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A study of deliberate self-poisoning in a Dublin hospital 1986 – 1990

Published online by Cambridge University Press:  13 June 2014

Fergus Coakley ,
Catherine Hayes ,
John Fennell  and
Zachary Johnson
Fergus Coakley
Affiliation:
St. Colmcilles Hospital, Loughlinstown, Co. Dublin, Ireland Glenfield General Hospital, Groby Road, Leicester LE3 9PQ
Catherine Hayes
Affiliation:
Eastern Health Board, Dublin, Ireland
John Fennell
Affiliation:
St. Colmcilles Hospital, Loughlinstown, Co. Dublin, Ireland
Zachary Johnson
Affiliation:
Health Information Unit, Eastern Health Board, Dublin, Ireland
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Abstract

Objective: The study was undertaken to determine the current demographic and clinical features of cases of deliberate self-poisoning (DSP) presenting to an acute general hospital and to compare the findings with previous work in Ireland and elsewhere. Method: Four hundred and sixty seven consecutive admissions for DSP presenting to a Dublin hospital between 1986 and 1990 inclusive were identified retrospectively and the case notes reviewed. Data was collected on age, sex, marital status, past history, date of DSP, drugs used, motivating factors and outcome. Results: The peak age of DSP was 15-24 years. The female:male ratio was 1.5:1. There was an increased incidence of DSP in women in July and August. In 32% there was a previous history of DSP. Benzodiazepines, antidepressants and analgesics/anti-inflammatories were the commonest drugs taken. There was a significant medical complication in 10.5% of cases, but no fatalities. Twenty-five percent of patients were subsequently admitted to psychiatric inpatient care. Conclusions: DSP is an ongoing problem. The summer peak in females may be related to the parenting burden during the summer recess. The high rate of repetition suggests a significant reduction could be achieved with successful strategies for secondary prevention. The high rate of psychiatric in-patient referral may be related to a low threshold for admissions to Irish psychiatric hospitals.

Keywords

Deliberate self-poisoningDemographySeasonal variationInpatient referral
Type
Clinical and Brief Reports
Information
Irish Journal of Psychological Medicine , Volume 11 , Issue 2 , June 1994 , pp. 70 - 72
Copyright
Copyright © Cambridge University Press 1994

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References

1.Murphy, GJJ, McAleer, JJA, O'Connor, FA. Drug overdoses – a three year study at Altnagelvin Hospital, Londonderry. Ulster Medical Journal 1984; 53(2): 131–9.Google ScholarPubMed
2.Daly, M, Conway, M, Kelleher, MJ. Social determinants of sell-poisoning. Br J Psychiatry 1986; 148: 406–13.CrossRefGoogle Scholar
3.Adams, RHM. An accident and emergency department's view of self-poisoning, a retrospective study from the United Norwich Hospitals 1978-82. Human Toxicology 1986; 5: 5–10.CrossRefGoogle Scholar
4.Wynne, H, Bateman, DH, Hassanyeh, F, Rawlins, MD, Woodhouse, KW. Age and self-poisoning: the epidemiology in Newcastle upon Tyne in the 1980s. Human Toxicology 1987; 6: 511–5.CrossRefGoogle ScholarPubMed
5.Masterson, G. Monthly and seasonal variation in parasiticide: a sex difference. Br J Psychiatry 1991; 158: 155–7.CrossRefGoogle Scholar
6.Farmer, R. Deliberate self-poisoning. Br J Hosp Med 1986; 12: 437–42.Google ScholarPubMed
7.O'Connor, A, Walsh, D. Activities of Irish Psychiatric Hospitals and Units 1988. Health Research Board. (Annual Report).Google Scholar