Effects of a drug overdose in a television drama on presentations to hospital for self poisoning: time series and questionnaire study
Effects of a drug overdose in a television drama on presentations to hospital for self poisoning: time series and questionnaire study
复制标题
DOI：
10.1136/bmj.318.7189.972
复制
发表时间：
1999-04-10
影响因子：
--
通讯作者：
Bulstrode, C
中科院分区：
文献类型：
--
作者：
Hawton, K;Simkin, S;Bulstrode, C
目的确定是否严重的扑热息痛过量的医疗电视剧伤亡改变了一般医院介绍故意selfpoison.Design中断时间序列分析的发病率和性质的自我中毒在事故和急诊科在三个星期的时间内，广播之前和之后的介绍。方法：收集同期自毒患者的问卷调查资料，地点：英国49个急诊科和精神科，25个服务机构，共4403例自毒患者;主要结果测量广播后三周与广播后三周相比，结果在广播后一周内，自我中毒的报告增加了17%（95%置信区间7%~ 28%），在第二周增加了9%（0 ~ 19%）。对乙酰氨基酚用药过量的增加比非对乙酰氨基酚用药过量的增加更显著。在节目播出后的一周内，有32名患者接受了采访，其中20%的人说这影响了他们服用过量药物的决定，17%的人说这影响了他们选择药物。使用扑热息痛过量增加一倍的观众伤亡事件后（上升106%，28%至232%）。结论广播流行的电视剧描绘自我中毒可能有短期的影响，在医院介绍过量和药物的选择的变化。这就对媒体报道自杀行为的合法性提出了严重的质疑。
Objectives To determine whether a serious paracetamol overdose in the medical television drama Casualty altered the incidence and nature of general hospital presentations for deliberate self poisoning.Design Interrupted time series analysis of presentations for self poisoning at accident and emergency departments during three week periods before and after the broadcast. Questionnaire responses collected from self poisoning patients during the same periods.Setting 49 accident and emergency departments and psychiatric services in United Kingdom collected incidence data; 25 services collected questionnaire dataSubjects 4403 self poisoning patients; questionnaires completed for 1047.Main outcome measures Change in presentation rates for self poisoning in the three weeks after the broadcast compared with the three weeks before, use of paracetamol and other drugs for self poisoning, and the nature of overdoses in viewers of the broadcast compared with non-viewers.Results Presentations for self poisoning increased by 17% (95% confidence interval 7% to 28%) in the week after the broadcast and by 9% (0 to 19%) in the second week. Increases in paracetamol overdoses were more marked than increases in non-paracetamol overdoses. Thirty two patients who presented in the week after the broadcast and were interviewed had seen the episode-20% said that it had influenced their decision to take an overdose, and 17% said it had influenced their choice of drug. The use of paracetamol for overdose doubled among viewers of Casualty after the episode (rise of 106%; 28% to 232%).Conclusions Broadcast of popular television dramas depicting self poisoning may have a short term influence in terms of increases in hospital presentation for overdose and changes in the choice Of drug taken. This raises serious questions about the advisability of the media portraying suicidal behaviour.