Choking on Toilet Paper

Sauvageau, Anny; Yesovitch, Rose

doi:10.1097/01.paf.0000203269.97907.a7

Cited by 14 publications

(5 citation statements)

References 15 publications

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“…The manner of death can be classified as accidental (Francis et al 2013), homicidal (Kurihara et al 1992;Kitulwatte and Edirisinghe 2020), or attributed to suicide (Pampin and Varela 2001;Sauvageau and Yesovitch 2006). Psychiatric disorders are associated with suicide, while abuse of drugs and alcohol has been associated with accidental death resulting from choking.…”

Section: Discussionmentioning

confidence: 99%

Crushed, uncooked egg in the oropharynx: a café coronary?

Mgbehoma,

Soyemi,

Obafunwa

2023

Egypt J Forensic Sci

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Background Obstruction of the upper respiratory airway can terminate in fatal asphyxia. Autopsy findings in asphyxial deaths as described in literature are not necessarily pathognomonic. A complete autopsy with ancillary studies is necessary to establish the cause, time, and manner of death. Case presentation The authors present a 44-year-old male who was found dead in his car. He had been remanded in prison for drug trafficking 1 year prior to his death. No other history or death scene findings were provided by the police. Autopsy revealed a crushed, uncooked egg in his oropharynx. Postmortem radiology and toxicology were not done due to nonavailability of the required facilities. Death was ascribed to asphyxia due to a crushed, uncooked egg in the oropharynx. The manner of death could not be ascertained because pertinent information regarding the deceased’s medical records, locus report, and other ancillary investigations was not available. Conclusions This report presents an unusual cause of mechanical upper airway obstruction that has never been documented and discusses some of the deficiencies of autopsy practice in resource-limited countries.

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Section: Discussionmentioning

confidence: 99%

Crushed, uncooked egg in the oropharynx: a café coronary?

Mgbehoma,

Soyemi,

Obafunwa

2023

Egypt J Forensic Sci

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“…Two case reports indicated suicide by mechanical asphyxia using toilet paper: one patient suffering from schizophrenia (Sauvageau & Yesovitch, 2006) and another patient with borderline personality disorder (Saint-Martin, Bouyssy & O'Byrne, 2007). It is not always easy to distinguish suicide from homicide, and another study reported the case of a homicide by toilet paper smothering in a patient with Alzheimer's disease (Saint-Martin, Lefrancq & Sauvageau, 2012).…”

Section: Systematic Reviewmentioning

confidence: 99%

“…paranoid personality disorder, psychotic disorders). In a patient with depressive mood, suicidal ideation needs to be explored because toilet paper might be used as a lethal mechanism for committing suicide (Sauvageau & Yesovitch, 2006;Saint-Martin, Bouyssy & O'Byrne, 2007).…”

Section: Managing Toilet Paper Hoarding: a Proposed Algorithm From The Catotim Groupmentioning

confidence: 99%

A systematic review and realist synthesis on toilet paper hoarding: COVID or not COVID, that is the question

Labad

González-Rodríguez

Cobo

et al. 2021

PeerJ

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Objective To explore whether the coronavirus disease 2019 (COVID-19) pandemic is associated with toilet paper hoarding and to assess which risk factors are associated with the risk of toilet paper hoarding. Design A systematic review and realist review were conducted. Data sources PubMed, Web of Science, Scopus and PsycINFO were searched (systematic review). PubMed, pre-prints and grey literature were also searched (realist review). The databases were searched from inception until October 2020. Study selection There were no restrictions on the study design. Outcomes and measures For the systematic review, toilet paper hoarding was the main outcome, and pathological use of toilet paper was the secondary outcome. For the realist review, the context-mechanisms-outcome (CMO) scheme included the COVID-19 pandemic (context), four proposed mechanisms, and one outcome (toilet paper hoarding). The four potential mechanisms were (1) gastrointestinal mechanisms of COVID-19 (e.g. diarrhoea), (2) social cognitive biases, (3) stress-related factors (mental illnesses, personality traits) and (4) cultural aspects (e.g. differences between countries). Eligibility criteria for selecting studies All studies of human populations were considered (including general population studies and clinical studies of patients suffering from mental health problems). Results The systematic review identified 14 studies (eight studies for the main outcome, six studies for the secondary outcome). Three surveys identified the role of the COVID-19 threat in toilet paper hoarding in the general population. One study pointed to an association between a personality trait (conscientiousness) and toilet paper buying and stockpiling as well as an additional significant indirect effect of emotionality through the perceived threat of COVID-19 on toilet paper buying and stockpiling. Six case reports of pathological use of toilet paper were also identified, although none of them were associated with the COVID-19 pandemic. The realist review suggested that of all the mechanisms, social cognitive biases and a bandwagon effect were potential contributors to toilet paper hoarding in the general population. The stressful situation (COVID-19 pandemic) and some personality traits (conscientiousness) were found to be associated with toilet paper hoarding. Cultural differences were also identified, with relatively substantial effects of toilet paper hoarding in several Asian regions (Australia, Japan, Taiwan and Singapore). Conclusions The COVID-19 pandemic has been associated with a worldwide increase in toilet paper hoarding. Social media and social cognitive biases are major contributors and might explain some differences in toilet paper hoarding between countries. Other mental health-related factors, such as the stressful situation of the COVID-19 pandemic, fear of contagion, or particular personality traits (conscientiousness), are likely to be involved. Registration PROSPERO CRD42020182308

