Deliberate self-poisoning: a study from Nablus

Sawalha, Ansam F.

doi:10.1515/ijamh.2012.054

Cited by 4 publications

(4 citation statements)

References 20 publications

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“…Surprisingly, only two governmental hospitals had the antidote for paracetamol poisoning (N-acetylcysteine) in stock. The current study showed that few hospitals hold antidotes for digoxin toxicity and isoniazid poisoning, which is in keeping with findings reported from previous studies that these antidotes are rarely requested [3,24]. In addition, the availability of an antidote to treat individual patients who have been poisoned with cyanide was inadequate, as the 18 hospitals held no antidote.…”

Section: Discussionsupporting

confidence: 85%

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Availability of treatment resources for the management of acute toxic exposures and poisonings in emergency departments among various types of hospitals in Palestine: a cross-sectional study

Zyoud

Al-Jabi

Bali

et al. 2014

Scand J Trauma Resusc Emerg Med

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BackgroundPoisoning exposures continue to be a significant cause of morbidity and mortality worldwide. The lack of facilities, treatment resources, and antidotes in hospitals may affect the treatments provided and outcomes. This study aimed to determine the availability of gastrointestinal (GI) decontamination, stabilisation, elimination enhancement resources, and antidotes for the management of acute toxic exposures and poisonings in emergency departments (EDs) among various types of governmental and private hospitals in Palestine.MethodsA cross-sectional study using semi-structured questionnaire was performed. Data were collected based on hospital resources; GI decontamination, stabilisation, elimination enhancement resources and antidotes from Palestinian hospitals.ResultsEighteen hospitals (94.7%) have responded. Among them, paracetamol poisoning was the most frequently reported cases by EDs (mean frequency score = 7.6 ± 2.1), followed by bee stings (mean = 6.9 ± 2.7) and organophosphate poisoning (mean = 6.7 ± 2.7). The availabilities of most resources related to GI decontamination items varied substantially with hospital type, but these differences were not statistical significant. The availability of stabilisation resources was not significantly different between hospitals types. For the availability of techniques used to enhance the elimination of toxic substances, there were variations between the hospitals types. However, these differences were not statistical significant, except for haemodialysis (p = 0.003) which was more available in governmental hospitals. For the availability of antidotes, none of the hospitals had sufficient stock of all antidotes listed. In relation to hospital type, there was variability in the availability of antidotes, but this did not reach statistical significance, except for deferoxamine (p < 0.001), which was available in all governmental hospitals but none of the private hospitals.ConclusionsThe availability of treatment resources and antidotes in Palestinian hospitals was not adequate except for stabilisation resources. The availability of such resources acts as a marker for the level of readiness of hospital EDs in Palestine for the management of acute toxic exposure and poisoning. The implementation of a minimum list of antidotes and treatment resources would be useful to increase the level of resources. Coordination between Palestinian poison control and drug information centre and hospitals is also important.

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Section: Discussionsupporting

confidence: 85%

“…This section of the questionnaire was designed to be self-administered by ED physicians. A list of common toxic agents was compiled from the published previous studies in Palestine [3,24,25]. The participants were asked to give an ascending ranking of the exposures on this list according to their observed incidence during the last year.…”

Section: Methodsmentioning

confidence: 99%

Availability of treatment resources for the management of acute toxic exposures and poisonings in emergency departments among various types of hospitals in Palestine: a cross-sectional study

Zyoud

Al-Jabi

Bali

et al. 2014

Scand J Trauma Resusc Emerg Med

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“…On the other hand, the number of poisoning incidents involving antihypertensive drugs reported to the American Association of Poison Control Centres’ toxic exposure surveillance system has progressively increased over the past 30 years [ 16 , 17 ]. In addition, published data on poisoning by antihypertensive drugs in Palestine are sparse and our experience is gained mainly from Poison Control and Drug Information Centre indicated an increase in cases of antihypertensive exposures [ 18 – 20 ].…”

