Parasuicide and drug self-poisoning: Analysis of the epidemiological and clinical variables of the patients admitted to the Poisoning Treatment Centre (CAV), Niguarda General Hospital, Milan
Open accessAbstract
Epidemiological knowledge of parasuicides and drug self-poisoning is still limited by a lack of data. A number of preliminary studies, which require further analysis, evidenced that parasuicidal acts occur more often among females, that the peak rate is generally recorded between the ages of 15 and 34 years and psychotropic medications seems to be the most frequently used. The aim of this study was to describe the demographic and clinical variables of a sample of subjects admitted to the Posisoning Treatment Centre (CAV), Niguarda General Hospital, Milan, following drug self-poisoning. Furthermore, this study is aimed to identify the risk factors associated to parasuicidal gestures, with special care for the used drugs, the presence of psychiatric or organic disorders, alcoholism and drug addiction.The study included the 201 patients attending the CAV in 1999 and 2000 who satisfied the criteria of self-poisoning attempts: 106 cases in 1999 and 95 in 2000.The sample had a prevalence of females (64%). The peak rates of parasuicides from drug self-poisoning were reached between 21 and 30 years among the females, and 31 and 40 years among the males. 81.6% of the patients used one or more psychoactive drugs, the most frequent being the benzodiazepines (58.7%), classic neuroleptics (16.9%) and new-generation antidepressants (SSRIs, SNRIs, NARIs) (12.9%). The prevalence of mood disorders was higher among females (64% vs 42%), whereas schizophrenia was more frequently diagnosed in males (22% vs 10%). 61% (33%) had a history of previous attempted suicides. The presence of clinically relevant organic diseases was observed in 24.9% of the sample.
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Socio-cultural background and legislation influence rates and methods of suicide, leading to significant differences between countries.
“Socio-cultural background and legislation influence rates and methods of suicide. Therefore, significant differences can be observed between countries [6,11].”
From Toxicological Findings of Self-Poisoning Suicidal Deaths: A Systematic Review by Countries (2022) · cites this paper as [11]
The Introduction (page unavailable) reports significant differences between European countries in the incidence of parasuicide. It does not attribute those differences to socio-cultural background or legislation, or report cross-country differences in suicide methods or completed-suicide rates. (LLM, conf=0.86)
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- Authors
- Mauri
- Venue
- Clinical Practice and Epidemiology in Mental Health
- Publisher
- Bentham Science Publishers Ltd.
- Published
- 2005
- Volume
- 1
- Issue
- 1
- Pages
- 5
- ISSN
- 1745-0179 (ISSN-L)
- PMC
- PMC1151597
- OpenAlex
- W1548040333
- Cited by
- 44
- References
- 45
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2022: 12 · 2021: 1 · 2020: 2 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 3 · 2014: 1 · 2013: 5 · 2012: 1
- FWCI
- 0.77
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Clinical Practice and Epidemiology in Mental Health (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Portal (King's College London) (publishedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Emergency Medicine › Poisoning and overdose treatments
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- parasuicide, benzodiazepines, psychotropic drugs, antidepressants, mood disorders, schizophrenia, previous suicide attempts, alcoholism, drug addiction, organic disease, risk factors, demographic factors
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