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Suicide by poisoning.

G Hutchinson1, H Daisley, V Simmons

  • 1Department of Medicine, General Hospital, Port-of-Spain, Trinidad.

The West Indian Medical Journal
|June 1, 1991
PubMed
Summary
This summary is machine-generated.

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Deliberate self-poisoning deaths in Trinidad predominantly affected young males, with East Indians and Africans being the most represented ethnic groups. Paraquat was the most common poison used in these tragic suicides.

Area of Science:

  • Epidemiology
  • Toxicology
  • Public Health

Background:

  • Deliberate self-poisoning is a significant public health concern.
  • Understanding the demographics and factors contributing to fatal outcomes is crucial for prevention.

Purpose of the Study:

  • To conduct an epidemiological evaluation of deaths resulting from deliberate self-poisoning.
  • To identify demographic patterns, precipitating factors, and common agents used in fatal poisonings.

Main Methods:

  • Retrospective analysis of 270 deceased patients from January 1986 to June 1990.
  • Autopsy and toxicological confirmation of cause of death.
  • Assessment of epidemiological variables including age, sex, race, precipitating factors, and poison type.

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Main Results:

  • The male to female ratio was 2.7:1.
  • East Indians (54.4%) and Africans (42.0%) were the predominant ethnic groups.
  • The 11-34 age group constituted the majority (52.6%) of cases.
  • "Lovers' quarrels" (35.4%), psychiatric illness (27.8%), and family disputes (27%) were leading precipitating factors.
  • Paraquat was the most frequently used poison (63.7%).

Conclusions:

  • Fatal deliberate self-poisoning disproportionately affected young males, with significant representation from East Indian and African populations.
  • Interpersonal conflicts and psychiatric conditions, particularly depression, were key triggers.
  • The high prevalence of paraquat poisoning highlights the need for targeted interventions and restricted access to such agents.