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“…Interestingly, with only two applications of transcranial alternating current stimulation (tACS), the patient showed immediate improvement (using less than one toilet roll per day). Two case reports indicated suicide by mechanical asphyxia using toilet paper: one patient suffering from schizophrenia (Sauvageau & Yesovitch, 2006) and another patient with borderline personality disorder (Saint-Martin, Bouyssy & O'Byrne, 2007). It is not always easy to distinguish suicide from homicide, and another study reported the case of a homicide by toilet paper smothering in a patient with Alzheimer's disease (Saint-Martin, Lefrancq & Sauvageau, 2012).…”

Section: Systematic Reviewmentioning

confidence: 99%

Peer Review #2 of "A systematic review and realist synthesis on toilet paper hoarding: COVID or not COVID, that is the question (v0.1)"

2021

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To explore whether the coronavirus disease 2019 (COVID-19) pandemic is associated with toilet paper hoarding and to assess which risk factors are associated with the risk of toilet paper hoarding.Design: A systematic review and realist review were conducted.Data sources: PubMed, Web of Science, Scopus and PsycINFO were searched (systematic review). PubMed, pre-prints and grey literature were also searched (realist review). The databases were searched from inception until June 2020. Study selection:There were no restrictions on the study design.Outcomes and measures: For the systematic review, toilet paper hoarding was the main outcome, and pathological use of toilet paper was the secondary outcome. For the realist review, the contextmechanisms-outcome (CMO) scheme included the COVID-19 pandemic (context), four proposed mechanisms, and one outcome (toilet paper hoarding). The four potential mechanisms were 1) gastrointestinal mechanisms of COVID-19 (e.g., diarrhoea), 2) social cognitive biases, 3) stress-related factors (mental illnesses, personality traits), and 4) cultural aspects (e.g., differences between countries).Eligibility criteria for selecting studies: All studies of human populations were considered (including general population studies and clinical studies of patients suffering from mental health problems). Results:The systematic review identified 14 studies (8 studies for the main outcome, 6 studies for the secondary outcome). Three surveys identified the role of the COVID-19 threat in toilet paper hoarding in the general population. One study pointed to an association between a personality trait (conscientiousness) and toilet paper buying and stockpiling as well as an additional significant indirect effect of emotionality through the perceived threat of COVID-19 on toilet paper buying and stockpiling. Six case reports of pathological use of toilet paper were also identified, although none of them were associated with the COVID-19 pandemic. The realist review suggested that of all the mechanisms, social cognitive biases and a bandwagon effect were potential contributors to toilet paper hoarding in the general population. The stressful situation (COVID-19 pandemic) and some personality traits (conscientiousness) were found to be associated with toilet paper hoarding. Cultural differences were

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Choking on Toilet Paper

Cited by 14 publications

References 15 publications

Crushed, uncooked egg in the oropharynx: a café coronary?

Crushed, uncooked egg in the oropharynx: a café coronary?

A systematic review and realist synthesis on toilet paper hoarding: COVID or not COVID, that is the question

Peer Review #2 of "A systematic review and realist synthesis on toilet paper hoarding: COVID or not COVID, that is the question (v0.1)"

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