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Cited by 10Suicide and Self-Harm StudiesHomicide, Infanticide, and Child AbusePoisoning and overdose treatments

Epidemio-toxicological profile and reasons for fatal suicidal poisoning: A record-based study in South India

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Chaudhari, Vinod Ashok, Das, Siddhartha, Sahu, Swaroop Kumar, Devnath, Gerard Pradeep, Chandra, Ankit·2022·Journal of Family Medicine and Primary Care
DOI 10.4103/jfmpc.jfmpc_1171_21PMC PMC8963612
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Abstract

Introduction: Poisoning is the second frequent cause of suicide in India. To plan an effective intervention and awareness program, it is essential to know the sociodemographic profile, pattern, and reasons for suicide. Objective: We conducted this study to find the sociodemographic profile, pattern, and reasons for fatal suicidal poisoning. Methods: We conducted a record-based study in a tertiary hospital in Puducherry. We reviewed autopsies conducted between January 2010 and December 2014 for fatal suicidal poisoning. We extracted data using a data collection sheet for age, gender, marital status, occupation, residence, the reason for suicide, time of injury, time of death. We entered data in Microsoft Excel, and we did a descriptive analysis by using R software version. Results: We reviewed 3996 medicolegal autopsies, out of which 595 cases were of fatal suicidal poisoning. The mean age of the cases was 35.8 years (SD-14.6). The majority of the cases were married (74.8%) for 20–30 years (31.8%). Most of the victims were agriculture workers (22.2%), lived in a rural setting (84.4%), died during the daytime (61.2%), and in the summer season (54.5%). The most common poison used was organophosphates (48.7%), and the most common reason was family problems (30.2%). The median survival time (h) for the cases (n = 564) was 45.8 h (IQR: 16.4 to 110.6). Conclusion: We found fatal suicidal poisoning was common among males, young adults, married, agriculture workers/laborers, and in a rural setting. The findings help plan an effective intervention for suicide prevention in India.

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  • In South India, a retrospective study confirmed the use of mainly agricultural and industrial substances for suicidal purposes and identified family problems (30.2%), chronic illnesses (28.2%), financial problems (11%), and psychiatric problems (9.7%) as facilitating factors.

    “In South India, a retrospective study [18] of 10 years of autopsy records of suicide by poisoning confirmed the previous data (i.e., the use of mainly agricultural and industrial substances for suicidal purposes) but also analyzed further factors facilitating suicide, such as family problems (30.2%), chronic illnesses (28.2%), financial problems (11%), psychiatric problems (9.7%), and others.”

    From Toxicological Findings of Self-Poisoning Suicidal Deaths: A Systematic Review by Countries (2022) · cites this paper as [18]

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  1. [24]Kulkarni K Mane D Malve M Trends of poisoning in India Argentic 2014 Available from: https://www.researchgate.net/publication/303600320_Trends_of_poisoning_in_India

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Authors
Chaudhari, V. A., Das, S., Sahu, S. K., Devnath, G. P., & Chandra, A.
Affiliations
  • Jawaharlal Institute of Post Graduate Medical Education and Research (IN)
  • Department of Forensic Medicine and Toxicology, Sri Venkateshwara Medical College, Pondicherry, India
  • All India Institute of Medical Sciences (IN)
Corresponding author
Chaudhari, Vinod Ashok
ORCID
Venue
Journal of Family Medicine and Primary Care
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2022-02
Volume
11
Issue
2
Pages
547-552
ISSN
  • 2249-4863 (ISSN-L)
  • 2278-7135
DOI
10.4103/jfmpc.jfmpc_1171_21
PMC
PMC8963612
OpenAlex
W4214749012
Cited by
10
References
34
Citations by year
2026: 2 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 2
FWCI
1.83
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Journal of Family Medicine and Primary Care (publishedVersion, cc-by-nc-sa)
  • PubMed Central (publishedVersion, cc-by-nc-sa)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
  • Health Sciences › Medicine › Emergency Medicine › Poisoning and overdose treatments
Keywords
suicidal poisoning, suicide, organophosphate poisoning, sociodemographic factors, family problems, agricultural labor, rural suicide, suicide prevention, time of death, South India

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