1. SUICIDAL POISONING IN BATTICALOA DISTRICT: Analysis of Admissions and Outcome, MEDICAL UNIT,TEACHING HOSPITAL,BATTICALOA.
Pirasath S1, Jasotharan V2 , Sundaresan K.T3
1,3 Teaching Hospital Batticaloa, Sri Lanka.
2Faculty of Health Care Sciences, Eastern University of Sri Lanka.
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2. Dr.Selladurai Pirasath, RHO/TH/Batticaloa. Mr.Velapoddy Jasotharan,
By:
Dr.Selladurai Pirasath,
RHO/TH/Batticaloa.
Mr.Velapoddy Jasotharan,
Medical Student/FHCS/EUSL.
SUPERVISOR:
Dr.K.T.Sundaresan, MBBS,MD
Consultant Physician/TH/Batticaloa.
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3. Objective
To determine the selected aspects of the epidemiology, methods, treatment and outcome of patients admitted with poisoning to single medical unit, Teaching Hospital, Batticaloa.
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4. Poisoning in Batticaloa
A high number of suicidal poisoning is noted in Batticaloa.
YOP are common among young females.
Significantly contributed to Mortality and Morbidity in Batticaloa.
Challenge in Batticaloa.
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5. Materials and methods
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6. Materials Methods Interviewed based predesigned questionnaires
Study design : Descriptive study
Study population : All victims admitting to Single Medical Unit,
Teaching hospital, Batticaloa.
Study period : 1st December 2011 –31st May 2012.
Sampling method : Convenience sampling
Sampling size : Patients
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7. Results and Discussion
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8. 120 victims 72females and 48 males
Race
Tamils (Nos-105, 87.5%)
Muslims (Nos-15, 12.5%)
Marital status
Unmarried(Nos-78 ,65%)
Married (Nos-42,35%)
Religion
Hindus (Nos-92, 76.6%)
Christian(Nos-13,10.8%)
Muslims (Nos-15,12.6%)
Age
20-29 yrs (Nos-74) 61.6%
30-39yrs (Nos-20, 16%)
>60yrs (Nos-15,12.6%)
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9. Personal characteristics on Poisoning
Nos
Courtship failure
Nos-45, 37.5%
Marital problems
Nos-21, 17.5%
Social problems
Nos-12, 10%
Economical problems
Nos-24, 20%
Familial problems
Nos-10, 8.33%
Chronic Diseases
Nos-8,6.67%)
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10. Girls have attempted suicide to threaten the family (Nos-4, 3.33%).
Young unmarried girls had previous attempted suicidal poisoning to threaten their partners (Nos-12, 10%).
8 out of 12 have one previous suicidal attempt and 4 out of 12 have two previous suicidal attempts.
The strong familial history of poisoning influences the people to select poisoning as the suicidal method.
(Nos-32, 26.6%) .
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11. Types of Poisoning Types of poisoning Nos Yellow oleander Nos-60, 50%
Cerberus Mangus
Nos-4, 3.3%
Organophosphate
Nos-36, 30%
Kerosene oil poisoning
Nos-8, 6.7%
Drug overdose
Nos-12, 10%
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12. Drug overdose are common among patients with psychiatric disorders (Nos-12, 10%).
14 (11.7%) victims had ingestion of poisoning under the influence of alcoholism.
The Yellow oleander was the commonest type of suicidal poisoning among young females (Age group; 18-30years), (Nos-52, 82%).
The strong familial history of poisoning influences the people to select poisoning as the suicidal method esp YOP (Nos-16, 13.3%) .
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13. TREATMENT MODALITIES & OUTCOME
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14. MODALITIES OF TREATMENT
Management
Nos
Gastric Decontamination
92(76%)
Antidotes
30(25%)
TPM
02(1.6%)
CCU Mx
20(16%)
PU Mx
15(12.5%)
Ventilator Support
6(5%)
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15. OUTCOME OUTCOME Nos Death LAMA Cardiac Toxicity Aspiration Pneumonia
4(3.33%)
LAMA
18(15%)
Cardiac Toxicity
40(33.3%)
[40/64(62.5%)]
Aspiration Pneumonia
7(5.83%)
Still Hospital
5(4.16%)
Ventilator Associated Pneumonia
1(.83%)
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16. Statistical analysis
All data were analyzed by SPSS analytical package.
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17. Courtship failure and Marital problems were significantly contributed to suicidal poisoning.
The strong familial history and previous attempts of poisoning significantly associated with suicidal poisoning (P<0.05)
The gastric decontamination is principal stay of treatment in most cases rather than specific antidotes and was also effective in most cases (P>0.05)
The uses of Yellow Oleander have a high morbidity among the victims (P<0.05)
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18. Conclusion Poisoning Young, Unmarried, Tamil, Hindu Females. YOP
Significant Method of Poisoning .
Contributing Factors
Courtship failure & Marital problems.
Selection of Method
Previous & Familial Suicidal Poisoning.
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19. Principal stay of Treatment Gastric decontamination. Uses of YOP
High Morbidity & Mortality.
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20. Recommendation from research;
Problem-solving ability has to be promoted
to reduce the rates of suicidal poisoning
among young unmarried females
in Batticaloa district.
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21. Acknowledgements Supervisor & Co-Author Committee of BMA
Sincere thanks to
Supervisor & Co-Author
Committee of BMA
Victims of poisoning
Staffs,TH/Batticaloa.
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22. International Toxicology Conference of
Asia Pacific Association of Medical Toxicology (APAMT).
On the 29th Nov-1st Dec,2012,Hong Hong.
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23. Thank you
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