TY - JOUR PY - 2005// TI - Epidemiology of intentional self-poisoning in rural Sri Lanka JO - British journal of psychiatry A1 - Eddleston, Michael A1 - Gunnell, David A1 - Karunaratne, Ayanthi A1 - de Silva, Damani A1 - Sheriff, M. H. R. A1 - Buckley, Nicholas A. SP - 583 EP - 584 VL - 187 IS - N2 - We investigated the epidemiology of intentional self-poisoning in rural Sri Lanka by prospectively recording 2189 admissions to two secondary hospitals. Many patients were young (median age 25 years), male (57%) and used pesticides (49%). Of the 198 who died,156 were men (case fatality 12.4%) and 42 were women (4.5%). Over half of female deaths were in those under 25 years old; male deaths were spread more evenly across age groups. Oleander and paraquat caused 74% of deaths in people under 25 years old; thereafter organophosphorous pesticides caused many deaths. Although the age pattern of self-poisoning was similar to that of industrialised countries, case fatality was more than 15 times higher and the pattern of fatal self-poisoning different. LA - SN - 0007-1250 UR - http://dx.doi.org/10.1192/bjp.187.6.583 ID - ref1 ER -