Epidemiological Evaluation of Suicidal Deaths due to Organophosphorus Compound Poisoning

Md Fahmidur Rahman, Md Shamsul Islam, N M Minhaz Uddin, Md Shah Alam, Tahmina Begum Poly, Mohammad Nurunnabi
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Abstract

Background: One of the most widespread suicide methods, especially emerging in developing countries like Bangladesh, is poisoning. Organophosphorus compound (OPC) is a common chemical used for self-poisoning that is also inexpensive and easily accessible. Objectives: To evaluate the demography of suicidal deaths due to OPC poisoning. Methods: This was a retrospective study with the departmental records of autopsy among deaths due to OPC poisoning. The study was carried out to ascertain the epidemiological evaluation of 242 OPC poisoning suicidal deaths during January, 2016 to December, 2017 at the mortuary of Sylhet MAG Osmani Medical College, Bangladesh. Results: Majority of the victims (184, 76.03%) were below 40 years of age and females were predominant (142, 58.67%). Most of the victims resided in Companygonj (47, 19.42%), followed by Kotwali (40, 16.52%), and Gowainghat (35, 14.52%) of Sylhet district. Most of the dead bodies (192, 79.33%) were brought to the morgue under Kotwali police station. The most common (218, 90.08%) cause of death was respiratory failure. Conclusion: Suicide with OPC was the most common in younger women. Establishment of national suicide surveillance is now a time demanded step and responsible authority should take some necessary steps to address it. Journal of Monno Medical College, June 2023; 9 (1): 20-23
有机磷化合物中毒自杀性死亡的流行病学评价
背景:中毒是最普遍的自杀方式之一,尤其是在孟加拉国等发展中国家。有机磷化合物(OPC)是一种常用的用于自我中毒的化学品,价格低廉且易于获取。目的:评价OPC中毒自杀死亡的人口学特征。方法:回顾性研究OPC中毒死亡病例的尸检记录。本研究旨在确定2016年1月至2017年12月在孟加拉国Sylhet MAG Osmani医学院太平间发生的242例OPC中毒自杀死亡的流行病学评估。结果:40岁以下患者占多数(184例,76.03%),女性占多数(142例,58.67%)。大多数受害者居住在Companygonj(47人,19.42%),其次是Sylhet区的Kotwali(40人,16.52%)和Gowainghat(35人,14.52%)。大多数尸体(192具,79.33%)被送到Kotwali警察局的太平间。最常见的死亡原因是呼吸衰竭(218例,90.08%)。结论:OPC自杀在年轻女性中最为常见。建立国家自杀监测现在是必要的步骤,主管当局应该采取一些必要的步骤来解决这个问题。莫诺医学院学报,2023年6月;9 (1): 20-23
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