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流行病学毒理学概况及致命性自杀中毒原因:印度南部一项基于记录的研究

Epidemio-toxicological profile and reasons for fatal suicidal poisoning: A record-based study in South India.

作者信息

Chaudhari Vinod Ashok, Das Siddhartha, Sahu Swaroop Kumar, Devnath Gerard Pradeep, Chandra Ankit

机构信息

Department of Forensic Medicine and Toxicology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

Department of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.

出版信息

J Family Med Prim Care. 2022 Feb;11(2):547-552. doi: 10.4103/jfmpc.jfmpc_1171_21. Epub 2022 Feb 16.

DOI:10.4103/jfmpc.jfmpc_1171_21
PMID:35360760
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8963612/
Abstract

INTRODUCTION

Poisoning is the second frequent cause of suicide in India. To plan an effective intervention and awareness program, it is essential to know the sociodemographic profile, pattern, and reasons for suicide.

OBJECTIVE

We conducted this study to find the sociodemographic profile, pattern, and reasons for fatal suicidal poisoning.

METHODS

We conducted a record-based study in a tertiary hospital in Puducherry. We reviewed autopsies conducted between January 2010 and December 2014 for fatal suicidal poisoning. We extracted data using a data collection sheet for age, gender, marital status, occupation, residence, the reason for suicide, time of injury, time of death. We entered data in Microsoft Excel, and we did a descriptive analysis by using R software version.

RESULTS

We reviewed 3996 medicolegal autopsies, out of which 595 cases were of fatal suicidal poisoning. The mean age of the cases was 35.8 years (SD-14.6). The majority of the cases were married (74.8%) for 20-30 years (31.8%). Most of the victims were agriculture workers (22.2%), lived in a rural setting (84.4%), died during the daytime (61.2%), and in the summer season (54.5%). The most common poison used was organophosphates (48.7%), and the most common reason was family problems (30.2%). The median survival time (h) for the cases (n = 564) was 45.8 h (IQR: 16.4 to 110.6).

CONCLUSION

We found fatal suicidal poisoning was common among males, young adults, married, agriculture workers/laborers, and in a rural setting. The findings help plan an effective intervention for suicide prevention in India.

摘要

引言

在印度,中毒是自杀的第二大常见原因。为了制定有效的干预和宣传计划,了解自杀的社会人口统计学特征、模式及原因至关重要。

目的

我们开展这项研究以找出致命性自杀中毒的社会人口统计学特征、模式及原因。

方法

我们在本地治里的一家三级医院进行了一项基于记录的研究。我们回顾了2010年1月至2014年12月期间因致命性自杀中毒进行的尸检。我们使用数据收集表提取了年龄、性别、婚姻状况、职业、居住地、自杀原因、受伤时间、死亡时间等数据。我们将数据录入Microsoft Excel,并使用R软件版本进行描述性分析。

结果

我们回顾了3996例法医学尸检,其中595例为致命性自杀中毒。这些病例的平均年龄为35.8岁(标准差-14.6)。大多数病例已婚(74.8%),婚姻持续20至30年(31.8%)。大多数受害者是农业工人(22.2%),居住在农村地区(84.4%),在白天死亡(61.2%),且在夏季死亡(54.5%)。最常用的毒物是有机磷(48.7%),最常见的原因是家庭问题(30.2%)。这些病例(n = 564)的中位生存时间(小时)为45.8小时(四分位间距:16.4至110.6)。

结论

我们发现致命性自杀中毒在男性、年轻人、已婚者、农业工人/劳动者以及农村地区较为常见。这些发现有助于为印度的自杀预防制定有效的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1d1/8963612/35ad02e00b48/JFMPC-11-547-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1d1/8963612/5f9c082bc05c/JFMPC-11-547-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1d1/8963612/35ad02e00b48/JFMPC-11-547-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1d1/8963612/5f9c082bc05c/JFMPC-11-547-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f1d1/8963612/35ad02e00b48/JFMPC-11-547-g002.jpg

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