A Study on Suicidal Poisoning in a Tribal Area of Mahabubabad, Telangana
DOI:
https://doi.org/10.37506/5e6tc656Keywords:
deaths,pesticide, poisoning, suicide, tribal.Abstract
Background: Pesticide poisoning kills hundreds of thousands of people in the Asia Pacific region each year. The majority are from deliberate self-poisoning with organophosphorus pesticides (OP),paraquat etc. It is a critical health problem in rural areas, where hazardous pesticides are easily available. Very few studies were present regarding this in India and research on anti-dotes to commonly available pesticides is very minimal. According to WHO report, it is the 2nd most common cause of death among people aged 15-29 years.
Methodology: An observational study was conducted to study suicidal poisoning cases from Jan-June 2022 in a retrospective record-based manner.Qualitative variables were represented with graphs and tables. Quantitative variables were represented with mean and Standard deviation. Multinomial logistic regression was done to test the significance of poisoning agents with survival status. Nagelkerke R-squared mean regression model was considered in the analysis. p-value less than 0.05 was considered significant.
Results: The incidence of suicidal poisoning was 696(~0.46%) during the study period. The mean age of the study population is 32.5±12.3 years. Majority of the cases were Organophosphorus compounds and paraquat comprising a total of about 26.11%. Fatality rate was 17.4% Multinomial logistic regression of various poisoning agents showed high significance of mortality OP poisoning(p=0.03), Paraquat poisoning (p<0.001) and Herbicides(p=0.02).
Conclusion: Young populations were more prone to commit suicide suggesting increased recognition of the need for a coordinated response involving public health officials and psychiatric specialists to conduct mental health awareness camps and to provide counselling. Strengthening of translational research to develop anti-dotes for commonly available pesticides.
References
Buckley NA, Eddleston M, Dawson AH. The need for translational research on antidotes for pesticide poisoning. Clin Exp Pharmacol Physiol. 2005 Nov;32(11):999–1005.
Suicide rates in rural Tamil Nadu, South India: verbal autopsy of 39 000 deaths in 1997-98 - PubMed [Internet]. [cited 2023 Apr 15]. Available from: https://pubmed.ncbi.nlm.nih.gov/17301103/
The World Health Organization’s report on suicide: a fundamental step in worldwide suicide prevention - PubMed [Internet]. [cited 2023 Apr 15]. Available from: https://pubmed.ncbi.nlm.nih.gov/25297514/
Suicide worldwide in 2019 [Internet]. [cited 2023 Apr 15]. Available from: https://www.who.int/publications-detail-redirect/9789240026643
Accidental Deaths & Suicides in India (ADSI) | National Crime Records Bureau [Internet]. [cited 2023 Apr 15]. Available from: https://ncrb.gov.in/en/accidental-deaths-suicides-india-adsi
Suicide and suicidal behaviour - PubMed [Internet]. [cited 2023 Apr 15]. Available from: https://pubmed.ncbi.nlm.nih.gov/26385066/
The WHO Recommended Classification of Pesticides by Hazard and guidelines to classification, 2019 edition [Internet]. [cited 2023 Apr 15]. Available from: https://www.who.int/publications-detail-redirect/9789240005662
The impact of pesticide regulations on suicide in Sri Lanka - PubMed [Internet]. [cited 2023 Apr 15]. Available from: https://pubmed.ncbi.nlm.nih.gov/17726039/
Patterns and problems of deliberate self-poisoning in the developing world - PubMed [Internet]. [cited 2023 Apr 15]. Available from: https://pubmed.ncbi.nlm.nih.gov/11077028/
Mahabubabad Population 2022/2023, Mandal Village List in Warangal, Telangana [Internet]. [cited 2023 Apr 18]. Available from: https://www.indiagrowing.com/Telangana/Warangal/Mahabubabad
Bonvoisin T, Utyasheva L, Knipe D, Gunnell D, Eddleston M. Suicide by pesticide poisoning in India: a review of pesticide regulations and their impact on suicide trends. BMC Public Health. 2020 Feb 19;20:251.
Patel NS, Choudhary N, Choudhary N, Yadav V, Dabar D, Singh M. A hospital-based cross-sectional study on suicidal poisoning in Western Uttar Pradesh. J Family Med Prim Care. 2020 Jun 30;9(6):3010–4.
Sharma R, Neelanjana, Rawat N, Panwar N. Mortality and morbidity associated with acute poisoning cases in north-east India: A retrospective study. J Family Med Prim Care. 2019 Jun;8(6):2068–72.
Suicidal poisoning in Southern India: gender differences - PubMed [Internet]. [cited 2023 Oct 1]. Available from: https://pubmed.ncbi.nlm.nih.gov/18096509/
Epidemio-toxicological profile and reasons for fatal suicidal poisoning: A record-based study in South India - PMC [Internet]. [cited 2023 Oct 1]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8963612/
The cost of highly hazardous pesticide self-poisoning in India at University of Bristol on FindAPhD.com [Internet]. www.FindAPhD.com. [cited 2023 Oct 1]. Available from: https://www.findaphd.com/phds/project/the-cost-of-highly-hazardous-pesticide-self-poisoning-in-india/?p148053
India at a glance | FAO in India | Food and Agriculture Organization of the United Nations [Internet]. [cited 2023 Oct 2]. Available from: https://www.fao.org/india/fao-in-india/india-at-a-glance/en/
Bose A, Sandal Sejbaek C, Suganthy P, Raghava V, Alex R, Muliyil J, et al. Self-harm and self-poisoning in southern India: choice of poisoning agents and treatment. Tropical Medicine & International Health. 2009;14(7):761–5.
Karunarathne A, Bhalla A, Sethi A, Perera U, Eddleston M. Importance of pesticides for lethal poisoning in India during 1999 to 2018: a systematic review. BMC Public Health. 2021 Jul 22;21(1):1441.
Staniszewska A, Lasota D, Kielan A, Brytek-Matera A. Suicide Attempts and Suicides as a Result of Poisoning and under the Influence of Xenobiotics in Poland in 1999–2020. Int J Environ Res Public Health. 2022 Feb 18;19(4):2343.
Gender differentials and state variations in suicide deaths in India: the Global Burden of Disease Study 1990-2016 - PubMed [Internet]. [cited 2023 Oct 2]. Available from: https://pubmed.ncbi.nlm.nih.gov/30219340/
Patel V, Ramasundarahettige C, Vijayakumar L, Thakur JS, Gajalakshmi V, Gururaj G, et al. Suicide mortality in India: a nationally representative survey. Lancet. 2012 Jun 23;379(9834):2343–51.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
https://creativecommons.org/licenses/by-nc/2.0/deed.en