Organophosphorus Compound as Suicidal Poison in Rural Areas of Bangladesh: A Medicolegal Study

Journal of Monno Medical College Pub Date : 2023-11-06 DOI:10.3329/jmomc.v9i1.69019

Nazmun Nahar Nahida, Muhammad Zubaidur Rahman, Borhan Uddin Ahamed

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Abstract

Background: Suicide by poisoning is a major public health problem in Bangladesh and other developing countries in the world. Among the poisonous substances, Organophosphorus compounds (OPC) poisoning is more common. Easy accessibility of the poison is the number one reason for the preference of OPCs as suicidal agents. Objective: This study was designed to find out demographic characteristics and postmortem findings related to suicide by OPC poisoning in Manikganj. Methodology: This retrospective cross-sectional study was carried out during January, 2019 to December, 2020 in the district hospital, Manikganj, Bangladesh. Results: During the study period, a total of 381 medico-legal autopsy have been done- among them, 83 (21.78%) cases were death due to OPC poisoning. Maximum (24, 28.91%) deaths were between ages of 21-30 years, among them majority were males (49, 59.03%). People of different occupations were involved in OPC poisoning- maximum of them were housewives (27, 32.53%), followed by agricultural workers (13, 15.66%). Regarding motive of poisoning, the most common was suicidal intent (58, 69.88%) among both males (22, 37.93%) and females (36, 62.07%), followed by accidental (25, 30.12%). About one third of the cases were illiterate (26, 31.33%). Financial constraint was the main cause of suicide. Conclusion: OPC poisoning is a burning problem in our health sector. Improvement of awareness, elimination of unemployment, financial stability, limiting availability and banning more toxic compounds would reduce the OPC poisoning rate to a considerable number. Journal of Monno Medical College, June 2023; 9 (1): 07-10

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有机磷化合物在孟加拉国农村地区作为自杀毒药:一项医学法律研究

背景:中毒自杀是孟加拉国和世界上其他发展中国家的一个主要公共卫生问题。在有毒物质中，有机磷化合物(OPC)中毒更为常见。易于获取的毒药是首选OPCs作为自杀剂的首要原因。目的:本研究旨在了解马尼干季地区OPC中毒自杀的人口学特征和尸检结果。方法:这项回顾性横断面研究于2019年1月至2020年12月在孟加拉国Manikganj地区医院进行。结果:研究期间共进行法医尸检381例，其中因OPC中毒死亡83例(21.78%)。死亡人数最多的年龄段为21 ~ 30岁(24例，28.91%)，其中男性居多(49例，59.03%)。OPC中毒涉及不同职业人群，以家庭主妇最多(27人，32.53%)，其次是农业工人(13人，15.66%)。在投毒动机方面，男性(22人，37.93%)和女性(36人，62.07%)以自杀意图(58人，69.88%)居多，其次是意外(25人，30.12%)。文盲约占三分之一(26.31.33%)。经济拮据是自杀的主要原因。结论:OPC中毒是我国卫生部门亟待解决的问题。提高认识、消除失业、财政稳定、限制供应和禁止更多有毒化合物将使OPC中毒率降低到相当大的数字。莫诺医学院学报，2023年6月;9 (1): 07-10

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Journal of Monno Medical College

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