Social and Cultural Factors Leading to Suicide Attempt via Organophosphate Poisoning in Nepal

Organophosphates are commonly used in rural, agricultural communities worldwide. Poisoning in Nepal is commonly a result of suicide attempt via ingestion with a mortality rate of 41 times higher than in the United States even after appropriate treatment. The patient discussed in this case is a 46-ye...

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Published inCase reports in psychiatry Vol. 2019; no. 2019; pp. 1 - 3
Main Authors Chand, Rajesh, Thorp, Jonathon, Mole, Dale, Liu, Lawrence, Licata, Christine, Chaulagain, Sabin
Format Journal Article
LanguageEnglish
Published Cairo, Egypt Hindawi Publishing Corporation 2019
Hindawi
Hindawi Limited
Subjects
Cardiac arrhythmia
Care and treatment
Case Report
Case reports
Culture
Females
Health aspects
Heart rate
Hospitals
Mental health
Mortality
Patients
Poisoning
Psychosis
Suicidal behavior
Suicides & suicide attempts
Womens health
Nepal
United States > US
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Summary:Organophosphates are commonly used in rural, agricultural communities worldwide. Poisoning in Nepal is commonly a result of suicide attempt via ingestion with a mortality rate of 41 times higher than in the United States even after appropriate treatment. The patient discussed in this case is a 46-year-old Nepalese female with a complicated psychosocial history that presented with a suicide attempt via organophosphate ingestion. She required higher doses and greater lengths of treatment of atropine and pralidoxime to resolve symptoms of toxicity that resulted in atropine-induced psychosis, a side effect rarely cited in the literature. This patient was one of many who attempt suicide in Nepal, where suicide is the leading cause of death for young to middle aged women in the country.
Bibliography:Academic Editor: Toshiya Inada
ISSN:2090-682X
2090-6838
DOI:10.1155/2019/7681309