TY  - JOUR
PY  - 2021//
TI  - Characteristics and psychopathology of 1,086 patients who self-poisoned using pesticides in Taiwan (2012-2019): a comparison across pesticide groups
JO  - Journal of affective disorders
A1  - Tu, Chao-Ying
A1  - Yen, Tzung-Hai
A1  - Chang, Chia-Ming
A1  - Chen, Hsien-Yi
A1  - Yen, Yung-Chieh
A1  - Guo, Ming-Chao
A1  - Lu, Tsung-Hua
A1  - Wu, Chi-Shin
A1  - Chen, I.-Ming
A1  - Cheng, Hai-Ching
A1  - Huang, Wei-Lieh
A1  - Chen, Cheng-Che
A1  - Eddleston, Michael
A1  - Chang, Shu-Sen
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Previous studies, mainly from low- and middle-income settings, showed that pesticide self-poisonings were mostly impulsive with low levels of psychopathology. We aimed to investigate whether pesticide self-poisoning in a high-income country showed similar profiles, and whether those with certain characteristics were more likely to use specific pesticides. <br><br>METHODS: Data were extracted from hospital records of pesticide self-poisoning patients treated at eight major hospitals in Taiwan between 2012-2019. Multinomial logistic regression was used to investigate the association of interpersonal conflicts, triggers of self-poisoning, and psychopathology with the groups of pesticides ingested. <br><br>RESULTS: A total of 1,086 patients who self-poisoned using pesticides were identified; 67.0% were male and 39.8% aged 65+ years. Approximately three quarters (75.7%) of patients who received psychiatric assessment had at least one psychiatric diagnosis, and the prevalence was 48.3% in all patients. No association was found between the pesticide groups ingested and interpersonal conflicts, most of the triggers, past psychiatric service use, or having psychiatric diagnoses. LIMITATIONS: Data were collected from hospital records retrospectively. Only 60.3% of the patients received a psychiatric assessment. <br><br>CONCLUSIONS: The majority of patients who self-poisoned using pesticides and received psychiatric assessment in Taiwan had psychiatric illness. Patients who ingested different groups of pesticides were similar in their characteristics. The choice of pesticides used in self-poisoning more likely relates to availability rather than intentional decision. Psychiatric assessment and treatment are important in patients who self-poisoned using pesticides, while restricting access to highly hazardous pesticides is likely to prevent many deaths from pesticide self-poisoning.<p />  <p>Language: en</p>
LA  - en
SN  - 0165-0327
UR  - http://dx.doi.org/10.1016/j.jad.2021.12.058
ID  - ref1
ER  -