Choice of poison for intentional self-poisoning in rural Sri Lanka.
Choice of poison for intentional self-poisoning in rural Sri Lanka.
复制标题
DOI：
10.1080/15563650600584444
复制
发表时间：
2006
期刊：
影响因子：
--
通讯作者：
Gunnell D
中科院分区：
文献类型：
--
作者：
Eddleston M;Karunaratne A;Weerakoon M;Kumarasinghe S;Rajapakshe M;Sheriff MH;Buckley NA;Gunnell D
虽然故意自我投毒是亚太区域农村地区的一个主要公共卫生问题，但对其流行病学知之甚少。我们的目的是确定为什么斯里兰卡的自我中毒患者选择特定的毒药，以及是否与高度危险的毒药自残行为与更多的预谋和努力。我们采访了268自我中毒患者提出两个地区综合医院在斯里兰卡农村。85%的患者将容易获得作为他们选择毒药的基础。几乎没有预谋：超过50%的人在决定自残后不到30分钟就摄入了毒药。患者对治疗方案或所选毒药的致命性知之甚少。我们发现，在摄入不同毒药的人之间，选择毒药的原因没有差异，尽管毒性有显著差异，死亡者和幸存者之间也没有差异。毒药是根据可获得性选择的，通常是在很短的时间内。没有证据表明使用剧毒毒药的人有更严重或有预谋的企图。在减少亚太区域故意自我中毒死亡人数的战略中，必须考虑限制农村社区剧毒毒药的供应。
Although intentional self-poisoning is a major public health problem in rural parts of the Asia-Pacific region, relatively little is known of its epidemiology. We aimed to determine why Sri Lankan self-poisoning patients choose particular poisons, and whether acts of self-harm with highly dangerous poisons were associated with more premeditation and effort. We interviewed 268 self-poisoning patients presenting to two district general hospitals in rural Sri Lanka. 85% of patients cited easy availability as the basis for their choice of poison. There was little premeditation: more than 50% ingested the poison less than 30 minutes after deciding to self-harm. Patients had little knowledge about treatment options or lethality of the poison chosen. We found no difference in reasons for choice of poison between people ingesting different poisons, despite marked differences in toxicity, and between people who died and those who survived. Poisons were chosen on the basis of availability, often at short notice. There was no evidence that people using highly toxic poisons made a more serious or premeditated attempt. Restrictions on availability of highly toxic poisons in rural communities must be considered in strategies to reduce the number of intentional self-poisoning deaths in the Asia Pacific region.
登录
查看更多内容
影响因子：
10.5
作者：
Hawton, K;Ware, C;Weitzel, H
通讯作者：
Weitzel, H
影响因子：
105.7
作者：
Eddleston, M;Phillips, MR
通讯作者：
Phillips, MR
影响因子：
3.1
作者：
Gunnell, D;Ho, D;Murray, V
通讯作者：
Murray, V
影响因子：
168.9
作者：
Eddleston, M;Senarathna, L;Rajakanthan, K
通讯作者：
Rajakanthan, K
影响因子：
--
作者：
HAWTON, K;WARE, C;WEITZEL, H
通讯作者：
WEITZEL, H