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Deliberate self-poisoning

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https://www.readbyqxmd.com/read/28836814/-not-quite-out-of-the-woods-potential-for-misdiagnosis-of-delayed-neurologic-syndrome-of-carbon-monoxide-poisoning-as-relapse-of-mental-illness
#1
Samir Bhagwat, George Bruxner
OBJECTIVE: The aim of this paper is to provide an overview of the delayed neurologic syndrome of carbon monoxide poisoning and its clinical importance in psychiatric settings. METHOD: A brief review of carbon monoxide poisoning is presented with a focus on the delayed neurologic syndrome and a case of deliberate self- poisoning is described. RESULTS: As in the case described, the delayed manifestations of carbon monoxide poisoning can resemble a relapse of psychiatric illness...
August 1, 2017: Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists
https://www.readbyqxmd.com/read/28768699/use-of-a-23-hour-emergency-department-observation-unit-for-the-management-of-patients-with-toxic-exposures
#2
Rupeng Mong, Gabriel Joseph Arciaga, Hock Heng Tan
BACKGROUND: A significant proportion of patients with toxic exposures presenting to the ED require admission. However, most will improve within 24 hours, and so could potentially be managed in a short-stay observation unit. We describe the management and outcomes of these patients in a 23-hour ED observation unit (EDOU). METHODS: A retrospective chart review of all patients with toxic exposures admitted to the EDOU in Singapore between 1 April 2013 and 31 March 2015 was performed...
August 2, 2017: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/28762278/co-ingested-alcohol-and-the-timing-of-deliberate-self-poisonings
#3
Kate M Chitty, Katharine Kirby, Nicholas J Osborne, Geoffrey K Isbister, Nicholas A Buckley
OBJECTIVE: Investigating diurnal variation in the timing of suicidal behaviours offers opportunity to better understand its various proximal risk factors. Acute use of alcohol is a potent proximal risk factor for suicidal behaviour, though the nature of this risk is poorly understood. The aim of this study was to compare the diurnal variation in time of poison ingestion between deliberate self-poisonings that involve alcohol versus those that do not. METHODS: A retrospective analysis of consecutive presentations to a toxicology service following deliberate self-poisoning, 1996-2016...
July 1, 2017: Australian and New Zealand Journal of Psychiatry
https://www.readbyqxmd.com/read/28728353/estimation-of-the-rate-and-number-of-underreported-deliberate-self-poisoning-attempts-in-western-iran-in-2015
#4
Mehdi Moradinazar, Farid Najafi, Mohammad Reza Baneshi, Ali Akbar Haghdoost
OBJECTIVES: Rates of attempted deliberate self-poisoning (DSP) are subject to undercounting, underreporting, and denial of the suicide attempt. In this study, we estimated the rate of underreported DSP, which is the most common method of attempted suicide in Iran. METHODS: We estimated the rate and number of unaccounted individuals who attempted DSP in western Iran in 2015 using a truncated count model. In this method, the number of people who attempted DSP but were not referred to any health care centers, n0, was calculated through integrating hospital and forensic data...
2017: Epidemiology and Health
https://www.readbyqxmd.com/read/28673345/pesticide-poisoning-in-chitwan-nepal-a-descriptive-epidemiological-study
#5
Deepak Gyenwali, Abhinav Vaidya, Sundar Tiwari, Prakash Khatiwada, Daya Ram Lamsal, Shrikrishana Giri
BACKGROUND: Globally, there is a growing concern over pesticides use, which has been linked to self-harm and suicide. However, there is paucity of research on the epidemiology of pesticides poisoning in Nepal. This study is aimed at assessing epidemiological features of pesticides poisoning among hospital-admitted cases in selected hospitals of Chitwan District of Nepal. METHODS: A hospital-based quantitative study was carried out in four major hospitals of Chitwan District...
July 3, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28665287/-a-prospective-study-on-acute-poisonings-presenting-to-the-emergency-department-at-landspitali-university-hospital-in-iceland-2012
#6
Gudborg Audur Gudjonsdottir, Anna Maria Thordardottir, Jakob Kristinsson
INTRODUCTION: The purpose of the study was to assess the incidence and type of toxic exposures presenting to the Emergency Department (ED) at Landspitali University Hospital in Iceland over one year and compare the results to another study performed eleven years before. METHODS: The study was prospective and included all visits due to acute poisoning to the ED between January 1, and December 31, 2012. RESULTS: A total of 977 toxic exposures were documented...
June 2017: Læknablađiđ
https://www.readbyqxmd.com/read/28612472/federation-internationale-de-football-association-fifa-2014-world-cup-impact-on-hospital-treated-suicide-attempt-overdose-in-tehran
#7
Hossein Hassanian-Moghaddam, Fatemeh Ghorbani, Afsaneh Rahimi, Tayyebeh Farmahini Farahani, Parvane Sadat Vafaei Sani, Terry J Lewin, Gregory L Carter
Social influences on suicidal behaviors may be important but are less frequently studied than the influences of mental illness, physical illness, and demographic variables. Major international sporting events may have an impact on suicidal behaviors at the national and local level, an effect possibly mediated by gender and age. We examined the association of hospital-treated deliberate self-poisoning episodes (by gender and by age) in Tehran: before, during, and after the 2014 FIFA World Cup held in Brazil, in which the Iranian national team participated and was eliminated after the pool games...
June 13, 2017: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/28575567/-psychosocial-characteristics-of-elderly-people-who-have-committed-suicide-attempts-poisoning
#8
V E Pashkovskiy, A G Sofronov, A E Dobrovolskaya, G A Prokopovich
The aim of this study is to identify psychosocial characteristics of older people who attempted suicide by self-poisoning. A total of 44 older people with suicide attempts by self-poisoning was examined, 12 of whom were male and 32 were female, their average age was 71,9+10,8. The comparison group consisted of 53 young people - 19 males and 34 females, their average age was 26,6+4,4. In both groups dominated deliberate self-poisoning with antiepileptic, sedative, soporific, Antiparkinson and psychotropic drugs (40,9 % vs 47,2 %, p>0,05)...
2017: Advances in Gerontology, Uspekhi Gerontologii
https://www.readbyqxmd.com/read/28535124/serum-creatinine-and-cystatin-c-provide-conflicting-evidence-of-acute-kidney-injury-following-acute-ingestion-of-potassium-permanganate-and-oxalic-acid
#9
MULTICENTER STUDY
Thilini Madushanka Wijerathna, Indika Bandara Gawarammana, Dhammika Menike Dissanayaka, Chathura Palanagasinghe, Fathima Shihana, Gihani Dassanayaka, Seyed Shahmy, Zoltan Huba Endre, Fahim Mohamed, Nicholas Alan Buckley
AIM: Acute kidney injury (AKI) is common following deliberate self-poisoning with a combination washing powder containing oxalic acid (H2C2O4) and potassium permanganate (KMnO4). Early and rapid increases in serum creatinine (sCr) follow severe poisoning. We investigated the relationship of these increases with direct nephrotoxicity in an ongoing multicenter prospective cohort study in Sri Lanka exploring AKI following poisoning. METHODS: Multiple measures of change in kidney function were evaluated in 48 consenting patients who had serial sCr and serum cystatin C (sCysC) data available...
November 2017: Clinical Toxicology
https://www.readbyqxmd.com/read/28465843/hypercapnea-and-acidemia-despite-hyperventilation-following-endotracheal-intubation-in-a-case-of-unknown-severe-salicylate-poisoning
#10
Shannon M Fernando, Valérie Charbonneau, Hans Rosenberg
Salicylates are common substances for deliberate self-harm. Acute salicylate toxicity is classically associated with an initial respiratory alkalosis, followed by an anion gap metabolic acidosis. The respiratory alkalosis is achieved through hyperventilation, driven by direct stimulation on the respiratory centers in the medulla and considered as a compensatory mechanism to avoid acidemia. However, in later stages of severe salicylate toxicity, patients become increasingly obtunded, with subsequent loss of airway reflexes, and therefore intubation may be necessary...
2017: Case Reports in Critical Care
https://www.readbyqxmd.com/read/28441901/patient-emergency-assessment-following-deliberate-self-poisoning-with-benzodiazepines-can-cognitive-markers-predict-recall-of-the-psychiatric-interview-a-pilot-study
#11
J Salles, J Pariente, C Dimeglio, P Gandia, B Lemesle, A Giron, N Franchitto, L Schmitt, E Very
STUDY HYPOTHESIS: In cases of deliberate self-poisoning (DSP), patients often ingest benzodiazepines (BZDs), known to alter memory. Experts recommend recovery of the patient's cognitive capacity before psychiatric assessment. Unfortunately, there is no validated tool in common practice to assess whether sufficient cognitive recovery has occurred after DSP with BZDs to ensure patient memory of the assessment. OBJECTIVE: The aim of the study was to identify cognitive functions and markers which predict preserved memory of the mental health care plan proposed at the emergency department after DSP...
April 1, 2017: Journal of Psychopharmacology
https://www.readbyqxmd.com/read/28435437/lower-suicide-intention-in-patients-with-personality-disorders-admitted-for-deliberate-self-poisoning-than-in-patients-with-other-diagnoses
#12
T K Grimholt, D Jacobsen, O R Haavet, Ø Ekeberg
BACKGROUND: People with deliberate self-poisoning and personality disorders are in increased risk for suicide. Intention and psychiatric features are important factors in a psychiatric evaluation and for planning aftercare. METHODS: Patients admitted to medical departments after deliberate self-poisoning were studied (n = 117). Patients with personality disorder according to (ICD-10, F.60-69) were compared to patients with affective disorders, substance use disorders, and unknown psychiatric diagnosis on Beck Suicide Intention Scale (SIS), Beck Suicide Ideation Scale (BSI), Beck Hopelessness Scale (BHS), and Beck Depression Inventory (BDI)...
2017: Annals of General Psychiatry
https://www.readbyqxmd.com/read/28400690/transient-distal-renal-tubular-acidosis-in-organophosphate-poisoning
#13
Ram Narayan, Mansoor C Abdulla, Jemshad Alungal
Renal complications due to organophosphate poisoning are very rare. We are presenting a unique case of transient distal renal tubular acidosis due to organophosphate poisoning, which to the best of our knowledge is the first of its kind. An elderly female after deliberate self-harm with ingestion of chlorpyrifos had multiple ventricular arrhythmias due to hypokalemia secondary to distal renal tubular acidosis which improved completely after treatment.
March 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28320225/suicide-following-deliberate-self-harm
#14
Mark Olfson, Melanie Wall, Shuai Wang, Stephen Crystal, Tobias Gerhard, Carlos Blanco
OBJECTIVE: The authors sought to identify risk factors for repeat self-harm and completed suicide over the following year among adults with deliberate self-harm. METHOD: A national cohort of Medicaid-financed adults clinically diagnosed with deliberate self-harm (N=61,297) was followed for up to 1 year. Repeat self-harm per 1,000 person-years and suicide rates per 100,000 person-years (based on cause of death information from the National Death Index) were determined...
August 1, 2017: American Journal of Psychiatry
https://www.readbyqxmd.com/read/28251146/exploring-complexity-of-deliberate-self-poisoning-through-network-analysis
#15
Leila R Kalankesh, Mostafa Farahbakhsh, Rebecca A Fein, Nazila Moftian, Zahra Nasiry
The purpose of this research was to examine the complexity of circumstances that result in deliberate self-poisoning cases. For the purposes of this paper, the cases were patients that presented for care and were admitted to the specialty hospital in Northwest of Iran. The research examined the problems preceding deliberate self-poisoning and the interrelations among them by applying network analysis methods. The network was scored for degrees of centrality and betweenness centrality. Structural analysis of network also was conducted using block modelling...
2017: Psychiatry Journal
https://www.readbyqxmd.com/read/28238609/epidemiology-of-coronial-deaths-from-pesticide-ingestion-in-australia
#16
Nicholas J Osborne, Rose Cairns, Andrew H Dawson, Kate M Chitty, Nicholas A Buckley
Pesticides in Australia are tightly regulated but it is unknown how this may affect the distribution of misuse and self-harm across Australia, both spatially and within subgroups in the population. We performed an observational study to examine spatial differences in suicide/deliberate poisonings with pesticides in Australia. We examined Coronial inquest cases of self-harm by pesticide ingestion for the years 2001-2013 (n=209). Coronial cases were older, more likely to be male, have lower SES status and live in outer regional areas as opposed to cities when compared to the general population...
April 2017: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/28152633/long-term-mortality-after-poisoning-with-antipsychotics
#17
Stine Toft, Henrik Horwitz, Kim Peder Dalhoff
INTRODUCTION: The objective of this study was to investigate the long-term mortality and cause of death after deliberate self-poisoning with antipsychotics. Furthermore, we investigated the risk of repeated self-poisoning after a first episode of poisoning with antipsychotics. METHODS: We identified patients with antipsychotic poisoning from the Danish Poison Information Centre Database and correlated their personal identification number with four Danish national registries related to health aspects...
April 2017: Clinical Toxicology
https://www.readbyqxmd.com/read/28149035/chlorantraniliprole-an-unusual-insecticide-poisoning-in-humans
#18
Ajay Kumar Mishra, Vignesh Kumar Chandiraseharan, Nisha Jose, Thambu David Sudarsanam
A 26-year-old female presented with deliberate self-harm using chlorantraniliprole, an unknown substance in human toxicology. She developed symptomatic Mobitz Type I atrioventricular block during observation, for which a temporary pacemaker was inserted. She reverted to sinus rhythm after 48 h and was discharged. Although claimed to be nontoxic to humans, chlorantraniliprole, an insecticide, could cause conduction defects by activating ryanodine receptors. To the best of our knowledge, this is the first case of chlorantraniliprole poisoning reported in the medical literature...
December 2016: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28117707/the-basic-act-for-suicide-prevention-effects-on-longitudinal-trend-in-deliberate-self-harm-with-reference-to-national-suicide-data-for-1996-2014
#19
Miharu Nakanishi, Kaori Endo, Shuntaro Ando
A suicide prevention strategy was launched in Japan in 2006 to address the high suicide rate, which had increased considerably since 1998. The national strategy from 2007 involved the enhancement of psychiatric treatment services at emergency medical facilities and supportive observation by individuals close to patients. The national suicide rate has decreased gradually since 2008; however, national information regarding the number of patients who had engaged in deliberate self-harm was absent. Therefore, the present study examined the longitudinal trend in hospital admissions due to deliberate self-harm in Japan...
January 21, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28050894/patients-with-preexisting-psychiatric-disorders-admitted-to-icu-a-descriptive-and-retrospective-cohort-study
#20
Arnaud Gacouin, Adel Maamar, Pierre Fillatre, Emmanuelle Sylvestre, Margaux Dolan, Yves Le Tulzo, Jean Marc Tadié
BACKGROUND: While the psychiatric disorders are conditions frequently encountered in hospitalized patients, there are little or no data regarding the characteristics and short- and long-term outcomes in patients with preexisting psychiatric disorders in ICU. Such assessment may provide the opportunity to determine the respective impact on mortality in the ICU and after ICU discharge with reasons for admission, including modalities of self-harm, of underlying psychiatric disorders and prior psychoactive medications...
December 2017: Annals of Intensive Care
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