Psychiatric comorbidities in patients with intentional methanol intoxication

Wei-Sheng Yang,1,2 Tzung-Hai Yen,2,3 Yeong-Yuh Juang,4 Shwu-Hua Lee,1,2 Bi-Hwa Wang,5 Chin-Pang Lee1,2 1Department of Psychiatry, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan; 2School of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan; 3Department of Nephrology and Cl...

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Autores principales:	Yang WS, Yen TH, Juang YY, Lee SH, Wang BH, Lee CP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	suicide alcohol use pesticide depression Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/41780b1626f142d18f979f4d97e925eb
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spelling	oai:doaj.org-article:41780b1626f142d18f979f4d97e925eb2021-12-02T07:58:14ZPsychiatric comorbidities in patients with intentional methanol intoxication1178-2021https://doaj.org/article/41780b1626f142d18f979f4d97e925eb2019-01-01T00:00:00Zhttps://www.dovepress.com/psychiatric-comorbidities-in-patients-with-intentional-methanol-intoxi-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Wei-Sheng Yang,1,2 Tzung-Hai Yen,2,3 Yeong-Yuh Juang,4 Shwu-Hua Lee,1,2 Bi-Hwa Wang,5 Chin-Pang Lee1,2 1Department of Psychiatry, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan; 2School of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan; 3Department of Nephrology and Clinical Poison Center, Chang Gung Memorial Hospital, Linkou, Taiwan; 4Department of Psychiatry, Koo Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan; 5School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan Background: Intentional methanol intoxication (IMI) is an emerging public health issue in Asian countries, but few data are available in the literature on underlying psychiatric comorbidities in these suicide attempters.Patients and methods: We conducted a retrospective chart review on patients with methanol intoxication (MI) treated at Chang-Gung Memorial Hospital, Linkou, Taiwan during 2000–2016. Of the 56 cases of documented MI, 16 were IMI. Baseline demographic, clinical, laboratory, psychiatric diagnoses, and mortality data were collected and analyzed.Results: Patient group with IMI had more females (62.5% vs 7.5%, P=0.000), less alcohol consumption (33.3% vs 92.5%, P=0.000), and less smoking (40.0% vs 79.5%, P=0.009), but higher past psychiatric disease (73.3% vs 10.0%, P=0.000) and past suicide attempts (81.1% vs 2.5%, P=0.000) than patient group with unintentional MI (UMI). Pesticides (50.0%) comprised the most common source used for suicide, followed by industrial methanol (37.5%). There was no significant difference in mortality rates between these two group (25.0% vs 22.5%, P=0.548). Twelve (75.0%) survivors of IMI were referred to a psychiatric consultation-liaison team, and depressive disorder (58.3%) and adjustment disorder (25.0%) were common.Conclusion: There is a female predominance and a high prevalence of psychiatric comorbidities, namely depression and adjustment disorder in patients with IMI. Besides, alcohol consumption is a prevalent but not adequately treated condition in UMI group. Keywords: alcohol, suicide, methanol intoxication, pesticide, depressionYang WSYen THJuang YYLee SHWang BHLee CPDove Medical Pressarticlesuicidealcohol usepesticidedepressionNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 15, Pp 397-402 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	suicide alcohol use pesticide depression Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	suicide alcohol use pesticide depression Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Yang WS Yen TH Juang YY Lee SH Wang BH Lee CP Psychiatric comorbidities in patients with intentional methanol intoxication
description	Wei-Sheng Yang,1,2 Tzung-Hai Yen,2,3 Yeong-Yuh Juang,4 Shwu-Hua Lee,1,2 Bi-Hwa Wang,5 Chin-Pang Lee1,2 1Department of Psychiatry, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan; 2School of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan; 3Department of Nephrology and Clinical Poison Center, Chang Gung Memorial Hospital, Linkou, Taiwan; 4Department of Psychiatry, Koo Foundation Sun Yat-Sen Cancer Center, Taipei, Taiwan; 5School of Nursing, College of Medicine, Chang Gung University, Taoyuan, Taiwan Background: Intentional methanol intoxication (IMI) is an emerging public health issue in Asian countries, but few data are available in the literature on underlying psychiatric comorbidities in these suicide attempters.Patients and methods: We conducted a retrospective chart review on patients with methanol intoxication (MI) treated at Chang-Gung Memorial Hospital, Linkou, Taiwan during 2000–2016. Of the 56 cases of documented MI, 16 were IMI. Baseline demographic, clinical, laboratory, psychiatric diagnoses, and mortality data were collected and analyzed.Results: Patient group with IMI had more females (62.5% vs 7.5%, P=0.000), less alcohol consumption (33.3% vs 92.5%, P=0.000), and less smoking (40.0% vs 79.5%, P=0.009), but higher past psychiatric disease (73.3% vs 10.0%, P=0.000) and past suicide attempts (81.1% vs 2.5%, P=0.000) than patient group with unintentional MI (UMI). Pesticides (50.0%) comprised the most common source used for suicide, followed by industrial methanol (37.5%). There was no significant difference in mortality rates between these two group (25.0% vs 22.5%, P=0.548). Twelve (75.0%) survivors of IMI were referred to a psychiatric consultation-liaison team, and depressive disorder (58.3%) and adjustment disorder (25.0%) were common.Conclusion: There is a female predominance and a high prevalence of psychiatric comorbidities, namely depression and adjustment disorder in patients with IMI. Besides, alcohol consumption is a prevalent but not adequately treated condition in UMI group. Keywords: alcohol, suicide, methanol intoxication, pesticide, depression
format	article
author	Yang WS Yen TH Juang YY Lee SH Wang BH Lee CP
author_facet	Yang WS Yen TH Juang YY Lee SH Wang BH Lee CP
author_sort	Yang WS
title	Psychiatric comorbidities in patients with intentional methanol intoxication
title_short	Psychiatric comorbidities in patients with intentional methanol intoxication
title_full	Psychiatric comorbidities in patients with intentional methanol intoxication
title_fullStr	Psychiatric comorbidities in patients with intentional methanol intoxication
title_full_unstemmed	Psychiatric comorbidities in patients with intentional methanol intoxication
title_sort	psychiatric comorbidities in patients with intentional methanol intoxication
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/41780b1626f142d18f979f4d97e925eb
work_keys_str_mv	AT yangws psychiatriccomorbiditiesinpatientswithintentionalmethanolintoxication AT yenth psychiatriccomorbiditiesinpatientswithintentionalmethanolintoxication AT juangyy psychiatriccomorbiditiesinpatientswithintentionalmethanolintoxication AT leesh psychiatriccomorbiditiesinpatientswithintentionalmethanolintoxication AT wangbh psychiatriccomorbiditiesinpatientswithintentionalmethanolintoxication AT leecp psychiatriccomorbiditiesinpatientswithintentionalmethanolintoxication
_version_	1718398781361225728

Psychiatric comorbidities in patients with intentional methanol intoxication

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