Preventing deaths from pesticide self-poisoning—learning from Sri Lanka's success
Open accessAbstract
WHO estimates that over 800 000 people die by suicide each year, with the majority of these deaths occurring in low-income and middle-income countries (LMICs).1 During the late 1990s and early 2000s an estimated 35% of suicides, or 300 000 deaths, were due to intentional pesticide self-poisoning.2 These numbers have since fallen,3 but WHO still considers pesticide self-poisoning to be one of the three most important means of global suicide.1
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Measures to reduce suicide risk, such as legislation to restrict access to hazardous pesticides, have been associated with a substantial decrease in suicide rates in some Asian countries, including in Sri Lanka, at a very cost-effective US$1·23 per DALY averted.
“Measures to reduce suicide risk, such as legislation to restrict access to hazardous pesticides, have been associated with a substantial decrease in suicide rates in some Asian countries, including in Sri Lanka, at a very cost-effective US$1·23 per DALY averted. 443”
From The Lancet Psychiatry Commission on youth mental health (2024) · cites this paper as [443]
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Kenneth, C., Mujaju, C., Kutywayo, D., Muhera, S., Taurai, M., Duncan, M., Mwale, S., Ivy, G. S., Kudzai, K., Carl, C. M., et al. (2025) · African Journal of Agricultural Research · doi:10.5897/ajar2025.16861
Trends and prevalence of suicide among children and young people in Türkiye
İğde, E. N., & Taştekin, B. (2025) · Medicine Science and the Law · doi:10.1177/00258024251408637
Robbins, C., Rajapakse, T. N., Bandara, P., Ushani, T., Senarathna, L., Knipe, D. W., & Kidger, J. (2026) · Crisis · doi:10.1027/0227-5910/a001050
Self-citationSeeing the similarities: Applying a coherent lens to harmful products as drivers of suicide
van Schalkwyk, M. C., Knipe, D. W., Cassidy, R., Tyrell, K. F., Collin, J., & Eddleston, M. (2026) · PLOS Global Public Health · doi:10.1371/journal.pgph.0006437
Self-citationEconomic Burden of Pesticide-Attributable Neurological Disease in MENA RegionPreprint
Darwish, A., Samy, A., Amin, A., Al-Nady, J., Sami, S., & Sherif, M. (2026) · Research Square · doi:10.21203/rs.3.rs-9670402/v1
Omatighene, E. O. U., Ukoba, O., Emuoghenerue, O., Odonmeta, A. B., M, E. I., Imonivwerha, I., & Ohaju, O. J. (2026) · SAP Health and Policy · doi:10.62486/shp2026320
A systematic review of clinical patterns and outcomes of acute organophosphate poisoning in Nigeria
Ogundipe, T. O., Salau, I. T., Ramon, I., Efundipo, A. O., & Folorunso, Q. A. (2026) · Discover Toxicology · doi:10.1007/s44339-026-00062-0
- Authors
- Knipe, D. W., Gunnell, D., & Eddleston, M.
- Affiliations
- University of Peradeniya (LK)
- Corresponding author
- Eddleston, Michael
- Venue
- The Lancet Global Health
- Publisher
- Elsevier BV
- Published
- 2017-07
- Volume
- 5
- Issue
- 7
- Pages
- e651-e652
- ISSN
- 2214-109X (ISSN-L)
- OpenAlex
- W2626162504
- Cited by
- 90
- References
- 9
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 12 · 2023: 10 · 2022: 12 · 2021: 11 · 2020: 10 · 2019: 7 · 2018: 10 · 2017: 3
- FWCI
- 10.18
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- The Lancet Global Health (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Explore Bristol Research (publishedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Edinburgh Research Explorer (University of Edinburgh) (submittedVersion, cc-by-nc-nd)
- Bristol Research (University of Bristol) (submittedVersion, cc-by-nc-nd)
- Funders
- Economic and Social Research Council (ES/P009735/1)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Life Sciences › Agricultural and Biological Sciences › Plant Science › Pesticide Exposure and Toxicity
- Health Sciences › Medicine › Emergency Medicine › Poisoning and overdose treatments
- Keywords
- pesticide self-poisoning, suicide prevention, suicide, Sri Lanka, intentional self-harm, suicide trends, suicide prevention programs
- MeSH terms
- Suicide Prevention, Agriculture, Commerce, Developing Countries, Humans, Pesticides, Poisoning, Sri Lanka, Suicide
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