@article{ref1,
title="The role of alcohol use in pesticide suicide and self-harm: a scoping review",
journal="Social psychiatry and psychiatric epidemiology",
year="2023",
author="Schölin, Lisa and Lee, K. S. Kylie and London, Leslie and Pearson, Melissa and Otieno, Fredrick and Weerasinghe, Manjula and Konradsen, Flemming and Eddleston, Michael and Sørensen, Jane Brandt",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="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. <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="0933-7954",
doi="10.1007/s00127-023-02526-9",
url="http://dx.doi.org/10.1007/s00127-023-02526-9"
}