Substances detected during coroner postmortem toxicology analyses in poisoning- and nonpoisoning-related suicides

Importance  Determining the association between drug use and suicide is complicated but can help to inform targeted suicide prevention strategies. Objective  To examine the substances prevalent in poisoning- and nonpoisoning-related suicides in Australia. Design, Setting, and Participants  This was a multiple-year, cross-sectional study of suicides from July 2013 to October 2019 in Australia with toxicology data available in […]

Psychotropic and other medicine use at time of death by suicide: A population-level analysis of linked dispensing and forensic toxicology data

Objectives: To determine the numbers and types of medicines dispensed around the time of death to people who die by suicide; to compare the medicines recently dispensed and those recorded in post mortem toxicology reports. Design, setting, participants: Analysis of linked National Coronial Information System (NCIS) and Pharmaceutical Benefits Scheme (PBS) data from the Australian Suicide Prevention […]

Alcohol and cocaine use prior to suspected suicide: Insights from toxicology

Introduction This study investigates whether there is a relationship between alcohol and cocaine use in deaths where suicide by self‐injury is the suspected cause of death. Methods Adults referred by coroners to the Imperial College London Toxicology Unit for toxicological analysis between 2012 and 2016 were reviewed for inclusion criteria. Those who died by self‐injury […]

Suicides and deaths of undetermined intent by poisoning: Reexamination of classification differences by race/ethnicity and state

This study examined differences by race/ethnicity and state in poisoning deaths of undetermined intent (UnD) versus suicide classification and the potential impact of state variations on UnD rates for Blacks and Hispanics. We used data from the 2005-2015 U.S. National Violent Death Reporting System (N = 29,567 aged 15+) and weighted coarsened exact matching. The odds […]

The epidemiological study of the children committing suicide with toxic substances admitted to the emergency and pediatric wards in Iran (2016-2013)

Introduction: Poisoning is the most common method of non-fatal suicide. In recent years, poisoning caused by the use of medications and chemicals has increased. The present study aimed to investigate the rate of suicide using toxic compounds in Iranian children. Methods: This retrospective study was conducted using the data of 83 children aged 5-16 years […]

Association of T. gondii infection with suicide: a systematic review and meta-analysis

Background: Findings on the association between Toxoplasma gondii (T. gondii) infection and suicide are contradictory. This paper aimed to resolve this uncertainty by conducting a meta-analysis. Methods: We found the relevant studies using keywords include “Toxoplasmosis” and “Suicide” and the related synonyms in international databases such as ISI, Medline, and Scopus. The eligible studies were […]

Postmortem blood alcohol content among late-middle aged and older suicide decedents: Associations with suicide precipitating/risk factors, means, and other drug toxicology.

BACKGROUND: This study examined blood alcohol content (BAC) among suicide decedents aged 50+ and its associations with suicide precipitating/risk factors, means, and other drug toxicology. METHODS: The National Violent Death Reporting System, 2005-2015, provided data (N = 56,118 for all suicide decedents and N = 29,115 with alcohol test results). We used logistic regression models, with BAC > 0.0 (BAC positive) […]

Non-fatal self-poisoning in Sri Lanka: Associated triggers and motivations.

Attempted or non-fatal self-poisoning is common in Sri Lanka. To date, most preventive strategies have focused on limitation of access to toxic pesticides, which has reduced the rates of fatal self-poisoning. However the ongoing phenomenon of non-fatal self-poisoning indicates the need for exploration of alternate preventive strategies. Self-poisoning in Sri Lanka has been described as […]

Intoxications with the monoamine oxidase inhibitor tranylcypromine: an analysis of fatal and non-fatal events.

Tranylcypromine (TCP) is a non-selective and irreversible monoamine oxidase inhibitor and an effective agent in the treatment of major depression. It features a complex pharmacologic profile and overdoses might induce severe intoxications. To identify typical clinical presentations of TCP-intoxications, range of associated TCP-dosages and possible differences between fatal and non-fatal intoxications a systematic review of […]

Biochemical toxicology and suicide in Ireland: a laboratory study.

