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2021, Number 5

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Med Int Mex 2021; 37 (5)

Toxicological approach of the patient with suicide attempt

Moranchel-García L
Full text How to cite this article

Language: Spanish
References: 12
Page: 686-693
PDF size: 216.39 Kb.


Key words:

Suicide attempt, Xenobiotics, Antidepressants, Benzodiazepines, Serotonin reuptake inhibitors, Antipsychotics.

ABSTRACT

Objective: To present a descriptive analysis carried out at the Toxicological Center of the Angeles Lomas Hospital, Mexico.
Patients and Method: A descriptive study of patients treated at the Toxicological Center of the Angeles Lomas Hospital, Mexico, from 2012 to 2019. Patients with intoxication secondary to a suicide attempt were identified. A database was analyzed to validate that they met the established inclusion criteria and the information was collected in a database designed for this purpose.
Results: Two-hundred twenty-nine patients with suicide attempt were treated, which represented 20% of the total of intoxicated patients treated in the study period. The xenobiotics involved in each intake were distributed as follows: cyclic antidepressants: 10, benzodiazepines: 101, serotonin reuptake inhibitors: 2, antipsychotics: 16, paracetamol: 13, metals: 3, drugs of abuse: 51, phosphides: 1, antibiotics/antivirals: 58, opioids: 9, plants and herbal preparations: 6, others (anticoagulants, hypoglycemic agents, anticonvulsants): 159, gas (butane): 1.
Conclusions: The approach to the suicidal patient involves a multidisciplinary team, which must be made up of toxicologists, emergency physicians, psychiatrists and psychotherapists, as well as other specialists who are required depending on the xenobiotic involved and the patient’s clinical situation (internists, intensivists, gastroenterologists, neurologists, cardiologists and surgeons).


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Med Int Mex. 2021;37