The role of alcohol use in pesticide suicide and self-harm: a scoping review
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The role of alcohol use in pesticide suicide and self-harm : a scoping review. / Schölin, Lisa; Lee, K. S.Kylie; London, Leslie; Pearson, Melissa; Otieno, Fredrick; Weerasinghe, Manjula; Konradsen, Flemming; Eddleston, Michael; Sørensen, Jane Brandt.
In: Social Psychiatry and Psychiatric Epidemiology, Vol. 59, 2023, p. 211–232.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The role of alcohol use in pesticide suicide and self-harm
T2 - a scoping review
AU - Schölin, Lisa
AU - Lee, K. S.Kylie
AU - London, Leslie
AU - Pearson, Melissa
AU - Otieno, Fredrick
AU - Weerasinghe, Manjula
AU - Konradsen, Flemming
AU - Eddleston, Michael
AU - Sørensen, Jane Brandt
N1 - Correction: DOI 10.1007/s00127-023-02558-1 Publisher Copyright: © 2023, The Author(s).
PY - 2023
Y1 - 2023
N2 - Purpose: Suicide and self-harm by pesticide self-poisoning is common in low- and middle-income countries (LMICs). Alcohol is an important risk factor for self-harm; however, little is known about its role in pesticide self-poisoning. This scoping review explores the role that alcohol plays in pesticide self-harm and suicide. Methods: The review followed the Joanna Briggs Institute scoping review guidance. Searches were undertaken in 14 databases, Google Scholar, and relevant websites. Articles were included if they focussed on pesticide self-harm and/or suicide and involvement of alcohol. Results: Following screening of 1281 articles, 52 were included. Almost half were case reports (n = 24) and 16 focussed on Sri Lanka. Just over half described the acute impact of alcohol (n = 286), followed by acute and chronic alcohol use (n = 9), chronic use, (n = 4,) and only two articles addressed harm to others. One systematic review/meta-analysis showed increased risk of intubation and death in patients with co-ingested alcohol and pesticides. Most individuals who consumed alcohol before self-harming with pesticides were men, but alcohol use among this group also led to pesticide self-harm among family members. Individual interventions were recognised as reducing or moderating alcohol use, but no study discussed population-level alcohol interventions as a strategy for pesticide suicide and self-harm prevention. Conclusion: Research on alcohol’s role in pesticide self-harm and suicide is limited. Future studies are needed to: further assess the toxicological effects of combined alcohol and pesticide ingestion, explore harm to others from alcohol including pesticide self-harm, and to integrate efforts to prevent harmful alcohol use and self-harm.
AB - Purpose: Suicide and self-harm by pesticide self-poisoning is common in low- and middle-income countries (LMICs). Alcohol is an important risk factor for self-harm; however, little is known about its role in pesticide self-poisoning. This scoping review explores the role that alcohol plays in pesticide self-harm and suicide. Methods: The review followed the Joanna Briggs Institute scoping review guidance. Searches were undertaken in 14 databases, Google Scholar, and relevant websites. Articles were included if they focussed on pesticide self-harm and/or suicide and involvement of alcohol. Results: Following screening of 1281 articles, 52 were included. Almost half were case reports (n = 24) and 16 focussed on Sri Lanka. Just over half described the acute impact of alcohol (n = 286), followed by acute and chronic alcohol use (n = 9), chronic use, (n = 4,) and only two articles addressed harm to others. One systematic review/meta-analysis showed increased risk of intubation and death in patients with co-ingested alcohol and pesticides. Most individuals who consumed alcohol before self-harming with pesticides were men, but alcohol use among this group also led to pesticide self-harm among family members. Individual interventions were recognised as reducing or moderating alcohol use, but no study discussed population-level alcohol interventions as a strategy for pesticide suicide and self-harm prevention. Conclusion: Research on alcohol’s role in pesticide self-harm and suicide is limited. Future studies are needed to: further assess the toxicological effects of combined alcohol and pesticide ingestion, explore harm to others from alcohol including pesticide self-harm, and to integrate efforts to prevent harmful alcohol use and self-harm.
KW - Alcohol
KW - Alcohol use disorder
KW - Pesticides
KW - Self-harm
KW - Suicide
U2 - 10.1007/s00127-023-02526-9
DO - 10.1007/s00127-023-02526-9
M3 - Journal article
C2 - 37420003
AN - SCOPUS:85164102205
VL - 59
SP - 211
EP - 232
JO - Social Psychiatry and Psychiatric Epidemiology
JF - Social Psychiatry and Psychiatric Epidemiology
SN - 0933-7954
ER -
ID: 359851119