Aghanwa H S
Department of Psychiatry, School of Medical Sciences, Fiji School of Medicine, Brown Street, P.M.B., Suva, Fiji Islands.
Gen Hosp Psychiatry. 2001 Sep-Oct;23(5):266-71. doi: 10.1016/s0163-8343(01)00156-6.
This study examined the prevalence and the characteristics of deliberate self-poisoning patients seen at the main general hospital in the Fiji Islands.
Thirty-one consecutive patients with deliberate drug-overdose and 27 others with nonoverdosed self-poisoning were compared on sociodemographic and clinical variables.
Deliberate self-poisoning cases represented 0.3% of the hospital admissions, and had a rate of 25.9 per 100,000 population. The overdose group was significantly older (P<.05), whereas the poison-ingestion group had significantly greater proportion of males (P<.03). The rate of psychiatric morbidity was significantly higher in the overdose group (P=.04), whereas the history of alcohol abuse was significantly higher in the other group (P=.04). Paracetamol (35.5%) and paraquat (29.7%) were the most commonly used agents.
Age, gender, rate of psychiatric morbidity, or history of alcohol abuse could be predictive of whether drug overdose or poison ingestion would be used for deliberate self-poisoning. This information could be relevant in the formulation of suicide preventive strategies.
本研究调查了斐济群岛主要综合医院中蓄意自我中毒患者的患病率及特征。
对31例连续的蓄意药物过量患者和27例其他非过量自我中毒患者的社会人口统计学和临床变量进行了比较。
蓄意自我中毒病例占医院入院人数的0.3%，每10万人中有25.9例。过量组年龄显著较大（P<0.05），而中毒摄入组男性比例显著更高（P<0.03）。过量组的精神疾病发病率显著更高（P=0.04），而另一组的酒精滥用史显著更高（P=0.04）。对乙酰氨基酚（35.5%）和百草枯（29.7%）是最常用的药物。
年龄、性别、精神疾病发病率或酒精滥用史可能预示着蓄意自我中毒会使用药物过量还是毒物摄入。这些信息可能与自杀预防策略的制定相关。
