Attempted suicide by drug overdose and by poison-ingestion methods seen at the main general hospital in the Fiji islands: a comparative study

Gen Hosp Psychiatry. 2001 Sep-Oct;23(5):266-71. doi: 10.1016/s0163-8343(01)00156-6.

Abstract

Objective: This study examined the prevalence and the characteristics of deliberate self-poisoning patients seen at the main general hospital in the Fiji Islands.

Method: Thirty-one consecutive patients with deliberate drug-overdose and 27 others with nonoverdosed self-poisoning were compared on sociodemographic and clinical variables.

Results: Deliberate self-poisoning cases represented 0.3% of the hospital admissions, and had a rate of 25.9 per 100,000 population. The overdose group was significantly older (P<.05), whereas the poison-ingestion group had significantly greater proportion of males (P<.03). The rate of psychiatric morbidity was significantly higher in the overdose group (P=.04), whereas the history of alcohol abuse was significantly higher in the other group (P=.04). Paracetamol (35.5%) and paraquat (29.7%) were the most commonly used agents.

Conclusions: Age, gender, rate of psychiatric morbidity, or history of alcohol abuse could be predictive of whether drug overdose or poison ingestion would be used for deliberate self-poisoning. This information could be relevant in the formulation of suicide preventive strategies.

Publication types

  • Comparative Study

MeSH terms

  • Acetaminophen / poisoning
  • Adolescent
  • Adult
  • Comorbidity
  • Cross-Cultural Comparison*
  • Cross-Sectional Studies
  • Drug Overdose / epidemiology*
  • Female
  • Fiji / epidemiology
  • Hospitals, General
  • Humans
  • Incidence
  • Male
  • Mental Disorders / epidemiology
  • Paraquat / poisoning
  • Poisoning / epidemiology*
  • Suicide, Attempted / statistics & numerical data*

Substances

  • Acetaminophen
  • Paraquat