Background In 1997, 433 people committed suicide in Ireland, one-quarter of
whom were less than 24 years of age.
Aim To determine demographics, agent choice and source, suicidality and fol
low-up care of deliberate self-poisoning patients.
Method Details of 111 patients admitted to one hospital in 1997 following d
rug overdose were studied retrospectively. Eleven had been accidental inges
tions, the remaining 100 were deliberate self-poisoning.
Results Men accounted for 38% of the presentations and were more likely to
have suicidal intent than women. An average of 2.3 different agents were us
ed. Paracetamol was taken by 37%, hypnotics/anxiolytics by 33% and nonstero
idal anti-inflammatories by 17%. Alcohol was consumed synchronously by 51%
and 17% fulfilled criteria for alcohol dependency. One-third of patients we
re clinically depressed. All six patients requiring ventilation had consume
d a combination of tricyclic antidepressants and alcohol. There were no dea
ths.
Conclusion Deliberate self-poisoning remains a significant problem. Paracet
amol and alcohol use are particularly marked in this population. The combin
ation of tricyclic antidepressant drugs and alcohol were the most dangerous
.