[磷化铝中毒所致自杀未遂]
[Suicide attempt with aluminum phosphide poisoning].
作者信息
Reyna-Medina Mauricio, Vázquez-de Anda Gilberto Felipe, García-Monroy Jesús, Valdespino-Salinas Eduardo Alfredo, Vicente-Cruz Dante Carlos
机构信息
Unidad de Terapia Intensiva, Hospital General de Tejupilco, Instituto de Salud del Estado de México, Tejupilco, Estado de México, México.
出版信息
Rev Med Inst Mex Seguro Soc. 2013 Mar-Apr;51(2):212-7.
BACKGROUND
suicide attempt with aluminum phosphide fumigant has high mortality conditions. The aim was to investigate the frequency of aluminum phosphide consumption in suicide attempt.
METHODS
a retrospective case series study at the Hospital General de Tejupilco during the period 2009-2011 was done. Thirty-two patients had attempted suicide; we included 18 whose suicide attempt was with aluminum phosphide. The risk of rescue according Weisman's scale was measured.
RESULTS
from 18 suicidal patients, 83 % were women (n = 15); the average age was 17.7 ± 4.4 years; 89 % (n = 16) were = 23 years old; and 89 % (n = 16) had depression. The motive for the suicide attempt was being abandoned by a partner in 56 % (10). Mortality rate was 78 % (n = 14) and death ocurred in 4 ± 2 hours.
CONCLUSIONS
aluminum phosphide is the most commonly used toxic substance in rural areas for suicide attempts. Among suicides, the most common cause among women was abandonment by her partner and was also related to depression and emotional security to dying.
背景
使用磷化铝熏蒸剂自杀未遂的情况死亡率很高。目的是调查自杀未遂中磷化铝的服用频率。
方法
对特胡皮尔科综合医院2009年至2011年期间进行了一项回顾性病例系列研究。32例患者曾试图自杀；我们纳入了18例使用磷化铝自杀未遂的患者。根据韦斯曼量表测量了抢救风险。
结果
在18例自杀患者中，83%为女性（n = 15）；平均年龄为17.7±4.4岁；89%（n = 16）年龄≥23岁；89%（n = 16）患有抑郁症。自杀未遂的动机是56%（10例）被伴侣抛弃。死亡率为78%（n = 14），死亡发生在4±2小时内。
结论
磷化铝是农村地区自杀未遂最常用的有毒物质。在自杀者中，女性最常见的原因是被伴侣抛弃，也与抑郁症和对死亡的情绪安全感有关。
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