Epidemiology of intentional self-poisoning in rural Sri Lanka.

Epidemiology of intentional self-poisoning in rural Sri Lanka.
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DOI:
10.1192/bjp.187.6.583
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发表时间:
2005-12
期刊:
The British journal of psychiatry : the journal of mental science
影响因子:
--
通讯作者:
Buckley NA
Buckley NA
中科院分区:
其他
文献类型:
--
作者:
Eddleston M;Gunnell D;Karunaratne A;de Silva D;Sheriff MH;Buckley NA

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我们通过对两家二级医院2189名住院患者的前瞻性记录,调查了斯里兰卡农村故意自我中毒的流行病学。许多患者年轻(中位年龄25岁),男性(57%),使用农药(49%)。198人死亡,其中男性156人(病死率12.4%),女性42人(4.5%)。52%的女性死亡年龄在25岁以下;男性死亡在各年龄组之间分布更为均匀。夹竹桃和百草枯在25岁以下人群中造成74%的死亡;此后,有机磷农药造成许多人死亡。尽管自我中毒的年龄模式与工业化国家相似,但病死率却高出1.5倍,致命的自我中毒模式也大不相同。
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 25yrs), male (57%), and used pesticides (49%). 198 died, 156 men (case fatality 12.4%) and 42 women (4.5%). 52% of female deaths were in those <25yrs; male deaths were spread more evenly across age groups. Oleander and paraquat caused 74% of deaths in people <25yrs; thereafter organophosphorus pesticides caused many deaths. Although the age-pattern of self-poisoning was similar to industrialised countries, case-fatality was >15 times higher and the pattern of fatal self-poisoning quite different.
DOI: 10.1016/s0140-6736(02)11681-3
发表时间: 2002-11-30
期刊: LANCET
影响因子: 168.9
作者:
Phillips, MR;Yang, GH;Zhou, MG
通讯作者: Zhou, MG
DOI: 10.1136/bmj.326.7399.1121
发表时间: 2003-05-24
影响因子: --
作者:
Joseph, A;Abraham, S;Jacob, KS
通讯作者: Jacob, KS