Epidemiology of intentional self-poisoning in rural Sri Lanka

被引:93
作者
Eddleston, M
Gunnell, D
Karunaratne, A
De Silva, D
Sheriff, MHR
Buckley, NA
机构
[1] Univ Colombo, Dept Clin Med, Fac Med, Colombo 8, Sri Lanka
[2] Univ Oxford, Ctr Trop Med, S Asian Clin Toxicol Res Collaborat, Oxford OX1 2JD, England
[3] Univ Bristol, Dept Social Med, Bristol BS8 1TH, Avon, England
[4] Off Provincial Director Hlth Serv, Anuradhapura, Sri Lanka
[5] Australian Natl Univ, Sch Med, Dept Clin Pharmacol & Toxicol, Canberra, ACT, Australia
基金
英国惠康基金;
关键词
D O I
10.1192/bjp.187.6.583
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
We investigated the epidemiology of intentional self-poisoning in rural Sri Lanka by prospectively recording 2189 admissions to two secondary hospitals. Many patients were young (median age 25 years), male (57%) and used pesticides (49%). Of the 198 who died, 156 were men (case fatality 12.4%) and 42 were women (4.5%). Over half of female deaths were in those under 25 years old; male deaths were spread more evenly across age groups. Oleander and paraquat caused 74% of deaths in people under 25 years old; thereafter organophosphorous pesticides caused many deaths. Although the age pattern of self-poisoning was similar to that of industrialised countries, case fatality was more than 15 times higher and the pattern of fatal self-poisoning different.
引用
收藏
页码:583 / 584
页数:2
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