The psychosocial assessment of patients discharged from accident and emergency departments after deliberate self-poisoning. Ebbage, J.; Farr, C.; Skinner, D. V.; White, P. D. // Journal of the Royal Society of Medicine;Sep1994, Vol. 87 Issue 9, p515 

    One-third of accident and emergency (A & E) patients who deliberately take an overdose are not admitted to hospital, and this proportion is increasing. We conducted an audit of 300 case records of such patients from two different district health authorities in London. We found that only 4% of...

  • Psychiatric Illnesses among the Patients Admitted for Self-poisoning in a Tertiary Care Hospital of Nepal. Risal, Ajay; Sharma, Pushpa Prasad; Karkib, Rajkumar // Journal of Advances in Internal Medicine;Jan-Jun2013, Vol. 2 Issue 1, p10 

    Background and Aims- Self-poisoning is the commonest mode of suicide in our part of the world. Patients attempting suicide by self-poisoning usually land up in the Emergency. They are admitted for management of medical complications and subsequently referred to Psychiatry for evaluation of...

  • Physical vulnerability and fatal self-harm in the elderly. Eddleston, Michael; Dissanayake, Mathisha; Sheriff, M. H. Rezvi; Warrell, David A.; Gunnell, David // British Journal of Psychiatry;Sep2006, Vol. 189, p278 

    Although the high rate of suicide in elderly people is conventionally explained as being due to greater intent to die, we have noted elderly Sri Lankans dying after relatively mild poisoning. Using data from cases of yellow oleander poisoning, we investigated the effect of age on outcome in 1697...

  • Beyond patch spraying: site-specific weed management with several herbicides. L. Wiles // Precision Agriculture;Jun2009, Vol. 10 Issue 3, p277 

    Abstract  Site-specific weed management can include both limiting herbicide application to areas of the field where weed pressure is above the economic threshold (patch spraying) and varying the choice of herbicide for most cost-effective weed control of local populations. The benefits of...

  • Repetition of self-poisoning and subsequent death in adolescents who take overdoses. Goldacre, Michael; Hawton, Keith; Goldacre, M; Hawton, K // British Journal of Psychiatry;Apr85, Vol. 146, p395 

    Hospital Activity Analysis data and record linkage were used to investigate repetition of self-poisoning, and deaths, among 2,492 people, aged 12 to 20 years, who took overdoses between 1974 and 1978. Repetition occurred most frequently during the first few months after an initial admission;...

  • Epidemiology of Intentional Self Poisoning. Bhagavath, Prashantha; Monteiro, Francis N. P.; Gnanadev, NC // Medico-Legal Update;Jan-Jun2012, Vol. 12 Issue 1, p52 

    Intentional self-poisoning is one of the most common methods of suicide worldwide. A three year retrospective hospital record-based research conducted in a tertiary care hospital attached to a medical institution in Karnataka to record the incidence, age, gender, religion, type of poisoning,...

  • Self poisoning with pesticides. Eddleston, Michael; Phillips, Michael R. // BMJ: British Medical Journal (International Edition);1/3/2004, Vol. 328 Issue 7430, p42 

    Discusses how highly toxic pesticides are used in acts of self poisoning and suicide in parts of the developing world. How suicide prevention strategies focus on the identification of people with suicidal tendencies and mental health disorders; Differences between patients who inflict self harm...

  • A profile of acute poisonings: A retrospective study. Celine, Thalappillil Mathew; Antony, Jimmy // Journal of the Scientific Society;Sep/Oct2015, Vol. 42 Issue 3, p156 

    Background and Objective: Intentional self-poisoning is a major problem in developing countries. Thus, the main objective of this study was to characterize the poisoning cases and related mortality among patients admitted with poisoning in a tertiary care hospital during the period from April 1,...

  • FATAL PERIOD IN MURDER-SUICIDE CELPHOS (ALUMINIUM PHOSHIDE) POISONING. Garg, Sugandh; Chanana, Ashok; Tejpaul, H. R.; Gargi, J. // Journal of Punjab Academy of Forensic Medicine & Toxicology;2009, Vol. 9 Issue 2, p92 

    Aluminiun Phosphide is used as fumigant to keep the grains free from pests. Due to its free availability it is becoming agent of choice to commit suicides. Suicide is among the top 10 causes of deaths in India. During the last 10 years it has gained notoriety as an effective suicidal agent.

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics