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Deliberate self-poisoning

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https://www.readbyqxmd.com/read/28251146/exploring-complexity-of-deliberate-self-poisoning-through-network-analysis
#1
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
#2
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...
February 4, 2017: International Journal of Hygiene and Environmental Health
https://www.readbyqxmd.com/read/28152633/long-term-mortality-after-poisoning-with-antipsychotics
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/28035699/lack-of-respiratory-depression-in-paracetamol-codeine-combination-overdoses
#7
Simon P E Heppell, Geoffrey K Isbister
BACKGROUND: Codeine containing analgesics are commonly taken in overdose, but the frequency of respiratory depression is unknown. We investigated whether paracetamol-codeine combination overdoses caused respiratory depression more than paracetamol alone. METHODS: We reviewed deliberate self-poisoning admissions with paracetamol (>2 g) and paracetamol-codeine combinations presenting to a tertiary toxicology unit (1987-2013). Demographic information, clinical effects, treatment (naloxone, length of stay[LOS], mechanical ventilation) were extracted from a prospective database...
December 30, 2016: British Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/27762121/cartap-hydrochloride-poisoning
#8
Kimmin Kalyaniwala, Kpp Abhilash, Peter John Victor
Cartap hydrochloride is a moderately hazardous nereistoxin insecticide that is increasingly used for deliberate self-harm in India. It can cause neuromuscular weakness resulting in respiratory failure. We report a patient with 4% Cartap hydrochloride poisoning who required mechanical ventilation for 36-hours. He recovered without any neurological deficits. We also review literature on Cartap hydrochloride poisoning.
August 2016: Journal of the Association of Physicians of India
https://www.readbyqxmd.com/read/27696718/adolescent-deliberate-self-poisoning-in-south-east-melbourne
#9
Mandira Hiremath, Simon Craig, Andis Graudins
OBJECTIVE: To describe the characteristics of adolescents presenting with deliberate self-poisoning (DSP) to a large Australian healthcare network. METHOD: This is a retrospective chart review of 12-17 year olds presenting to three Monash Health EDs with self-poisoning from January 2012 to December 2014. RESULTS: There were 35 207 adolescent presentations in the study period. A total of 721 cases were for DSP (2%), and 501 (1.4%) presented with recreational or accidental self-poisoning...
December 2016: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/27689124/acute-kidney-injury-in-patients-with-paraquat-intoxication-a-case-report-and-review-of-the-literature
#10
Afshin Safaei Asl, Peyman Dadashzadeh
Paraquat and diquat are classified as bipyridyl compounds not only leads to acute organ damage, but also to a variety of complications. Patients with severe paraquat-induced poisoning may succumb to multiple organ failure involving the circulatory and respiratory systems. Deliberate self-poisoning with paraquat continues to be a major public health concern in many developing countries. At present there is no specific antidote to paraquat poisoning, hence the need to more focus on prevention and in cases of poisoning aggressive decontamination to prevent further absorption...
2016: Journal of Renal Injury Prevention
https://www.readbyqxmd.com/read/27556270/self-injury-mortality-in-the-united-states-in-the-early-21st-century-a-comparison-with-proximally-ranked-diseases
#11
Ian R H Rockett, Christa L Lilly, Haomiao Jia, Gregory L Larkin, Ted R Miller, Lewis S Nelson, Kurt B Nolte, Sandra L Putnam, Gordon S Smith, Eric D Caine
Importance: Fatal self-injury in the United States associated with deliberate behaviors is seriously underestimated owing to misclassification of poisoning suicides and mischaracterization of most drug poisoning deaths as "accidents" on death certificates. Objective: To compare national trends and patterns of self-injury mortality (SIM) with mortality from 3 proximally ranked top 10 causes of death: diabetes, influenza and pneumonia, and kidney disease. Data, Setting, and Participants: Underlying cause-of-death data from 1999 to 2014 were extracted for this observational study from death certificate data in the US Centers for Disease Control and Prevention Wide-Ranging Online Data for Epidemiologic Research online databases...
October 1, 2016: JAMA Psychiatry
https://www.readbyqxmd.com/read/27453847/profile-of-deliberate-self-harm-patients-presenting-to-emergency-department-a-retrospective-study
#12
Moses Kirubairaj Amos Jegaraj, Shubhanker Mitra, Sathish Kumar, Bagyalakshmi Selva, Manimaran Pushparaj, Bijesh Yadav, Abhilash Kundavaram Paul Prabhakar, Alex Reginald
BACKGROUND: Deliberate self-harm (DSH) is a major under-recognized epidemic in the low- and middle-income countries. This is a large retrospective study form the Emergency Department (ED) of Tertiary Care Center of South India to describe the clinicodemographic features of DSH cases. MATERIALS AND METHODS: This is a retrospective study conducted at ED of Christian Medical College, Vellore, India from January 01, 2011 to December 31, 2013. All cases of DSH were included in the study...
January 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27436437/anti-xa-activity-in-apixaban-overdose-a-case-report
#13
James Barton, Anselm Wong, Andis Graudins
INTRODUCTION: Apixaban is a novel oral anticoagulation agent that exerts its effect through direct factor Xa inhibition. We present a case of multi-drug overdose including apixaban with associated apixaban concentrations. CASE: A 53 year-old man presented to our metropolitan hospital following a deliberate self-poisoning with 200 mg apixaban, 35 mg ramipril, 105 mg bisoprolol, 280 mg atorvastatin, 6 mg colchicine, 37.4 mg magnesium, 4 × 500 mg paracetamol/9...
