Self-poisoning with drugs as a common suicide method among children and adolescents: a concise report from Zahedan, southeastern Iran

Submitted: 2024 May 4
Accepted: 2024 June 3
Published: 2024 June 25
Abstract Views: 32
PDF: 13
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Intentional poisoning by drugs and chemicals is a common emergency in Iran and is recognized as the third leading cause of suicide globally. This report focuses on the prevalence of suicide attempts through self-poisoning among children and adolescents aged 7 to 18 years, based on data collected from the children’s emergency room at Ali Ibn Abi Talib Hospital in Zahedan between 2009 and 2018. The study utilized a descriptive cross-sectional approach to examine all cases of children referred to the emergency department for suspected suicide attempts by self-poisoning. Data collection was comprehensive (census method), and analysis was conducted using SPSS software along with descriptive statistical techniques. Out of 45 documented suicide cases, 28 involved girls and 17 involved boys. Self-poisoning represented 23.07% of these cases. Most of these attempts occurred in the 15-18 age group and were predominantly reported in urban settings. The substances most commonly used for self-poisoning included sedative-hypnotics, antidepressants, and anticonvulsants. The findings indicate a significant prevalence of suicide attempts by self-poisoning among older children and adolescents, with a notable gender disparity favoring females. Urban areas showed higher rates of such incidents, suggesting possible socio-economic and cultural influences. The frequent use of prescription medications for self-poisoning underscores the urgent need for stricter control measures to limit access to these drugs among young populations. This study highlights critical aspects of suicide methods among children and adolescents in Zahedan, emphasizing the role of age, gender, and urban residency in influencing suicide attempts. It also calls for enhanced regulatory policies to prevent access to potentially lethal medications, aiming to reduce the incidence of suicide by self-poisoning in this vulnerable group.

