Intentional suspected suicide exposures by poisoning among adolescents from 2009 to 2018 reported to the Georgia Poison Center and compared nationally

Basic Clin Pharmacol Toxicol. 2021 May;128(5):699-708. doi: 10.1111/bcpt.13563. Epub 2021 Feb 8.

Abstract

This retrospective chart review aimed to report the incidence and characteristics of intentional suspected suicide among 13- to 19-year-olds reported to the Georgia Poison Center (GPC) and compared nationally from 2009 to 2018. Of the 19 733 cases reported to the GPC, 74.9% were females. The total number of cases more than doubled from 2009 to 2018, increasing annually by 10%. Majority (90.1%) of the cases occurred in the home, and 60.4% of the cases resulted in either no effect or minor effect. More than half (66.5%) of the cases involved only one substance. Pharmaceuticals made up 94.5% of the substances used, with analgesics accounting for 42.10% and antidepressants at 20.77%. A significant difference was found in substances used between males and females (P < .001). Females were more likely to use analgesics (45.17% vs 32.90%), and males were more likely to use sedatives/hypnotics/antipsychotics (20.45% vs 13.58%). While the majority of the GPC patients were females, the GPC was more likely to have fewer female patients (74.7% vs 75.7%) and more male patients (25.3% vs 24.3%) than other poison centers. Intentional suspected suicide exposures by poisoning are on the rise and higher among females, demonstrating a need for strengthened intervention and prevention strategies.

Keywords: Georgia; adolescent; poison center; poisoning; suicide.

MeSH terms

  • Adolescent
  • Analgesics / poisoning*
  • Antidepressive Agents / poisoning*
  • Databases, Factual
  • Female
  • Georgia / epidemiology
  • Humans
  • Incidence
  • Male
  • Poison Control Centers / statistics & numerical data
  • Poisoning / epidemiology*
  • Poisoning / etiology
  • Poisoning / prevention & control
  • Retrospective Studies
  • Sex Factors
  • Suicide / statistics & numerical data*
  • Suicide / trends
  • Suicide Prevention
  • Young Adult

Substances

  • Analgesics
  • Antidepressive Agents