Self-poisoning by drugs and chemicals: variations in demographics, associated factors and final outcomes

Gen Hosp Psychiatry. 2008 Sep-Oct;30(5):467-70. doi: 10.1016/j.genhosppsych.2008.04.004. Epub 2008 Jul 23.

Abstract

Objective: Drug overdose exposures were compared with chemical poisoning in terms of demographics, associated factors and final outcomes.

Method: Deliberate self-poisoning (DSP) cases admitted to Penang General Hospital during the years 2000-2004 were studied. Chi-square, independent t-test and binary logistic were used whenever applicable.

Results: Indian patients were more likely to use household products, whereas Malay and Chinese patients were more likely to take drug overdoses (P=.001). Drug overdose victims experienced more socioeconomic problems (P=.05) and were more likely to be admitted to the intensive care unit (P=.052). Chemical poisoning patients presented earlier (P=.011), were hospitalized for shorter time (P=.001) and had a higher rate of mortality (P=.01).

Conclusion: The present study has identified a unique ethnic variation in the choice of suicide attempts from toxic substances. DSP associated with drug overdose showed significant morbidity, but increased mortality was seen in chemical poisoning.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Cause of Death
  • Cross-Sectional Studies
  • Developing Countries*
  • Drug Overdose / ethnology*
  • Drug Overdose / mortality
  • Drug Overdose / psychology
  • Ethnicity / psychology*
  • Ethnicity / statistics & numerical data
  • Female
  • Household Products / poisoning
  • Humans
  • Intensive Care Units / statistics & numerical data
  • Length of Stay / statistics & numerical data
  • Malaysia
  • Male
  • Middle Aged
  • Nonprescription Drugs / poisoning
  • Patient Admission / statistics & numerical data
  • Pesticides / poisoning
  • Poisoning / ethnology*
  • Poisoning / mortality
  • Poisoning / psychology
  • Prescription Drugs / poisoning
  • Socioeconomic Factors
  • Suicide / ethnology*
  • Suicide / psychology
  • Suicide / statistics & numerical data
  • Suicide, Attempted / ethnology*
  • Suicide, Attempted / psychology
  • Suicide, Attempted / statistics & numerical data

Substances

  • Nonprescription Drugs
  • Pesticides
  • Prescription Drugs