SynthesisBMC public health2007
The global distribution of fatal pesticide self-poisoning: systematic review.
Synthesis in BMC public health, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 275 papers, 5 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effect of Adding Nebulized Salbutamol to Intravenous Atropine and Oxygen During Resuscitation of OP Pesticide Poisoned Patients
Mitochondrial Targeted Biofuels as Countermeasures Against Chemical Threats
Who cites it
275 citing papers in PubMed, 5 syntheses or guidelines pooled it, 944 citations in OpenAlex.
- Worldwide unintentional acute pesticide poisonings: reassessing the occupational and non-occupational burden.Frontiers in public health · 2026Pooled it
- Understanding determinants related to farmers' protective measures towards pesticide exposure: A systematic review.PloS one · 2024Pooled it
- Serum creatinine in predicting mortality after paraquat poisoning: A systematic review and meta-analysis.PloS one · 2023Pooled it
- Improving Suicide Prevention Through Evidence-Based Strategies: A Systematic Review.The American journal of psychiatry · 2021Pooled it
- The global distribution of acute unintentional pesticide poisoning: estimations based on a systematic review.BMC public health · 2020Pooled it
- Targeting Mitochondrial Dysfunction in Acute Organophosphate Toxicity: A Preliminary Evaluation of Cyclosporine A.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2026Article
- Successful survival after severe aluminum phosphide poisoning complicated by cardiogenic shock, atrial fibrillation and severe metabolic acidosis: a case report.Journal of medical case reports · 2026Article
- Childhood and adolescent poisoning: a prospective analysis from the largest poison control centre.BMC pediatrics · 2026Article
- Article
- Public Views on Pesticide Exposure and Human Biomonitoring in Latvia: Evidence from Focus Groups and Media Analysis.Toxics · 2026Article
- Predictors of intermediate syndrome after organophosphorus poisoning and its management in Nepal.Acute and critical care · 2026Article
- Seizure and Status Epilepticus in Human Organophosphate Poisoning: A Narrative Review.Neurology international · 2026Review
- Paraquat Peril: A Retrospective Study from the Frontlines of a Quaternary Care Hospital in South India.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026Article
- Epidemiological profile of paraquat poisoning in tertiary care center of eastern Nepal: A retrospective observational study.Medicine · 2026Observational
- Multidimensional characterization of heterogeneity in pesticide co-exposure patterns.Frontiers in chemistry · 2026Article
- Development and validation of a predictive model for short-term symptom relief after organophosphate poisoning.Frontiers in medicine · 2026Article
- Pesticide-specific case fatality and clinical outcomes among poisoning cases in Tanzania: a retrospective cross-sectional study.Frontiers in toxicology · 2026Article
- Neuroprotective Effects of N-Acetylcysteine-Amide (AD4) in a Survival Mouse Model of Paraoxon Intoxication: Targeting Oxidative Stress, Neuroinflammation and Memory Impairments.Antioxidants (Basel, Switzerland) · 2025Article
- Deciphering Persistent D-Dimer Elevation in Paraquat Poisoning: A Mortality Assessment Case Study.Clinical case reports · 2025Article
- Dual-emission ratiometric fluorescent sensor based on tannic acid carbon dots and eosin for selective detection of paraquat in water and food samples.RSC advances · 2025Article
215 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence is accumulating that pesticide self-poisoning is one of the most commonly used methods of suicide worldwide, but the magnitude of the problem and the global distribution of these deaths is unknown.
methodsWe have systematically reviewed the worldwide literature to estimate the number of pesticide suicides in each of the World Health Organisation's six regions and the global burden of fatal self-poisoning with pesticides. We used the following data sources: Medline, EMBASE and psycINFO (1990-2007), papers cited in publications retrieved, the worldwide web (using Google) and our personal collections of papers and books. Our aim was to identify papers enabling us to estimate the proportion of a country's suicides due to pesticide self-poisoning.
resultsWe conservatively estimate that there are 258,234 (plausible range 233,997 to 325,907) deaths from pesticide self-poisoning worldwide each year, accounting for 30% (range 27% to 37%) of suicides globally. Official data from India probably underestimate the incidence of suicides; applying evidence-based corrections to India's official data, our estimate for world suicides using pesticides increases to 371,594 (range 347,357 to 439,267). The proportion of all suicides using pesticides varies from 4% in the European Region to over 50% in the Western Pacific Region but this proportion is not concordant with the volume of pesticides sold in each region; it is the pattern of pesticide use and the toxicity of the products, not the quantity used, that influences the likelihood they will be used in acts of fatal self-harm.
conclusionPesticide self-poisoning accounts for about one-third of the world's suicides. Epidemiological and toxicological data suggest that many of these deaths might be prevented if (a) the use of pesticides most toxic to humans was restricted, (b) pesticides could be safely stored in rural communities, and (c) the accessibility and quality of care for poisoning could be improved.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.