南澳大利亚州摄入致命杀虫剂的特点。

IF 1.5 4区 医学 Q1 LAW
Medicine, Science and the Law Pub Date : 2024-10-01 Epub Date: 2023-09-04 DOI:10.1177/00258024231197914
Lilli Stephenson, Corinna Van Den Heuvel, Melissa Humphries, Christine Nash, Roger W Byard
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引用次数: 0

摘要

杀虫剂用于杀灭、驱赶或控制任何被视为害虫的动物或植物物种,但也与有意和无意造成的人类死亡有关。在 "绿色革命 "期间,杀虫剂被引入中低收入的农村家庭,但却没有适当的安全使用和储存准则,因此杀虫剂自杀事件迅速增加。虽然全国性的杀虫剂禁令使得与杀虫剂相关的自杀事件大幅减少,但此类事件仍占全球自杀事件的很大比例。本研究的目的是提供一个高收入国家农药自杀的概况,作为与中低收入国家研究的比较点。统计分析使用 R(4.2.3 版)进行。在长达 20 年的研究期间,农药自杀事件的数量较少,但在 40 岁以上的男性中最为常见。百草枯和灭多威农药合计占所有死亡案例的近一半(48.8%)。与文献记载的情况一致,此类案件往往是在没有什么预谋的情况下发生的,是对急性情感危机的反应。虽然对尸检结果的解释大多有限,但有些农药的尸检结果与之前报道的特征一致(如百草枯的胃食管糜烂)。鉴于涉及百草枯和灭多威农药的案例比例较高,也许应该审查此类化合物的可获得性和可利用性,以减少南澳大利亚乃至更广泛的澳大利亚人口中农药自杀事件的发生。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Features of fatal pesticide ingestion in South Australia.

Pesticides are used to kill, repel or control any animal or plant species which are considered pests, but have also been associated with intentional and unintentional human fatalities. A rapid increase in pesticide suicides was observed during 'The Green Revolution' after pesticides were introduced into low- and middle-income rural households without appropriate guidelines for safe use and storage. While national pesticide bans have contributed to a significant decrease in pesticide-related suicides, such cases still comprise a large proportion of all suicides around the world. The aim of the current study was to provide a profile of pesticide suicides in a high-income country as a point of comparison against studies from low- and middle-income countries. Statistical analyses were performed using R (version 4.2.3). Over the 20-year study period, there were a low, yet consistent number of pesticide suicides which were most common among males over the age of 40. Paraquat and methomyl pesticides collectively contributed to almost half (48.8%) of all fatalities. Consistent with the literature, such cases often occurred with little premeditation in response to an acute emotional crisis. While interpretation of autopsy findings was mostly limited, there were some pesticides that demonstrated findings consisted with previously reported characteristics (e.g., gastroesophageal erosions with paraquat). Given the high proportion of cases where paraquat and methomyl pesticides were implicated, it may be appropriate to review the availability and accessibility of such compounds to reduce the occurrence of pesticide suicides in South Australia and potentially the wider Australian population.

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来源期刊
Medicine, Science and the Law
Medicine, Science and the Law 医学-医学:法
CiteScore
2.90
自引率
6.70%
发文量
53
审稿时长
>12 weeks
期刊介绍: Medicine, Science and the Law is the official journal of the British Academy for Forensic Sciences (BAFS). It is a peer reviewed journal dedicated to advancing the knowledge of forensic science and medicine. The journal aims to inform its readers from a broad perspective and demonstrate the interrelated nature and scope of the forensic disciplines. Through a variety of authoritative research articles submitted from across the globe, it covers a range of topical medico-legal issues. The journal keeps its readers informed of developments and trends through reporting, discussing and debating current issues of importance in forensic practice.
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