Section: Introductionmentioning

confidence: 99%

Comparative analysis of package inserts of local and imported antihypertensive medications in Palestine

et al. 2017

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BackgroundPackage inserts (PIs) as a reliable reference for patients and health care providers should provide accurate, complete and up-to-date information. The purpose of the current study is to assess and compare the PIs of antihypertensive agents locally produced in Palestine and their imported counterparts.MethodsThirty-five PIs were assessed for the presence of 31 information statements using a scoring method. Word counting of 20 headings and subheadings was used to evaluate and compare local and imported PIs for information quantity.ResultsNone of the analysed PIs fulfilled the criteria. All of them included the brand name, active ingredients, indications, directions for use, adverse drug reactions, drug–drug interactions, pregnancy and lactation considerations, and storage. Whereas none of them, either local or imported PIs, included the shelf life and instructions to convert tablets or capsules into liquid forms. Additionally, only one (5%) imported and no (0%) local PIs mentioned the duration of therapy. Moreover, 93.4% of local PIs were deficient in areas regarding the inactive ingredients and date of last revision, and 86.7% did not mention the drug dose and possibility of tablet splitting. Furthermore, the maximum dose was not indicated in 90% of imported and 86.7% of local PIs. In general, imported PIs contained more detailed information than their local counterparts, where the range of differences in medians between the local and imported PIs was from 1.5-fold for pregnancy considerations to >42.00-fold for the effect on the ability to drive and use machines.ConclusionsThe findings of this study revealed the superiority of imported over local PIs in both quality and quantity of information provided. This emphasises the need for appropriate measures to be taken by the Ministry of Health and local manufacturers to ensure efficiency of local PIs in providing accurate, complete and up-to-date information.

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“…As noted by Ghosh (2019), it is possible that factors associated with religion, country, and ethnicity may affect self-harming beliefs and behaviors. For instance, the lower incidence of self-harming behaviors among individuals in Middle Eastern countries is often attributed to guilt or shame around these types of behaviors due to religious values (Sawalha, 2012). Skegg (2005) also points out that cultural aspects of some societies may protect against self-harm and explain some of the international variation in the rates of these events.…”

Section: Limitations and Future Directionsmentioning

confidence: 99%

Resilience to Self-Harm

Khan

Ungar

2023

Crisis

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Abstract. Background: Although a wide range of studies discuss prevalence and risk factors associated with self-harm, protective factors that are equally important are rarely explored. Moreover, much of our understanding of young individuals who engage in self-harm come from studies conducted in Western countries with very little emphasis on marginalized groups. Aim: This scoping review identifies research on resilience among marginalized youth and youth living in low- and middle-income countries (LMICs) who show evidence of self-harm. Method: A scoping review following Arksey and O’Malley’s (2005) framework was conducted. This effort included drawing upon peer-reviewed research published between January 2000 and September 2020 to identify protective factors and coping strategies that are employed by individuals 10–29 years old with self-harming tendencies. Results: A total of 15 original papers met the inclusion criteria. The majority of the LMIC publications were from China. Social support, positive youth development, and religiosity were the most frequently reported protective factors. Conclusion: Despite widespread concern about self-harm, there are few peer-reviewed articles that look at resilience or recovery among youth in LMICs and among marginalized young people. In addition to various internal and external protective factors, this scoping review identifies gaps in our understanding of resilience to self-harm among youth belonging to these groups.

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Deliberate self-poisoning: a study from Nablus

Cited by 4 publications

References 20 publications

Availability of treatment resources for the management of acute toxic exposures and poisonings in emergency departments among various types of hospitals in Palestine: a cross-sectional study

Availability of treatment resources for the management of acute toxic exposures and poisonings in emergency departments among various types of hospitals in Palestine: a cross-sectional study

Comparative analysis of package inserts of local and imported antihypertensive medications in Palestine

Resilience to Self-Harm

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