Characteristics and psychopathology of 1,086 patients who self-poisoned using pesticides in Taiwan (2012–2019): A comparison across pesticide groups

Tu, Chao-Ying; Yen, Tzung‐Hai; Chang, Chia‐Ming; Chen, Hsien-Yi; Yen, Yung-Chieh; Guo, Mingchao; Lu, Tsung-Hua; Chen, I‐Ming; Cheng, Hai-Ching; Huang, Wei‐Lieh; Chen, Cheng-Che; Eddleston, Michael; Chang, Shu-Sen

doi:10.1016/j.jad.2021.12.058

Cited by 8 publications

(13 citation statements)

References 27 publications

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“…Another case described a young man who due to relationship problems consumed pesticides after alcohol use beer for an entire day. In another case, a woman was hit by her husband in public while he was drunk and she pretended to drink pesticides as a response to his behaviour Tu et al (Taiwan) [ 73 ] Assess the characteristics and psychopathology of pesticide self-poisoning cases Cohort Hospital 1,086 index episodes of self-poisoning (655 received psychiatric assessment) Acute and chronic 41.3% of all patients were alcohol consumers and 17.3% had co-ingested alcohol. Among patients who received psychiatric assessment, 15.3% had alcohol use disorder which was significantly higher among those ingesting paraquat and OPs compared to glufosinate ammonium and glyphosate.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 21 studies that reported epidemiological data, 6 reported alcohol measures by gender [ 28 , 56 , 57 , 60 , 73 , 79 ]. In these six studies, men predominantly self-harmed and co-ingested alcohol.…”

Section: Resultsmentioning

confidence: 99%

“…In four of these studies, all patients who had co-ingested alcohol were men [ 28 , 56 , 57 , 79 ], and in one study, 97% were men [ 60 ]. Tu et al [ 73 ] did not stratify co-ingestion of alcohol by gender but among patients who underwent psychiatric assessment, more than eight in ten of those with an AUD were male (84%). Among all men, prevalence of AUD was 19% compared to 7% among women ( p < 0.001) [ 73 ].…”

Section: Resultsmentioning

confidence: 99%

“…Tu et al [ 73 ] did not stratify co-ingestion of alcohol by gender but among patients who underwent psychiatric assessment, more than eight in ten of those with an AUD were male (84%). Among all men, prevalence of AUD was 19% compared to 7% among women ( p < 0.001) [ 73 ].…”

Section: Resultsmentioning

confidence: 99%

“…The most detailed accounts came from Konradsen et al [ 67 ] who described how self-poisoning in Sri Lanka had become a response to difficult situations and a powerful communication method. Similarly, Marecek and Senadheera [ 73 ] described this phenomena as ‘dialogue suicide’, as opposed to monologue suicides, characterised as being solitary and inward focussed acts—as often seen in HIC settings [ 80 ]. Similarly, other qualitative studies on the link between alcohol and self-harm in Sri Lanka found that alcohol played a direct role in men’s self-harm [ 72 ].…”

Section: Discussionmentioning

confidence: 99%

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The role of alcohol use in pesticide suicide and self-harm: a scoping review

Schölin

Lee

London

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

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Purpose Suicide and self-harm by pesticide self-poisoning is common in low- and middle-income countries (LMICs). Alcohol is an important risk factor for self-harm; however, little is known about its role in pesticide self-poisoning. This scoping review explores the role that alcohol plays in pesticide self-harm and suicide. Methods The review followed the Joanna Briggs Institute scoping review guidance. Searches were undertaken in 14 databases, Google Scholar, and relevant websites. Articles were included if they focussed on pesticide self-harm and/or suicide and involvement of alcohol. Results Following screening of 1281 articles, 52 were included. Almost half were case reports (n = 24) and 16 focussed on Sri Lanka. Just over half described the acute impact of alcohol (n = 286), followed by acute and chronic alcohol use (n = 9), chronic use, (n = 4,) and only two articles addressed harm to others. One systematic review/meta-analysis showed increased risk of intubation and death in patients with co-ingested alcohol and pesticides. Most individuals who consumed alcohol before self-harming with pesticides were men, but alcohol use among this group also led to pesticide self-harm among family members. Individual interventions were recognised as reducing or moderating alcohol use, but no study discussed population-level alcohol interventions as a strategy for pesticide suicide and self-harm prevention. Conclusion Research on alcohol’s role in pesticide self-harm and suicide is limited. Future studies are needed to: further assess the toxicological effects of combined alcohol and pesticide ingestion, explore harm to others from alcohol including pesticide self-harm, and to integrate efforts to prevent harmful alcohol use and self-harm.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

The role of alcohol use in pesticide suicide and self-harm: a scoping review

Schölin

Lee

London

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

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The characteristics of suicide attempters in Chinese patients: Comparison of adolescents, youths, middle-aged and elderly

Chen,

Wang,

Wang

et al. 2024

Journal of Forensic and Legal Medicine

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How Do Mental Disorders and Combinations of Disorders Affect the Odds of Injuries and Poisoning?

Merrill,

Ashton

2024

J Nerv Ment Dis

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Injuries and poisoning are associated with mental disorders. The association may be stronger if comorbid mental illness is involved. This study explores whether selected mental disorders (stress, anxiety, depression, attention deficit hyperactivity disorder [ADHD], bipolar, obsessive-compulsive disorder [OCD], schizophrenia) are associated with injuries and poisoning and if the presence and frequency of comorbid mental illness affect these associations. Analyses utilize medical claims data for adult employees of a large corporation during 2017–2021. Approximately half or more of the index mental disorders experience comorbid mental illness. Odds of injury and poisoning are significantly greater for each mental disorder and tend to be significantly greater when comorbid mental illness exists (vs. the mental disorder alone), especially for the associations involving poisoning. Schizophrenia alone and in combination with other mental illness has the strongest associations with injury and poisoning. OCD is only associated with injury and poisoning, and ADHD is only associated with poisoning, if accompanied by comorbid mental illness.

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Characteristics and psychopathology of 1,086 patients who self-poisoned using pesticides in Taiwan (2012–2019): A comparison across pesticide groups

Cited by 8 publications

References 27 publications

The role of alcohol use in pesticide suicide and self-harm: a scoping review

The role of alcohol use in pesticide suicide and self-harm: a scoping review

The characteristics of suicide attempters in Chinese patients: Comparison of adolescents, youths, middle-aged and elderly

How Do Mental Disorders and Combinations of Disorders Affect the Odds of Injuries and Poisoning?

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