A prospective study of suicidal intended poisonings among rural children and adolescents from Mandya district, Karnataka

Siddaraju Malavalli Lingappa, Akkammal Sathyabama K., Naveen K. Srinivas


Background: Aims & objectives of this study were to study the demographic characteristics, clinical presentation & immediate outcome of suicidal intended poisonings among rural children & adolescents from Mandya district, Karnataka.

Methods: One year prospective study was conducted between December 2013 to December 2014. Data was collected from all children from age 5-18 years who presented to emergency department with history of poisoning with suicidal intention.

Results: A total of 32 children presented with suicidal intended poisonings, among which girls constituted 84.3% and boys 15.6%. 60% of poisonings were seen between the age group 16-18 years, followed by 31.2% in age group between 11-15 years. 59.3% were from lower class of socioeconomic status. In all cases, the route was oral. Most common poison encountered were insecticides, as seen in 53.1%, followed by drugs as seen in 34.3%. 65.6% of cases were symptomatic.  Most common symptoms were vomiting in 71.4%, followed by pain abdomen in 33.3%. Specific antidote was given in 40.6% of the cases. Most common reason which triggered the suicidal intention was parental scolding as seen in 37.5%, followed by low marks in exam as in 25%, love affair in 21.8% and sibling rivalry in 12.5%. Psychiatric counseling was carried out in all cases. There was no mortality observed during the study period.

Conclusions: Adolescent girls, with low socioeconomic status were found to be at an increased risk of suicidal tendencies. Parental support during adolescence is very important in prevention of triggering suicidal intention, especially in girls.


Adolescents, Organophosphorous, Suicide

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