November 2016: Clinical Toxicology
https://www.readbyqxmd.com/read/27416894/looking-back-on-self-poisoning-the-relationship-between-depressed-mood-and-reporting-of-suicidal-intent-in-people-who-deliberately-self-poison
#14
Bergljot Gjelsvik, Fridtjof Heyerdahl, Jane Holmes, Daniel Lunn, Keith Hawton
Lifetime worst-point suicidality is associated with risk of subsequent death by suicide. Yet little is known about how people who deliberately self-poison (DSP) change their appraisal of suicidal intent of a single DSP episode over time. We assessed whether suicidal intent for a single index episode of DSP changed over time and factors associated with such change. We studied 202 patients admitted for DSP (66.3% female, all Caucasian), 18-85 years old (M = 37.8, SD = 14.8), using a longitudinal design (0, 3, and 12 months)...
July 15, 2016: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/27416812/is-there-a-relationship-between-suicidal-intent-and-lethality-in-deliberate-self-poisoning
#15
Bergljot Gjelsvik, Fridtjof Heyerdahl, Jane Holmes, Daniel Lunn, Keith Hawton
The relationship between suicidal intent and lethality of deliberate self-poisoning (DSP) episodes and their associations with suicide have yielded contradictory findings. The aims of this study were to investigate the association between patients' suicidal intent and independently rated lethality of DSP episodes, and whether the association changes over time. Eighty-nine DSP patients were investigated longitudinally. Self-reported suicidal intent, including perceived likelihood of dying, wish to die, and whether or not the DSP was considered a suicide attempt, was measured at the time of the index episode (t1), 3 months (t2), and 12 months (t3) later...
July 15, 2016: Suicide & Life-threatening Behavior
https://www.readbyqxmd.com/read/27279811/is-a-self-inflicted-burn-part-of-a-repeated-self-harm-pattern
#16
K Joory, A Farroha, N Moiemen
Self-inflicted burns (SIB) consistently account for a small proportion of burn injuries. There is a wide spectrum of SIB, from minor burns through to major life threatening burn injuries in suicidal patients who have committed self-immolation. Non-fatal deliberate self-harm (DSH) is a common reason for presenting to hospital. This occurs in many forms including wounding, burning and poisoning to name a few. Such behaviours are commonly repeated, sometimes with increasing severity. DSH is a major risk factor for subsequent suicide...
September 30, 2015: Annals of Burns and Fire Disasters
https://www.readbyqxmd.com/read/27278571/incidence-rates-of-deliberate-self-harm-in-denmark-1994-2011
#17
Britt Reuter Morthorst, Bodil Soegaard, Merete Nordentoft, Annette Erlangsen
BACKGROUND: The validity and reliability of suicide statistics have been questioned and few nationwide studies of deliberate self-harm have been presented. AIM: To calculate rates of deliberate self-harm in Denmark in order to investigate trends and assess the reliability of hospital records. METHOD: A register study based on all individuals recorded with an episode of deliberate self-harm or probable deliberate self-harm in nationwide registers during 1994-2011...
July 2016: Crisis
https://www.readbyqxmd.com/read/27121340/self-harm-in-nurses-prevalence-and-correlates
#18
Teris Cheung, Paul S F Yip
AIMS: The aim of this study was to examine the weighed prevalence of self-harm and its correlates among Hong Kong nurses. BACKGROUND: Recent epidemiological data suggest that the weighted prevalence of past-year suicidality among Hong Kong nurses was found to be 14·9%. Deliberate self-harm was a significant correlate of suicidality. Nonetheless, there are few population-based studies exploring the prevalence of self-harm and its correlates among medical occupational groups in Asia...
September 2016: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/27049274/deliberate-drug-poisonings-admitted-to-an-emergency-department-in-paris-area-a-descriptive-study-and-assessment-of-risk-factors-for-intensive-care-admission
#19
S Beaune, P Juvin, A Beauchet, E Casalino, B Megarbane
OBJECTIVE: Each year, approximately 165,000 poisonings are managed in the emergency departments (ED) in France. We performed a descriptive analysis of self-poisoned patients admitted to a university hospital ED in the Paris metropolitan area (France) aimed at investigating their outcome and the risk factors for transfer to the intensive care unit (ICU). PATIENTS AND METHODS: We retrospectively reviewed patients' records and performed multivariate logistic regression analysis to identify risk factors for ICU admission...
2016: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/27017358/-a-prospective-study-on-suicide-attempts-by-self-poisoning-in-adolescents-symptoms-and-complications
#20
J Le Vaillant, L Pellerin, J Brouard, D Nimal-Cuvillon
AIM: Biological complications in adolescents' self-poisoning are not currently evaluated. The aim of this study was to describe the toxicological characteristics of suicide attempts, the ingested substances, and their complications to better prevent the risks associated with deliberate self-poisoning. MATERIALS AND METHODS: This was a descriptive, prospective, single-center study. It took place in the pediatric emergency, hospitalization, and intensive care unit of the Caen University Hospital...
May 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
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