هدف البحث: يهدف البحث إلى تحديد المجموعات الدوائية الأكثر استعمالا في محاولات الانتحار الدوائي و بالتالي تسهيل قدرة الطبيب الشرعي على الشك بالتسمم .
الطرائق: شملت دراستنا على 175 حالة محاولة انتحار دوائي ( 50 ذكر و 125 أنثى) وثقت في سجلات المركز الوطني للمعلومات السمية صنفت و فقا للجنس و العمر و فصول السنة و أيام الأسبوع ، و على 84 حالة انتحار ( 54 ذكر، 30 أنثى ) 12 حالة منها كانت باستخدام الأدوية صنفت وفقا للأدوية المستعملة و السوابق المرضية لمنتحر
والوسائل التشخيصية المتبعة ؛ و صنفت الأدوية المستخدمة في حالات و محاولات الانتحار الدوائي حسب المجموعات الدوائية العلاجية.
النتائج: استعملت المسكنات في 25.36 % من حالات محاولات الانتحار الدوائي، شكل الباراسيتامول 94 % منها، أما الأدوية النفسية استعملت بنسبة 20.65 % . و استعملت المسكنات في 33.33 % من حالات الانتحار و في ثلث تلك الحالات استعمل الضحايا الأدوية الموصوفة لهم . إن نسبة محاولة الانتحار الدوائي من الذكور إلى الإناث هي: 1:2.5 , %48 منهم تراوحت أعمارهم بين 10-20 سنة , 32% من الحالات وقعت صيفا.
الخلاصة : الباراسيتامول من أكثر الأدوية المستعملة في محاولات الانتحار و من الضروري إجراء دراسات أخرى أكثر عمقا لتشمل المحافظات الأخرى للتأكد من شمولية و أهمية المشكلة.
Background:
Because of the obvious increasing in the poisoning cases in the
recent decades . The aim of the study was to determine the
medicine groups that were used to commit suicide and suicide
attempts.
Methods:
Our study contained two samples . . The first was 175 suicide
attempts ( 50 males, 125 females ), which were archives in the
Syrian poison information center in the period between 1998-1999.
These cases were divided into sex, age groups, incidence date The second was 84 suicide cases ( 54 males, 30 females ), which were archives in the medicolegal center in Damascus during the period between 1996 – 2000 . Out of 12 cases were because of using medicines, and the medicines classified according to the therapeutic medicinal groups.
Results:
Analgesics were used in 25.36% of all suicide attempts.
Paracetamol formed 94% out of it. The psychiatric tablets were
used 20.65%. The analgesics were used in 33.33% of all suicide cases. In one third of cases the persons used their own medicines.
The incidence of suicide attempts by using medicines for male:
female was 1:2.5. 48% of all suicide attempts were in the group 10- 20 years and 32% were in summer.
Conclusion: Most of suicide attempts by using medicines were due to paracetamol. So, we need other studies about suicide attempts in another cities .
References used
In Harm’s way : Suicide in America . National Institute of Mental Health. http://www.nimh.nih.gov/publicat/harmaway.cfm
Lochmann , W : Suicidal handlung und korperliche erkrankungen . Med . Diss . Frankfurt-Main , 1985
(Fareley ,δ , etal : Aldicarb as acause of Food Poisoning , C.D.C. Vol 281. No 21. June 1999 12-2-5- Fiedroczuk , Z : Die analyse von todesfallen infolge erhagen . Arch . Med . Sadowej 33 (1983
حامدة ، محمد : الطب الشرعي ، الطبعة الأولى ، منشورات جامعة تشرين ، 1993.
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