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Self-poisoning suicides in England: a multicentre study.

N Kapur1, P Turnbull, K Hawton

  • 1Centre for Suicide Prevention, Williamson Building, University of Manchester, Oxford Road, Manchester M13 9PL. nav.kapur@manchester.ac.uk

QJM : Monthly Journal of the Association of Physicians
|June 29, 2005
PubMed
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Approximately 23% of suicides by self-poisoning reached hospital alive. Improved medical management, beyond emergency care, could significantly reduce suicide rates.

Area of Science:

  • Public Health
  • Toxicology
  • Emergency Medicine

Background:

  • Suicide by self-poisoning is a significant global health concern.
  • Many fatal self-poisoning cases involve contact with medical services prior to death.

Purpose of the Study:

  • To determine the proportion of self-poisoning suicides reaching hospital alive.
  • To compare characteristics of survivors versus non-survivors.
  • To detail clinical aspects and management of in-hospital deaths.

Main Methods:

  • Retrospective audit of coroners' files.
  • Study encompassed 24 coroners' jurisdictions in England.
  • Data collected for suicides by self-poisoning between January 2001 and December 2001.

Related Experiment Videos

Main Results:

  • Out of 214 self-poisoning suicides, 49 (23%) reached hospital alive.
  • Hospital survivors were more likely female, ingested paracetamol, and less likely co-proxamol.
  • Leading in-hospital causes of death included respiratory, hepatic/hepatorenal, and cardiac issues.

Conclusions:

  • An estimated 300 self-poisoning suicides annually reach hospital alive in England.
  • Enhanced medical management, not limited to emergency care, may reduce suicide rates.
  • Further research is needed to quantify the impact of medical management on suicide prevention.