Are people who die by intentional medication poisoning dispensed those medications in the year prior to death?

Objective: The rate of suicidal poisoning in the United States has increased substantially over the past 20 years. Understanding whether prescription medications used for self-poisoning were recently dispensed would help inform suicide prevention efforts. Alternatively, medications for self-poisoning could have been formerly dispensed or collected from friends, family, or illicit sources. Methods: Among those who died by […]

Ethnic differences in self-poisoning across South London

Background: Self-poisoning (overdose) is the commonest form of self-harm cases presenting to acute secondary care services in the UK, where there has been limited investigation of self-harm in black and minority ethnic communities. London has the UK’s most ethnically diverse areas but presents challenges in resident-based data collection due to the large number of hospitals. Aims: To […]

Medications without a patient: Potential lethal implications of pharmaceuticals left behind

Background: Little has been published on the sources of medications used in suicide by self-poisoning. Aims: To examine data on self-poisoning occurring through the use of medications returned to the next of kin after the death of a family member or friend (“returned medication”) and to examine public policies relevant to this issue. Method: A review of charts […]

Gender differences in deliberate self-poisoning in Hungary: Analyzing the effect of precipitating factors and their relation to depression

Background: The suicide rate in Hungary is one of the highest in the European Union, with a male-female ratio of 3.55:1. Suicide rates correlate positively with suicide attempts, for which depression is the most frequent underlying disorder. Aims: The aim of this qualitative study was to examine gender differences in suicide attempts, with a focus on the […]

Taking stock what is known about suicide in Sri Lanka: A systematic review of diverse literature

Background: Suicide is and has been a major public health problem in Sri Lanka and has generated a wide range of literature. Aims: This review aimed to systematically appraise what is known about suicide in Sri Lanka. The patterns and content of articles were examined and recommendations for further research proposed. Method: The paper describes the systematic search, […]

Impact of withdrawal of the analgesic Co-proxamol on nonfatal self-poisoning in the UK

Background: In early 2005 the UK Committee on Safety of Medicines (CSM) announced gradual withdrawal of the analgesic co-proxamol because of its adverse benefit/safety ratio, especially its use for intentional and accidental fatal poisoning. Prescriptions of co-proxamol were reduced in the 3-year withdrawal phase (2005 to 2007) following the CSM announcement. Aims: To assess the impact of […]

Suicide by pesticide poisoning: Findings from the island of Crete, Greece

Background: The role of pesticides in suicidal acts has not yet received adequate attention in Greece despite an evident rise of 39% in pesticide use over the period 1990-1992 to 2002-2004. Aims: To investigate the epidemiology of pesticide suicide on the Greek island of Crete, a largely rural agricultural area, and by further exploring the victim profiles, […]

Suspected suicide attempts by self-poisoning among persons aged 10-19 years during the COVID-19 pandemic: United States, 2020-2022

Summary What is already known about this topic? In 2020, suicide was the second leading cause of death among persons aged 10–14 years and the third leading cause among those aged 15–24 years. What is added by this report? Analysis of National Poison Data System data found that the rate of suspected suicide attempts by […]

Self-harm in people with epilepsy: A retrospective cohort study

Objectives: Little is known about self-harm in people with epilepsy, despite suicide being recognized as a leading cause of mortality in this population. This study aimed to investigate the characteristics of self-harm in people with epilepsy, and associated demographic and psychosocial factors. Methods: Patients presenting to hospital following self-harm between 1994 and 2008 were identified from the […]

Characteristics and predictive factors of severe or fatal suicide outcome in patients hospitalized due to deliberate self-poisoning

Prediction of clinical course of intoxication is essential for timely initiation of appropriate medical treatment in patients hospitalized due to suicidal self-poisoning. In this retrospective single-centre study in patients hospitalized due to suicidal poisoning in a specialized clinical toxicology unit, we aimed to identify predictive factors associated with severe or fatal course of self-poisoning. All […]

Effectiveness of the Hunter Way Back Support Service: An historical controlled trial of a brief non-clinical after-care program for hospital-treated deliberate self-poisoning