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Citations

Sher L, Oquendo MA. Suicide: an overview for clinicians. Med Clin North Am 2023;107:119-30. DOI: https://doi.org/10.1016/j.mcna.2022.03.008
Lovero KL, Dos Santos PF, Come AX, et al. Suicide in global mental health. Curr Psychiatry Rep 2023;25:255-62. DOI: https://doi.org/10.1007/s11920-023-01423-x
Garnett MF, Curtin SC. Suicide mortality in the United States, 2001-2021. NCHS Data Brief 2023:464:1-8.
Marcotte DE, Hansen B. The re‐emerging suicide crisis in the US: patterns, causes and solutions. J Policy Anal Manage 2024;43:582-612. DOI: https://doi.org/10.1002/pam.22526
Wang A, Xiang H. US leading causes of death and years of potential life lost, 1981-2019: implications for surgical research. J Surg Res 2023:281:338-44. DOI: https://doi.org/10.1016/j.jss.2022.06.071
Rezaiyan MK, Jarahi L, Moharreri F, et al. Epidemiology of suicide attempts in Khorasan Razavi Province, 2014-2015. Iran J Epidemiol 2017;13:128-35.
Hajebi A, Ahmadzad-Asl M, Davoudi F, et al. Trend of suicide in Iran during 2009 to 2012: epidemiological evidences from national suicide registration. Iran J Psychiatry Behav Sci 2016;10:e4398. DOI: https://doi.org/10.17795/ijpbs-4398
Seghatoleslam T, Farzaneh E, Rezaee O, et al. Factors related to suicide attempts by poisoning in Iranian children. Indian J Forensic Med Toxicol 2013:129-32.
Isumi A, Doi S, Yamaoka Y, et al. Do suicide rates in children and adolescents change during school closure in Japan? The acute effect of the first wave of COVID-19 pandemic on child and adolescent mental health. Child Abuse Negl 2020;110:104680. DOI: https://doi.org/10.1016/j.chiabu.2020.104680
Shams Vahdati S, Moradi N, Hemat Ghadim J, et al. Evaluation of suicide attempts with drug poisoning in North-West of Iran. JEPT 2015;1:1-2.
Rahimi M, Alizadeh R, Hassanian-Moghaddam H, et al. Clinical manifestations and outcomes of colchicine poisoning cases; a cross sectional study. Arch Acad Emerg Med 2020;8:e53.
Walsh EH, Herring MP, McMahon J. A systematic review of school-based suicide prevention interventions for adolescents, and intervention and contextual factors in prevention. Prev Sci 2023;24:365-81. DOI: https://doi.org/10.1007/s11121-022-01449-2
Black MH, Scott M, Baker-Young E, et al. Preventing suicide in post-secondary students: a scoping review of suicide prevention programs. Eur Child Adolesc Psychiatry 2023;32:735-71. DOI: https://doi.org/10.1007/s00787-021-01858-8
Shirzad J, Gharedaghi J. Study of methods and causes of suicides resulting in death referred to Legal Medicine Organization of IRAN in first six month of 2004. Iran J Forensic Med 2007;13:163-70. [Article in Persian].
Zakharov S, Navratil T, Pelclova D. Suicide attempts by deliberate self-poisoning in children and adolescents. Psychiatry Res 2013;210:302-7. DOI: https://doi.org/10.1016/j.psychres.2013.03.037
Tabibzadeh SA, Yazdani R, Zare S, et al. Epidemiologic study of poisonings in patients referring to emergency ward of Shahid Mohammadi university hospital in Bandar Abbas. Hormozgan Med J 2014;18:313-22. [Article in Persian].
Buffone I, Dejter M, Fortunatti E, et al. Caracterización de la consulta por intoxicación medicamentosa en los adolescentes en el Hospital Municipal de Bahía Blanca, Buenos Aires. Arch Argent Pediatr 2018;116:275-82. [Article in Spanish]. DOI: https://doi.org/10.5546/aap.2018.279
Spiller HA, Ackerman JP, Spiller NE, Casavant MJ. Sex-and age-specific increases in suicide attempts by self-poisoning in the United States among youth and young adults from 2000 to 2018. J Pediatr 2019:210:201-8. DOI: https://doi.org/10.1016/j.jpeds.2019.02.045
Tyrrell EG, Kendrick D, Sayal K, et al. Poisoning substances taken by young people: a population-based cohort study. Br J Gen Pract 2018;68:e703-10. DOI: https://doi.org/10.3399/bjgp18X698897
Plemmons G, Hall M, Doupnik S, et al. Hospitalization for suicide ideation or attempt: 2008-2015. Pediatrics 2018;141:e20172426. DOI: https://doi.org/10.1542/peds.2017-2426
Faramarzian Z, Delam H, Habibikhah Z, et al. Demographic characteristics of adolescents with a history of suicide attempt in Larestan, Iran: 2012-2018. Payesh 2019;18:475-83. [Article in Persian].
Ong MS, Lakoma M, Gees Bhosrekar S, et al. Risk factors for suicide attempt in children, adolescents, and young adults hospitalized for mental health disorders. Child Adolesc Ment Health 2021;26:134-42. DOI: https://doi.org/10.1111/camh.12400
Jiang H, Niu L, Hahne J, et al. Changing of suicide rates in China, 20022015. J Affect Disord 2018:240:165-70. DOI: https://doi.org/10.1016/j.jad.2018.07.043
Tan L, Xia T, Reece C. Social and individual risk factors for suicide ideation among Chinese children and adolescents: a multilevel analysis. Int J Psychol 2018;53:117-25. DOI: https://doi.org/10.1002/ijop.12273
Mokhtari AM, Gholamzadeh S, Salari A, et al. Epidemiology of suicide in 10-19 years old in southern Iran, 2011-2016: a population-based study on 6720 cases. J Forensic Leg Med 2019:66:129-33. DOI: https://doi.org/10.1016/j.jflm.2019.06.018
Ghiasi Z, Abdi R, Jafari S. Epidemiology of deaths due to suicide in the southeast of Iran: a retrospective study from 2010 to 2017. Mental Wellness 2023;1:8. DOI: https://doi.org/10.4081/mw.2023.8

How to Cite

1.
Ghiasi Z, Mirshekar J. Self-poisoning with drugs as a common suicide method among children and adolescents: a concise report from Zahedan, southeastern Iran. Mental Wellness [Internet]. 2024 Jun. 25 [cited 2024 Jul. 1];2(1). Available from: https://www.mental-wellness-journal.net/mw/article/view/12