Turk Psikiyatri Derg. 2022 Winter;33(4):248-254. doi: 10.5080/u26347.
In parallel with common usage areas, pesticide poisonings are encountered in the community due to reasons such as no wearing of protective clothing and masks during use, unintentional consumption and suicide-intended intake. In this study was aimed to examine the cases who applied to the emergency department with pesticide poisoning and share of suicide cases.
This study is a retrospective record study based on the files of 234 patients who reported to the emergency department for pesticide and rodenticide poisoning between 2014 and 2018. The patients were compared in terms of sociodemographic, substance type, prognosis, and accident/suicide status. Chi-square test, Binary logistic regression analysis were used in the analysis of the data.
Organophosphates was the most common substance recorded as a cause of poisoning, while rat poison placed second. 38% of the acute poisoning cases were suicide attempts. Poisoning among men was found to be prominently due to accident whiles among women suicidal poisoning was more prominent. While the mortality rate is 4.7% in all acute intoxication cases, the mortality rate in poisonings with suicidal purposes is 5.6%. Patients with psychiatric diseases have a 28-fold higher risk of intoxication of attempting suicide. The most common comorbid psychiatric disorders in acute pesticide poisoning are anxiety and depression.
A major proportion of pesticide poisoning cases is suicide attempts. Suicide attempt is at the forefront in women and death rates are higher in people with psychiatric illness. It may be advisable to avoid the easy accessibility of pesticides.
与常见的使用领域一样，由于使用时不穿防护服和口罩、误食和自杀性摄入等原因，社区中也会发生农药中毒。本研究旨在调查因农药中毒而到急诊科就诊的病例，并分析自杀病例的比例。
这是一项基于 2014 年至 2018 年期间因农药和鼠药中毒向急诊科报告的 234 名患者档案的回顾性病历研究。对患者的社会人口统计学、物质类型、预后和事故/自杀状况进行了比较。数据的分析采用了卡方检验、二元逻辑回归分析。
有机磷是记录中毒最常见的物质，而鼠药则位居第二。38%的急性中毒病例是自杀未遂。男性中毒主要是由于意外，而女性中毒则更倾向于自杀。所有急性中毒病例的死亡率为 4.7%，自杀性中毒的死亡率为 5.6%。有精神疾病的患者中毒自杀的风险增加 28 倍。急性农药中毒中最常见的合并精神疾病是焦虑和抑郁。
相当一部分农药中毒病例是自杀未遂。自杀未遂在女性中更为突出，精神疾病患者的死亡率更高。可能需要避免农药的轻易获得。
