ArticleBMC public health2012
The impact of pesticide suicide on the geographic distribution of suicide in Taiwan: a spatial analysis.
Article in BMC public health, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- A central storage facility to reduce pesticide suicides--a feasibility study from India.BMC public health · 2013Trial
- The burden of suicide by paraquat poisoning in Taiwan (1987-2017): trends, geographic variations, and demographic characteristics.BMC public health · 2026Article
- Suicide mortality in Bangladesh: a comparative analysis of the incidence of suicide in 2002 and 2015 from Bangladesh Health and Injury surveys.BMC psychiatry · 2026Article
- Human Poisoning with Chlorpyrifos and Cypermethrin Pesticide Mixture: Assessment of Clinical Outcome of Cases Admitted in a Tertiary Care Hospital in Taiwan.International journal of general medicine · 2023Article
- Article
- Inequalities of Suicide Mortality across Urban and Rural Areas: A Literature Review.International journal of environmental research and public health · 2022Review
- Predictive Factors Associated With Methods of Suicide: The Korean National Investigations of Suicide Victims (The KNIGHTS Study).Frontiers in psychiatry · 2021Article
- Quantifying the contributions of age, sex, methods, and urbanicity to the changing suicide rate trends in South Korea, 2001-2016.Social psychiatry and psychiatric epidemiology · 2020Article
- Suicide by pesticide poisoning in India: a review of pesticide regulations and their impact on suicide trends.BMC public health · 2020Review
- Trends in pesticide suicide in South Korea, 1983-2014.Epidemiology and psychiatric sciences · 2019Article
- Bans of WHO Class I Pesticides in Bangladesh-suicide prevention without hampering agricultural output.International journal of epidemiology · 2018Article
- Spatial clustering of fatal, and non-fatal, suicide in new South Wales, Australia: implications for evidence-based prevention.BMC psychiatry · 2017Article
- Regional variation in suicide rates in Sri Lanka between 1955 and 2011: a spatial and temporal analysis.BMC public health · 2017Article
- Mortality rates by occupation in Korea: a nationwide, 13-year follow-up study.Occupational and environmental medicine · 2016Article
- Deprivation and suicide mortality across 424 neighborhoods in Seoul, South Korea: a Bayesian spatial analysis.International journal of public health · 2015Article
- Epidemiology and outcomes of out-of-hospital cardiac arrest according to suicide mechanism: a nationwide observation study.Clinical and experimental emergency medicine · 2015Article
- Acute large-dose exposure to organophosphates in patients with and without diabetes mellitus: analysis of mortality rate and new-onset diabetes mellitus.Environmental health : a global access science source · 2014Article
- Article
- Psychiatric comorbidity and its impact on mortality in patients who attempted suicide by paraquat poisoning during 2000-2010.PloS one · 2014Article
- Article
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6 authors.
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Abstract
backgroundPesticide self-poisoning is the most commonly used suicide method worldwide, but few studies have investigated the national epidemiology of pesticide suicide in countries where it is a major public health problem. This study aims to investigate geographic variations in pesticide suicide and their impact on the spatial distribution of suicide in Taiwan.
methodsSmoothed standardized mortality ratios for pesticide suicide (2002-2009) were mapped across Taiwan's 358 districts (median population aged 15 or above = 27 000), and their associations with the size of agricultural workforce were investigated using Bayesian hierarchical models.
resultsIn 2002-2009 pesticide poisoning was the third most common suicide method in Taiwan, accounting for 13.6% (4913/36 110) of all suicides. Rates were higher in agricultural East and Central Taiwan and lower in major cities. Almost half (47%) of all pesticide suicides occurred in areas where only 13% of Taiwan's population lived. The geographic distribution of overall suicides was more similar to that of pesticide suicides than non-pesticide suicides. Rural-urban differences in suicide were mostly due to pesticide suicide. Areas where a higher proportion of people worked in agriculture showed higher pesticide suicide rates (adjusted rate ratio [ARR] per standard deviation increase in the proportion of agricultural workers = 1.58, 95% Credible Interval [CrI] 1.44-1.74) and overall suicide rates (ARR = 1.06, 95% CrI 1.03-1.10) but lower non-pesticide suicide rates (ARR = 0.91, 95% CrI 0.87-0.95).
conclusionEasy access to pesticides appears to influence the geographic distribution of suicide in Taiwan, highlighting the potential benefits of targeted prevention strategies such as restricting access to highly toxic pesticides.
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