Institute of Psychiatry, 7 D. L. Khan Road, Kolkata - 700 025, India.
Indian J Psychiatry. 2007 Oct;49(4):262-6. doi: 10.4103/0019-5545.37666.
Non-fatal deliberate self-harm (DSH), particularly with pesticides, is a major public health problem in many developing countries of the world. Agriculture is the primary occupation of most people living in the Sundarban region in West Bengal, India. Pesticides are extensively used in agriculture, and these agents are most frequently used in DSH.
This study aimed to identify the nature of methods and agents used in non-fatal DSH attempts in the Sundarban area under South 24 Parganas district of West Bengal.
Detailed demographic and clinical data on DSH cases of 13 Block Primary Health Centres' (BPHCs') admission registers were analyzed. One Focus Group Discussion (FGD) with the Panchayat Samiti of each block (totally 13 FDGs) was conducted to elicit the Samiti members' perception about the problem of pesticide-related DSH or suicide in the region.
A total of 5,178 (1,887 male and 3,291 female) subjects were admitted at the BPHCs during the study period from 1999 to 2001. Organophosphorous pesticide poisoning was found to be the most common method (85.1%) in DSH. This emphasizes the importance of developing an urgent poisoning-prevention program with a special focus on improving clinical services, as well as initiating farmers' education programs focusing on safe pesticide practices at the primary-care level.
非致命性蓄意自我伤害(DSH),尤其是使用农药,是世界上许多发展中国家的一个主要公共卫生问题。农业是印度西孟加拉邦孙德尔本斯地区大多数人的主要职业。农药在农业中广泛使用,这些药剂是 DSH 中最常使用的。
本研究旨在确定在西孟加拉邦南 24 帕尔干纳区的孙德尔本斯地区,非致命性 DSH 尝试中使用的方法和药剂的性质。
对来自 13 个街区初级卫生中心(BPHC)入院登记册的 DSH 病例的详细人口统计学和临床数据进行了分析。对每个街区的 Panchayat Samiti 进行了一次焦点小组讨论(FGD)(总共 13 次 FGD),以了解 Samiti 成员对该地区与农药相关的 DSH 或自杀问题的看法。
在 1999 年至 2001 年的研究期间,共有 5178 名(1887 名男性和 3291 名女性)患者在 BPHC 住院。有机磷农药中毒被发现是 DSH 中最常见的方法(85.1%)。这强调了制定紧急中毒预防计划的重要性,特别注重改善临床服务,并启动针对农民的教育计划,重点关注在初级保健层面安全使用农药。