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Trends in Suicide Mortality in the Deprived Region of Epirus (North-West Greece) During the Period 1998-2002

This study determined the risk factors associated with suicide rates & the investigation of time trends in the deprived region of Epirus in north-west Greece. The suicide rate was found to be 2.65 per 100,000 population. There was a significant rising trend of male suicides in the 35-44 & 65-74 age groups. Three out of […]

Cerbera Odollam: a ‘Suicide Tree’ and Cause of Death in the State of Kerala, India

Cerbera odollam is a tree belonging to the family that includes the yellow & common oleanders. The odollam tree is responsible for about 50 percent of the plant poisoning cases & 10% of the total poisoning cases in Kerala, India. It is used for both suicide & homicide. Approximatley 70-75 percent of suicides, 1989-1999, by […]

Analyses of Suicidal Deaths With Shotguns in Istanbul, 1998-2007

This study examined firearm suicides in Istanbul, occuring during 1998-2007. 36,971 autopsy reports were retrospectively reviewed. 73 suicides by shotgun were evaluated. 46 victims were male & 27 were female. Most victims were between 16-20 years. The majority of suicides occurred in the home & a suicide note was recovered in 7 cases. Ethyl alcohol […]

Nicotine and Cotinine Levels in Body Fluids of Smokers who Committed Suicide

This study tested the hypothesis that suicide smokers would show higher nicotine & cotinine levels in blood & urine than non-suicide smokers. Nicotine & cotinine levels in 87 deceased Japanese individuals (18 suicide victims & 69 non-suicides) were determined by gas chromatography. The smoking rate was 77.8% for those who died by suicide & 42.4% […]

Frequency of Different Anti-Depressants Associated With Suicides and Drug Deaths

From each case of suicide & drug-related death autopsied in the Institute of Forensic Medicine, Munich during the years 2001-2005, a toxicological investigation for antidepressants was performed. In 180 suicides & 72 narcotic drug deaths, antidepressants were detected. There were serious differences in the frequency of antidepressants with respect to the manner of suicide. The […]

Update on the Toxicology of Suicide

This article reviews the literature on the toxicology of suicide. Although toxicologic investigations are considered an integral part of medical-forensic investigations in individual cases of suicide, very few American states require comprehensive toxicology on all suicide victims. Instead, subjective determinations for toxicologic testing based on local policy & individual coroner or medical examiner preference are […]

Identifying Risk Factors for Suicide

In this editorial, the author briefly reviews articles published in the November & December 2007 issues of this journal on various aspects of suicide & suicidal behaviours. (1 ref.)

Epidemiological and Follow-Back Study of Suicides in Alaska

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Characteristic Features of Suicidal Drownings: a 20-Year Study

A retrospective study of cases of drowning suicide was conducted in Adelaide, South Australia for the period April 1980-March 2000. A total of 123 cases were found, with 76 males & 47 females. Female victims were significantly older than male victims. Deaths in young women were rare. No temporal trend could be shown. Alcohol use […]

Elderly Suicide: a 10-Year Retrospective Study

All cases referred to the Medical Examiner’s Office at the Medical University of South Carolina from 1988-1997 were reviewed. There were 78 cases of suicide in victims 65 years & older. The ages of these victims ranged from 65 to 94 years. Men comprised 85% of cases, & whites, 94%. The male-to-female & white-to-black ratios […]

A Multicentre Study of Coproxamol Poisoning Suicides Based on Coroners’ Records in England

Inquest records in 24 coroners’ jurisdictions in England on deaths between 2000-2001 which received a verdict of etiher suicide or undetermined cause (with a high or moderate probability of suicide) were examined. 123 coproxamol poisoning suicides were identified. Alcohol was involved in 58.5% of cases. Younger people were more likely to have consumed alcohol & […]

Toll of Methamphetamine of the Trauma System

Hypothesis  Methamphetamine use affects length of hospital stay in the minimally injured patient. Design  Case series. Setting  The only tertiary trauma center serving Hawaii. Patients  Trauma patients examined during a 12-month period with an Injury Severity Score of 1 to 5 and an age of 18 to 55 years undergoing urine toxicology screen for suspected […]

Toxicology Testing and Results for Suicide Victims – 13 States, 2004

States included in this study: Alaska, Colorado, Georgia, Maryland, Massachusetts, New Jersey, North Carolina, Oklahoma, Oregon, Rhode Island, South Carolina, Virginia, & Wisconsin.