The waterfall pattern of suicide mortality in Inner Mongolia for 2008–2015

Qin, Ping; Du, Maolin; Shu-bi, Wang; Zhang, Xingguang; Wang, Yanling; Yan, Tao; Li, Lehui; Xu, Xiaoqian; Zheng, Huiqiu; Gao, Liqun; Di, Yu; Niu, Mingzhu; Li, Hongwei; Wu, Ruijie; Sun, Juan

doi:10.1016/j.jad.2019.05.057

Cited by 3 publications

(25 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Following the PRISMA guidelines, we performed title and abstract screening on 7657 studies, leading to the exclusion of 7566 studies. We reviewed 91 full-text articles, and 62 studies 12 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , …”

Section: Resultsmentioning

confidence: 99%

“…Most studies were conducted in high-income countries, 12 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 73 , 74 , 75 with only 9 studies on pesticide and gas restrictions in low- and middle-income countries. 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 ...…”

Section: Resultsmentioning

confidence: 99%

“…A total of 23 studies reported pesticide interventions in 15 countries ( Table ). 12 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 Occupational licensing for conditional access to pesticides generally occurred earlier (1960-1975) than complete bans (1984-2012). Specific pesticides and classes that were restricted included organophosphates, parathion, organochlorines, and paraquat.…”

Section: Resultsmentioning

confidence: 99%

“…Suicide by other methods did not change in Finland, Crete (Greece), Inner Mongolia, and Sri Lanka. 17 , 18 , 19 , 21 , 30 , 34 Suicide by other methods was not reported in Bangladesh, but there was a “25% decline in unnatural deaths.” 36 (pp175,178)…”

Section: Resultsmentioning

confidence: 99%

“…The main findings from each article are presented in a narrative synthesis ( Table ). 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 ...…”

Section: Methodsmentioning

confidence: 99%

See 4 more Smart Citations

Association Between Means Restriction of Poison and Method-Specific Suicide Rates

et al. 2021

View full text Add to dashboard Cite

IMPORTANCESuicide is a major and preventable cause of death worldwide. Means restriction aims to reduce the rate of completed suicides by limiting public access to lethal suicide methods. Means restriction of agents used in poisoning is more controversial because there is potential to switch to other lethal methods. OBJECTIVE To identify the changes in suicide rate by the targeted poison and the corresponding changes in suicide by other methods. EVIDENCE REVIEW Five databases (MEDLINE, Embase, Scopus, PsycInfo, and Web of Science)were searched for studies on national means restriction of poison that were published in the English language from inception until December 31, 2019. Of the 7657 articles that were screened by title and abstract, 62 studies were included in the analysis.FINDINGS Sixty-two studies from 26 countries in Europe, the US, Australia, Asia, and the United Kingdom were included in the review. The studies included restrictions on pesticides (15 countries), domestic gas (14 countries), motor vehicle exhaust (9 countries), and pharmaceuticals (8 countries).The median (IQR) change in method-specific suicide rates was −1.18 (−2.03 to −0.46) per 100 000 people after restrictions, whereas the median (IQR) change in other methods of suicide (not the restricted poison) was −0.09 (−2.22 to 1.65) per 100 000 people. Decreases in suicide by the restricted poison were not associated with increases in suicide by other methods. An estimated 57 355 poison-specific suicides annually (before the interventions were implemented) may have benefited the most from means restriction. CONCLUSIONS AND RELEVANCEThis systematic review found that means restriction of poison was associated with decreased method-specific suicide rates without an equivalent shift toward the use of other methods. Suicide prevention strategies need to address both individuals who are at risk and population-level policies.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 3 more Smart Citations

Association Between Means Restriction of Poison and Method-Specific Suicide Rates

et al. 2021

View full text Add to dashboard Cite

show abstract

Effect of pesticide ban on suicide trend – a 20-year study from a tertiary care center in Central Kerala from 2001 to 2020

Indira

Chowallur

Aryamol

et al. 2022

Clinical Toxicology

View full text Add to dashboard Cite

Impact of pesticide regulations on mortality from suicide by pesticide in China: an interrupted time series analysis

Yan,

Jiang,

Liu

et al. 2023

Front. Psychiatry

View full text Add to dashboard Cite

BackgroundPesticide bans and regulatory restrictions have been shown to be effective strategies for preventing suicide in several countries. Suicide and suicide by pesticides have decreased significantly in China over the past two decades. However, whether the reduction was associated with pesticide regulation is unknown.MethodsThe monthly data on suicide and suicide by pesticide from 2006 to 2018 were obtained from China's Disease Surveillance Point (DSP) system. Information on China's pesticide regulations since 1970 was obtained from Pesticide Action Network International (PAN International), Joint Meeting on Pesticide Management Highly Hazardous Pesticides (JMPM HHP) lists, the website of the Ministry of Agriculture of China, Pesticide Information Network of China, and the Wan Fang database. Change point detection and policy analysis were combined to identify the time of any trend change breakpoint of suicide and suicide by pesticide. Interrupted time series analysis was used to investigate the pre- and post-breakpoint trends of monthly standardized rates in suicide and suicide by pesticide.ResultsThe standardized pesticide suicide rate decreased by 60.5% from 6.50 in 2006 to 2.56 per 100,000 in 2018. Larger declines were evident among people in urban areas (67.3%), female individuals (63.5%), and people aged 15–44 years (68.1%). The effect of policies banning highly hazardous organophosphorus pesticides (HHOP) [rate ratio (RR) = 0.993, 95% CIs (0.991–0.994)] in December 2008 and stopping domestic sales and use of paraquat aqueous solution (RR = 0.992, 95% CIs: 0.990–0.994) in July 2016 were more pronounced than regulating the paraquat-related products (RR = 1.003, 95% CIs: 1.002–1.004) in April 2012.ConclusionDeclines in suicide by pesticide in China occurred contemporaneously with regulatory bans and restrictions implemented on several pesticides, particularly in urban areas, among female individuals, and the relatively low age profile. These findings indicate the potential influence of these bans on trends of suicide by pesticides.

show abstract

The waterfall pattern of suicide mortality in Inner Mongolia for 2008–2015

Cited by 3 publications

References 8 publications

Association Between Means Restriction of Poison and Method-Specific Suicide Rates

Association Between Means Restriction of Poison and Method-Specific Suicide Rates

Effect of pesticide ban on suicide trend – a 20-year study from a tertiary care center in Central Kerala from 2001 to 2020

Impact of pesticide regulations on mortality from suicide by pesticide in China: an interrupted time series analysis

Contact Info

Product

Resources

About