Social risk factors and outcome analysis of poisoning in an Iranian referral medical center: A toxico-epidemiological approach

Abstract

Objective:Suicide is the second major reason of death in the age range of 15-24 and is the eighth reason for overall death of adults. Because of high accessibility of people to different medications in our society, one of the easiest ways for suicide is intentional self-poisoning with medications. Therefore, the aim of this study was to determine the rate of suicide with respect to influencing social factors on patients with intentional self-poisoning.Methods:This was an analytic-descriptive prospective study. All study data were collected through a checklist in patients with intentional self-poisoning who had been referred to referral hospital within 2011-2012.Findings:A total of 400 patients (60% female) were evaluated. Age average ± standard deviation of participants was 22.57 ± 9.20 years. About 78.2% had high school degree or less. Nearly 27.8% of all happened suicides take place as a result of family disputes, marital problems (21%) and poverty (11.5%). Love issues with a rate of 10.3% were set in the next step. About 23.2% had a history of a past psychological disorder. Around 97.5% of the patients survived. The shorter the time of hospitalization is for each patient, the better survival rate is obtained through post-suicidal medical care. A statistically meaningful relationship was observed between self-poisoning to commit suicide and absence of academic education (P = 0.02).Conclusion:Suicide attempt through self-poisoning is more common in female, married individuals, people without academic education and those with a poor socio-economic status. Furthermore, results announce family disputes as the most pre-disposing factor for suicide.

A hospital base epidemiology and pattern of acute adult poisoning across Iran: a systematic review

“…In a study of 414 patients in Gorgan, 82.6% of the cases were poisoned by pharmaceutical drugs ( 29 ). In the second geographical zone, in two studies in Isfahan from 2015 and 2013, pharmaceutical drugs, specifically psychiatric pharmaceutical drugs, were the leading cause of poisoning ( 30 , 31 ). Another study of 266 poisoned patients, in Shiraz, found that drug poisoning was the most common type of poisoning (68%) ( 32 ).…”

“…In Sari, from 2,057 poisoned patients, organophosphate insecticides and carbamates were the third most common cause of poisoning, after pharmaceutical drugs and opioids ( 6 ). In the second zone of Iran, one study of 400 poisoned patients in Isfahan reported organophosphates (2.75%) as the third most common source of poisoning ( 30 ). In a study of 786 poisoned patients from vulnerable social stratum in Isfahan, 4.4% were due to pesticides, which was again the third most common cause of poisoning ( 31 ).…”

“…In a study on 2,057 cases of poisoning in Sari, opium was the most common cause, after pharmaceutical drugs ( 6 ). In the second geographical zone, in a study in Isfahan on 400 patients with poisoning, opium was found to cause 6.25% of poisoning cases ( 30 ). Another study in the same city on 786 patients showed that 10.3% of the cases were due to substance abuse ( 31 ).…”

Anemia, depression, and suicidal attempts in women: Is there a relationship?

“…[678910] Depression on the top causes of suicide has been evaluated in many articles. Many predisposing factors have been mentioned for depression which may have also a role in suicide.…”

Risk factors and the outcome of therapy in patients with seizure after Carbamazepine poisoning: A two-year cross-sectional study

“…In our clinical setting (Noor and Ali Asghar [PBUH] University Hospital, Isfahan, Iran), carbamazepine poisoning is one of the three most important causes of status epilepticus. [ 19 ] With regard to the serious complications of frequent seizure episodes and status epilepticus after carbamazepine poisoning (e.g., hypoxic brain damages in status epilepticus, sudden death with arrhythmia, rhabdomyolysis and aspiration pneumonia),[ 20 21 ] the evaluation of the associated risk factors for this type of seizure seems to be important. Therefore, this study was performed in order to increase the present knowledge about the frequency of seizure in carbamazepine poisoned patients and to define the important risk factors related to the outcomes of therapy, as well as the prognosis of these patients.…”