Association between exposure to organophosphorus pesticide and suicidal ideation among U.S. adults: A

Mo-Yao Tan1, Shan Wu2, Si-Xuan Zhu2

  • 1Chengdu Integrated TCM and Western Medicine Hospital, Chengdu, Sichuan, China.

Abstract

Insights

Exposure to organophosphorus pesticides (OPPs), particularly dimethylthiophosphate (DMTP), is linked to increased suicidal ideation (SI) in adults. Young and older men show heightened susceptibility to these pesticide effects.

Area of Science:

  • Environmental Health
  • Neuroscience
  • Public Health

Background:

  • Organophosphorus pesticides (OPPs) are widely used, raising concerns about potential neurotoxic effects.
  • Suicidal ideation (SI) is a significant public health issue with multifactorial causes.
  • Understanding environmental risk factors for SI is crucial for prevention strategies.

Purpose of the Study:

  • To investigate the association between exposure to organophosphorus pesticides (OPPs) and suicidal ideation (SI) in adults.
  • To identify specific OPP metabolites and population subgroups most vulnerable to these effects.
  • To assess the cumulative impact and interactions of multiple OPP exposures on SI.

Main Methods:

  • Utilized data from four cycles of the National Health and Nutrition Examination Survey (NHANES) with 5244 adult participants.
  • Assessed SI using the Patient Health Questionnaire-9 and measured OPP metabolite levels in urine samples.
  • Employed multivariate logistic regression, WQS regression, and BKMR models for association and cumulative impact analyses, including stratified analyses by demographics and health status.

Main Results:

  • Dimethylthiophosphate (DMTP) showed a statistically significant positive association with SI (OR: 1.18).
  • WQS and BKMR models confirmed a significant association between mixed OPP metabolites and SI, with DMTP being a major contributor.
  • Stratified analyses revealed a pronounced effect of OPPs on SI in young and older men.

Conclusions:

  • Exposure to DMTP is associated with an increased risk of suicidal ideation (SI).
  • Young adult males and older males are particularly susceptible to the adverse mental health effects of OPP exposure.
  • These findings highlight the need for further research into environmental toxins as potential contributors to suicidal ideation.

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