Evidence map›Paper›PMID 33146859›Full record

ArticleSocial psychiatry and psychiatric epidemiology2021

Paracetamol-related intentional drug overdose among young people: a national registry study of characteristics, incidence and trends, 2007-2018.

Caroline Daly, Eve Griffin, Elaine McMahon, Paul Corcoran, Roger T Webb, Darren M Ashcroft, Ella Arensman

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Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 16% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Caroline DalyNational Suicide Research Foundation, Room 4.28, Fourth Floor, Western Gateway Building, Western Road, Cork, Ireland. carolinedaly@ucc.ie.ORCID http://orcid.org/0000-0002-5994-3279
Eve GriffinNational Suicide Research Foundation, Room 4.28, Fourth Floor, Western Gateway Building, Western Road, Cork, Ireland.
Elaine McMahonNational Suicide Research Foundation, Room 4.28, Fourth Floor, Western Gateway Building, Western Road, Cork, Ireland.
Paul CorcoranNational Suicide Research Foundation, Room 4.28, Fourth Floor, Western Gateway Building, Western Road, Cork, Ireland.
Roger T WebbNIHR Greater Manchester Patient Safety Translational Research Centre, Manchester Academic Health Sciences Centre (MAHSC), University of Manchester, Manchester, UK.
Darren M AshcroftNIHR Greater Manchester Patient Safety Translational Research Centre, Manchester Academic Health Sciences Centre (MAHSC), University of Manchester, Manchester, UK.
Ella ArensmanNational Suicide Research Foundation, Room 4.28, Fourth Floor, Western Gateway Building, Western Road, Cork, Ireland.
University College Cork · IEManchester Academic Health Science Centre · GBGriffith University · AUNational Suicide Research Foundation · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIncidence rates of hospital-presenting self-harm are highest in people under 25 years and are reportedly increasing in some countries. Intentional drug overdose (IDO) is the most common self-harm method among young people, with paracetamol the drug most frequently used. This study aimed to describe the characteristics, incidence, and temporal trends in paracetamol-related IDO among young people.

methodsData from the National Self-Harm Registry Ireland on hospital-presenting self-harm by individuals aged 1024 years during 2007-2018 were examined. Annual IDO rates per 100,000 were calculated by age and gender. Joinpoint regression analyses and incidence rate ratios were used to examine trends in the incidence of paracetamol-related IDO.

resultsDuring the study, 10,985 paracetamol-related IDOs were recorded. The incidence of paracetamol-related IDO among young people increased by 9% between 2007 and 2018 (IRR 1.09 95% CI 1.00-1.19), with the highest annual percentage change (APC) in females aged 18-24 years (APC 1.2%). Conversely, rates of paracetamol-related IDO among males aged 18-24 years decreased significantly (APC 1.6%). Between 2013 and 2018, excesses of 386 and 151 paracetamol-related IDOs were observed in females aged 10-17 and 18-24 years, respectively, and 42 excess presentations were observed for males aged 10-17 years. There were 107 fewer presentations than expected for males aged 18-24 years.

conclusionThe increase in paracetamol-related IDO among specific groups of young people, particularly young females is an issue of growing concern. Interventions targeting IDO among young people are needed, incorporating measures to address the availability of paracetamol and aftercare following IDO.

Indexed as

Drug OverdoseSelf-Injurious BehaviorAcetaminophenAdolescentAdultChildFemaleHumansIncidenceIrelandMaleRegistriesYoung AdultAcetaminophenDrug overdoseParacetamolPharmaco-epidemiologyPolicySelf-harm

Identifiers

PMID33146859
OpenAlexW3096245486

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Registered trials

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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.