Introduction Active contact and follow-up interventions have been shown to be effective in reducing repetition of hospital-treated self-harm. The Way Back Support Service (WBSS) is a new service funded by the Australian government to provide three months of non-clinical after-care following a hospital-treated suicide attempt. The aim of this study was to investigate the effectiveness […]

Pediatric suicides reported to U.S. poison centers

Introduction As the pediatric mental health crisis worsens, the rate of adolescent suicide-related cases is increasing, including adolescent cases of self-poisoning. Methods Data from the National Poison Data System was analyzed for trends in rates and frequencies of all pediatric suspected suicides between 2015 and 2020. Results There were 514,350 pediatric suspected suicides analyzed, with […]

Characteristics of suicides and toxicology in a cohort of individuals with opioid use disorder

Suicide in patients with opioid use disorder (OUD) is a complex issue. In addition to accidental intoxications, a higher prevalence of fatal suicides in patients with OUD can be found compared to the general population. In this study, suicides with a diagnosis of OUD documented in the project “Suicides, A National Survey” were extracted from […]

The culture of herbal preparations among pregnant women: A remedy or a suicide potion? A case report and mini review.

In general, use of herbal remedies and preparations is on the ascendency in recent times among the general population and especially in young pregnant women, and this may be very dangerous due to adverse effects and interactions with drugs. A survey by the World Health Organization revealed that 70–80% of the world population resort to […]

A fatal case of self-poisoning through the ingestion of oleander leaves

BACKGROUND:Benefits and even dangers of plants are known since time began. The ancients used plants and herbs because of their effects on the human body. Poisoning is a logical consequence of their use: history is full of episodes of plants and herbs poisoning, whether intentional or accidental. AIM:Oleander poisoning is generally accidental; an intentional assumption […]

Suicide among health care practitioners and technicians in Colorado: An epidemiological study

Suicide is a public health concern with risks that vary between occupation groups. Many suicide victims with a health care occupation die by poisoning, but few studies have epidemiologically studied this association. The objective of this study was to quantify the increased risk of suicide death by poisoning among health care professionals in Colorado. Eleven […]

Sex- and age-specific increases in suicide attempts by self-poisoning in the United States among youth and young adults from 2000 to 2018

Objective To evaluate the incidence and outcomes from intentional suspected-suicide self-poisoning in children and young adults ages 10-24 years old from 2000 to 2018. Study design Retrospective review of intentional suspected-suicide self-poisoning cases reported to the National Poison Data System from US poison centers from 2000 to 2018 for patients 10-24 years old. For comparison of annual rates, […]

Acute alcohol co-ingestion and hospital-treated deliberate self-poisoning: Is there an effect on subsequent self-harm?

The aim of this study was to determine the relationship between alcohol co-ingestion in an index deliberate self-poisoning (DSP) episode with repeated DSP and subsequent suicide. A retrospective cohort study was conducted involving 5,669 consecutive index presentations to a toxicology service following DSP between January 1, 1996, and October 31, 2010. Records were probabilistically matched […]

Potential interventions for preventing pesticides self-poisoning by restricting access through vendors in Sri Lanka

Background: In South Asia, up to one in five individuals who use pesticides for self-harm purchase them immediately prior to the event. Aims: From reviewing the literature we proposed four interventions: (a) farmer identification cards (ID); (b) prescriptions; (c) cooling-off periods; and (d) training pesticide vendors. We aimed to identify the most promising intervention. Method: The study was conducted in […]

Postcards from the EDge: 5-year outcomes of a randomised controlled trial for hospital-treated self-poisoning

BackgroundRepetition of hospital-treated self-poisoning and admission to psychiatric hospital are both common in individuals who self-poison. AimsTo evaluate efficacy of postcard intervention after 5 years. MethodA randomised controlled trial of individuals who have self-poisoned: postcard intervention (eight in 12 months) plus treatment as usual v. treatment as usual. Our primary outcomes were self-poisoning admissions and psychiatric admissions […]

Suicide risk in young men and women after substance intoxication.

This study investigates suicide and overdoses in 1,119 consecutive patients (64% women), 15 to 34 years of age, presenting at the emergency department after self-poisoning from1994 to 2000 and followed regarding death to 2006. Regression and Kaplan-Meier survival analyses were performed for suicide and other causes of death. The patients had about a 60 times […]