Wankhade Toshal, Sarmah Kuldeep, Pal Auroprajna, Kumar Binay, Patil Amit, Mittal Chaitanya
Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Patna, Patna, IND.
Cureus. 2025 Aug 15;17(8):e90143. doi: 10.7759/cureus.90143. eCollection 2025 Aug.
Suicide by poisoning, particularly through the ingestion of agricultural pesticides, remains a prevalent method of self-harm in India due to their widespread availability and accessibility. We present a case of a married woman who intentionally ingested an agricultural pesticide and simultaneously administered the same substance to her four children by mixing it into tea. Despite intensive medical intervention, the woman succumbed to poisoning, whereas all four children survived. This case constitutes an unusual instance of suicide associated with attempted filicide by the use of pesticides. Motivating factors for this tragic event included prolonged domestic abuse, financial hardship, and social isolation. The report discusses the clinical course and forensic evaluation, including clinical forensic assessment, autopsy examination, and medicolegal aspects of pesticide poisoning (organophosphorus compound), emphasizing the toxicological profile of such agents. The report also emphasizes the broader public health implications of intentional poisoning events and the forensic significance of filicide associated with maternal suicide.
中毒自杀,尤其是通过摄入农用杀虫剂自杀,在印度仍然是一种常见的自残方式,因为这些杀虫剂随处可得且容易获取。我们报告一例已婚女性案例,该女性故意摄入一种农用杀虫剂,并将其混入茶中喂给她的四个孩子。尽管进行了积极的医疗干预,该女性仍因中毒死亡,而四个孩子均幸存。此案例是一起不同寻常的自杀事件,涉及使用杀虫剂试图杀害子女。这一悲剧事件的诱发因素包括长期的家庭虐待、经济困难和社会孤立。本报告讨论了临床过程和法医评估,包括临床法医鉴定、尸检以及农药中毒(有机磷化合物)的法医学方面,重点强调了此类制剂的毒理学特征。报告还强调了故意中毒事件对公共卫生的更广泛影响以及与母亲自杀相关的杀子行为的法医意义。