Bhowmick Kaustav, Ghosh Biswadip, Pain Shantasil
Department of General Medicine, North Bengal Medical College, Sushrutanagar, Darjeeling, India.
Department of General Medicine and Rheumatology, North Bengal Medical College, Sushrutanagar, Darjeeling, India.
J Emerg Med. 2019 May;56(5):512-518. doi: 10.1016/j.jemermed.2018.10.037. Epub 2019 Mar 14.
The nature and profile of different modes of poisoning vary significantly in different parts of India. The assessment of the magnitude of suicidal poisoning is an area of paramount importance not only for appropriate management but also for raising social awareness and framing government policies for the prevention of same.
We aimed to determine the pattern of poisoning, the sociodemographic profile of patients who poison themselves, and the in-hospital outcome of self-poisoned patients over a 1-year period.
This was a cross-sectional observational study conducted between May 2015 and April 2016 that included 492 patients >12 years of age who were admitted to our hospital after consuming poison with the intention of deliberate self-harm. Relevant history with respect to the nature and amount of poison ingested were taken and recorded, and the patients' sociodemographic profiles and outcome (as either discharge or death) were noted.
Most of the patients were 13-28 years of age (69%). Males (n = 293 [59.55%]) predominated over females and the majority were farmers (n = 193 [39.23%]). Rural cases (n = 373 [75.81%]) outnumbered urban cases. The major causes of deliberate self-harm attempts were impulsive actions (n = 442 [89.84%]). Pesticides (n = 393 [79.88%]) were the most commonly consumed poison. The overall mortality rate was 12%, with paraquat (94.74%) topping the list of fatal substances.
Young adults and males constitute majority of the population in this study. Agricultural poisons made up the bulk of the cases, mostly taken by rural population. Paraquat, an herbicide banned in several countries, had the highest mortality rate in this study.
在印度不同地区，不同中毒方式的性质和特征差异显著。评估自杀性中毒的严重程度不仅对于适当的管理至关重要，而且对于提高社会意识以及制定预防自杀性中毒的政府政策也极为重要。
我们旨在确定中毒模式、自杀中毒患者的社会人口学特征以及1年内自杀中毒患者的院内结局。
这是一项于2015年5月至2016年4月期间进行的横断面观察性研究，纳入了492名12岁以上因故意自伤而服用毒物后入住我院的患者。记录摄入毒物的性质和数量等相关病史，并记录患者的社会人口学特征和结局（出院或死亡）。
大多数患者年龄在13 - 28岁之间（69%）。男性（n = 293 [59.55%]）多于女性，大多数为农民（n = 193 [39.23%]）。农村病例（n = 373 [75.81%]）多于城市病例。故意自伤企图的主要原因是冲动行为（n = 442 [89.84%]）。农药（n = 393 [79.88%]）是最常摄入的毒物。总死亡率为12%，百草枯（94.74%）在致命物质中位居榜首。
在本研究中，年轻人和男性占大多数。农业毒物构成了大部分病例，主要由农村人口摄入。百草枯是一种在多个国家被禁止的除草剂，在本研究中死亡率最高。
