Suicide by injecting lispro insulin with an intravenous cannula

Behera, Chittaranjan; Swain, Rajanikanta; Mridha, Asit Ranjan; Pooniya, Shashank

doi:10.1177/0025817215573171

Cited by 9 publications

(11 citation statements)

References 13 publications

(21 reference statements)

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“…Data indicate a significant underestimation of the number of suicide attempts and deaths from deliberate overdose [ 33 , 34 , 54 , 56 ]. Moreover, unsuccessful suicide attempts may sometimes be overlooked by the patient’s relatives and doctors [ 57 ]. From the perspective of forensic science, differentiating an accident from suicide is also often difficult and requires careful investigation [ 58 , 59 , 60 ].…”

Section: Accidents and Suicidesmentioning

confidence: 99%

“…In addition, diagnosing the disease in its acute stage, combined with a negative perception of the disease in the pediatric population, increases the likelihood of self-destructive thoughts and behaviors, which may be an attempt to draw attention to oneself [ 75 ]. Some scientific publications also include cases of insulin overdose suicide attempts by non-diabetic people; however, they are less common and often concern relatives of diabetics [ 14 , 15 , 39 , 57 , 87 , 88 , 89 , 90 , 91 ]. Special cases are suicide attempts with the use of insulin by medical professionals who know and understand the effects of insulin on the body and its pharmacokinetics, and who have easier access to drugs.…”

Section: Accidents and Suicidesmentioning

confidence: 99%

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The Other Face of Insulin—Overdose and Its Effects

Rzepczyk

Dolińska-Kaczmarek

Uruska

et al. 2022

Toxics

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Insulin is the most effective glycemic-lowering drug, and for people suffering from type 1 diabetes it is a life-saving drug. Its self-dosing by patients may be associated with a higher risk of overdose, both accidental and deliberate. Insulin-induced hypoglycemia causes up to 100,000 emergency department calls per year. Cases of suicide attempts using insulin have been described in the literature since its introduction into therapy, and one of the important factors in their occurrence is the very fact of chronic disease. Up to 90% of patients who go to toxicology wards overdose insulin consciously. Patients with diabetes are burdened with a 2–3 times higher risk of developing depression compared to the general population. For this reason, it is necessary to develop an effective system for detecting a predisposition to overdose, including the assessment of the first symptoms of depression in patients with diabetes. A key role is played by a risk-conscious therapeutic team, as well as education. Further post-mortem testing is also needed for material collection and storage, as well as standardization of analytical methods and interpretation of results, which would allow for more effective detection and analysis of intentional overdose—both by the patient and for criminal purposes.

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Section: Accidents and Suicidesmentioning

confidence: 99%

Section: Accidents and Suicidesmentioning

confidence: 99%

The Other Face of Insulin—Overdose and Its Effects

Rzepczyk

Dolińska-Kaczmarek

Uruska

et al. 2022

Toxics

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“…Suicide of a 22-year-old painter who was suffering from depression, intravenously injected 2 cc copper sulfate was reported in India (30). In 2015, Behera et al (17), again reported the suicide of a 30-year-old married female physician who used Insulin Lispro with the help of an intravenous cannula in India. The lady was reportedly found to be depressed before the suicide.…”

Section: Unusual Poisoningmentioning

confidence: 99%

Suicidal Attempts by Unusual Means and Methods: A Brief Review

Arafat

Chowdhury

Mohit

2018

Jentashapir J Health Res

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Background: When a method is unusual, the intention is very strong and then prevention becomes a big challenge; although, suicide is a preventable public health problem. Objectives: The author aimed to look into unusual methods of suicidal attempts so that they can be considered in the formulation of prevention strategies. Methods: A search was done in PubMed, PubMed Central, Google, Google Scholar, and BanglaJOL with specific searching key words between 2000 and 2017. Eventually, 23 articles were selected purposively for review. Results: Nine suicide cases were reported as unusual poisoning, eight attempts were by violent methods, four by stabbing, and another four by unusual asphyxia. The mean age of the victims was 39.96 years, ranging from 17 to 80 years old, 68% being male. A total of 18 (72%) respondents died by the act, while 28% were saved from fatal attempts. Of the victims, 36% were found to have mental disorders, i.e. 28% had depression, 4% had schizophrenia, and 4% had bipolar 1 disorder. Seven cases had notable risk factors and two had a history of previous attempts. Conclusions: Adult males are more prone to use unusual methods. Males used violent methods more than females, whereas females used more unusual poisoning methods. Asian and south Asians used more poisoning methods than those from other parts of the world.

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“…[36]Samobójstwo przez wstrzyknięcie sobie insulin nie jest rzadkie zarówno u osób z jak i bez cukrzycy. [37] W rezultacie, ważne staje się aby osoby z cukrzycą były badane w kierunku wystąpienia myśli samobójczych przy występowaniu zaburzeń nastroju. Ze względu na łatwiejszy dostęp do potencjalnie śmiertelnych leków (np.…”

Section: Wpływ Cukrzycy Na Ryzyko Samobójstwaunclassified

Depression and anxiety disorders in people with diabetes

Araszkiewicz

Mirlak

2017

Current Problems of Psychiatry

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Introduction: As the global number of diabetes and the burden of depression together with other mental disorders increases, there is a need for better understanding of the connection between these diseases. In patients with diabetes, mental disorders are more common than in the general population, especially anxiety disorders and depression, which are often difficult to detect by health professionals.Material and methods: Using the keywords searched in the international bibliographic databases: Embase, Medline, Science Direct, Web of Science. We analyzed clinical trials published in English and international journalsResults: Patients with diabetes are exposed to serious physical and mental complications. The occurence of depression and psychiatric disorders among people with diabetes was twice as frequent as in the general population. There are also studies showing a higher risk of suicide among people with diabetes. In addition, patients with both diseases, diabetes and depression, had an increased risk of cardiovascular complications and increased mortality and higher costs of health care. Diabetic patients have increased incidence of anxiety disorders in relation to non-diabetic patients by 20%.Conclusion: Further researches and integration of medical and psychological treatment are needed. Cooperation between psychiatrists and diabetologists can reduce mental and physical harm in patients with diabetes.

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Suicide by injecting lispro insulin with an intravenous cannula

Cited by 9 publications

References 13 publications

The Other Face of Insulin—Overdose and Its Effects

The Other Face of Insulin—Overdose and Its Effects

Suicidal Attempts by Unusual Means and Methods: A Brief Review

Depression and anxiety disorders in people with diabetes

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