Abstract

BackgroundWith an estimated > 800,000 suicide-related deaths and potentially several attempts for each death in the world. The purpose of this study was to determine the epidemiological characteristics of self-poisoning with pesticides within the Jiangsu province in China.MethodsSuicide rate was calculated the Routine Surveillance System by Jiangsu Provincial Center for Disease Control and Prevention, stratified by gender, age and region, combined with socioeconomic and agriculture-related factors to investigate trends in suicide over the study period. A logistic regression model was used to investigate the associations between pesticide types and pesticide-related deaths.ResultsIn recent years, Jiangsu Province has witnessed a decrease in pesticide self-poisoning cases and consequent deaths. Among all suicides by deliberate ingestion of pesticides, the proportion of cases were mainly in the age 40, accounting for 3.43% of all cases with pesticide suicide. The proportion of suicide due to pesticide poisoning in females was markedly higher than that in males (p < 0.001). Suicide using organophosphate and carbamate insecticides was most common, with 10,303 reported cases accounting for 42.02% of all suicides.ConclusionsFor national responses to be effective, the characteristics of pesticide suicides should be comprehensively investigated for the formulation of corresponding prevention strategies. At present, more pesticide suicide prevention policies for the elderly people and women should be implemented, and stronger pesticide management policies should be implemented for rural areas.

Highlights

  • With an estimated > 800,000 suicide-related deaths and potentially several attempts for each death in the world

  • From 2006 to 2018, a total of 24,602 cases of self-poisoning through pesticides were reported in Jiangsu Province

  • The highest proportion of attempted suicides with pesticides and consequent deaths occurred in Xuzhou (24.84 and 19.34%, respectively) relative to other regions (Fig. 2d)

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Summary

Introduction

With an estimated > 800,000 suicide-related deaths and potentially several attempts for each death in the world. The purpose of this study was to determine the epidemiological characteristics of self-poisoning with pesticides within the Jiangsu province in China. Suicide is a universal incident, with an estimated 800,000 suicide-related deaths reported worldwide in 2016. The annual worldwide suicide rate is 10.5 per 100, 000 individuals [1]. Each suicide has an extreme negative impact on close relatives and society on a global scale. Developing countries have a high suicide rate of 79% [2]. The percentage of suicides due to pesticide self-poisoning. Suicides in China account for 26% of the global suicide statistics. Suicide is the fifth leading cause of death in

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