Suicide Research Today is a free monthly online journal that collates and summarizes the latest research about Suicide, including details on depression, causes, prevention, treatment, help.
Gastric ventilation: a new approach to metal phosphide fumigant ingestion.
Hassanian-Moghaddam H, Shahbazi A
Clinical Toxicology, Loghman-Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. firstname.lastname@example.org
INTRODUCTION: Phosphine is absorbed rapidly across mucous membranes causing systemic poisoning including functional cellular hypoxia. Following ingestion of metal phosphides, continuous absorption of phosphine could contribute to the intractable systemic manifestations. CASE REPORT: A 16-year-old male was admitted to hospital 1-hour post-ingestion of two fresh 3 g tablets of aluminum phosphide 56%. He complained of abdominal discomfort and burning pain, thirst, nausea, and foul-odor vomitus. The silver nitrate test was positive by exhaled breath and gastric content, confirming exposure to phosphine. Initial therapy included intravenous fluids and gastric lavage with sodium bicarbonate and potassium permanganate. Hypotension, severe agitation and tachypnea prompted endotracheal intubation and treatment with gastric ventilation. This procedure involves insertion of a nasogastric tube to insufflate air into the distal part of the stomach. An orogastric tube is inserted near the gastro-esophageal junction as an inflow air tract. Ventilation was provided by blowing fresh air using an air-pump into the naso-gastric tube and phosphine contaminated air escaped via the wide-bore orogastric tube; the treatment continued for several hours. Although there was some evidence of progression of poisoning, including metabolic acidosis, arterial fibrillation, and mild gastrointestinal bleeding, the patient subsequently recovered and was discharged 6 days later with no persisting complications. This case report discusses probable benefit, availability, and simplicity of this treatment. We suggest that further clinical trials are required to confirm that this treatment improves outcomes in this highly toxic poisoning.
Published 14 May 2012 in Clin Toxicol (Phila), 50(5): 435-7.
Articles on Suicide published 14 May 2012:
Acute human glufosinate-containing herbicide poisoning. Clin Toxicol (Phila), 50(5): 396-402.
Articles on Suicide published 7 May 2012:
Unemployment and suicide in the Stockholm population: a register-based study on 771,068 men and women. Public Health, 126(5): 371-7.
Articles on Suicide published 3 May 2012:
Prevalence of suicidal ideation and related risk factors in the German general population. J Nerv Ment Dis, 200(5): 401-5.
The present study aimed to determine the prevalence of suicidal ideation in a representative sample of the German general population and examined its relation to potential risk factors. The study sample consisted of 2509 persons. Mean age was 49.4 years (SD, 18.2 years; 55.8% women). Participants filled in the Hospital Anxiety and Depression Scale and two items from the Rasch-based Depression Screening measuring suicidal ideation. Suicidal ideation was reported by 8.0% (n = 211) of all ... [Abstract] [Full-text]
Articles on Suicide published 2 May 2012:
Prospective predictors of suicidal behavior in borderline personality disorder at 6-year follow-up. Am J Psychiatry, 169(5): 484-90.
Articles on Suicide published 13 April 2012:
Social media and suicide: a public health perspective. Am J Public Health, 102: S195-200.
There is increasing evidence that the Internet and social media can influence suicide-related behavior. Important questions are whether this influence poses a significant risk to the public and how public health approaches might be used to address the issue. To address these questions, we provide an overview of ways that social media can influence suicidal behavior, both negatively and positively, and we evaluate the evidence of the risk. We also discuss the legal complexities of this important ... [Abstract] [Full-text]
Articles on Suicide published 12 April 2012:
Culturally responsive suicide prevention in indigenous communities: unexamined assumptions and new possibilities. Am J Public Health, 102(5): 800-6.
Indigenous communities have significantly higher rates of suicide than non-Native communities in North America. Prevention and intervention efforts have failed to redress this disparity. One explanation is that these efforts are culturally incongruent for Native communities. Four prevalent assumptions that underpin professional suicide prevention may conflict with local indigenous understandings about suicide. Our experiences in indigenous communities led us to question assumptions that are ... [Abstract] [Full-text]
Effects of a late-life suicide risk--assessment training on multidisciplinary healthcare providers. J Am Geriatr Soc, 60(4): 775-80.
Older adults are among the highest at risk for completing suicide, and they are more likely to seek mental health services from providers outside of traditional mental health care, but providers across the spectrum of care have limited training in suicide risk assessment and management and particularly lack training in suicide prevention for older adults. An educational program was developed to increase awareness and improve suicide risk assessment and management training for a range of ... [Abstract] [Full-text]
Articles on Suicide published 5 April 2012:
Suicide and cardiovascular death after a cancer diagnosis. N Engl J Med, 366(14): 1310-8.
© 2004-2012 Suicide Research Today. All Rights Reserved.