ArticleFrontiers in psychiatry2023
Impact of pesticide regulations on mortality from suicide by pesticide in China: an interrupted time series analysis.
Article in Frontiers in psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Paraquat at 63-the story of a controversial herbicide and its regulations: It is time to put people and public health first when regulating paraquat.BMC public health · 2025Pooled it
- Urban-rural disparities in injury mortality in China, 2002-2021.BMC public health · 2026Article
- The burden of suicide by paraquat poisoning in Taiwan (1987-2017): trends, geographic variations, and demographic characteristics.BMC public health · 2026Article
- Long-term effectiveness of banning highly hazardous pesticides on suicide mortality: a 12-year quasi-experimental study in South Korea.Epidemiology and psychiatric sciences · 2026Article
- Clinical characteristics of patients who attempt suicide by drug overdose in Western China: a retrospective analysis.BMC psychiatry · 2025Article
- Excess mortality in people with schizophrenia: 8-year population-based study in southern China.BJPsych open · 2025Article
- Global burden of 292 causes of death in 204 countries and territories and 660 subnational locations, 1990-2023: a systematic analysis for the Global Burden of Disease Study 2023.Lancet (London, England) · 2025Article
- Associations between kidney function with all-cause and cause-specific mortality in type 2 diabetes mellitus patients: a prospective cohort study in China.Journal of health, population, and nutrition · 2025Article
- Suicide prevention: what works, what might work, and what does not work.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Article
- Preventing suicide by restricting access to Highly Hazardous Pesticides (HHPs): A systematic review of international evidence since 2017.PLOS global public health · 2025Article
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9 authors.
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Abstract
Background: Pesticide bans and regulatory restrictions have been shown to be effective strategies for preventing suicide in several countries. Suicide and suicide by pesticides have decreased significantly in China over the past two decades. However, whether the reduction was associated with pesticide regulation is unknown. Methods: The monthly data on suicide and suicide by pesticide from 2006 to 2018 were obtained from China's Disease Surveillance Point (DSP) system. Information on China's pesticide regulations since 1970 was obtained from Pesticide Action Network International (PAN International), Joint Meeting on Pesticide Management Highly Hazardous Pesticides (JMPM HHP) lists, the website of the Ministry of Agriculture of China, Pesticide Information Network of China, and the Wan Fang database. Change point detection and policy analysis were combined to identify the time of any trend change breakpoint of suicide and suicide by pesticide. Interrupted time series analysis was used to investigate the pre- and post-breakpoint trends of monthly standardized rates in suicide and suicide by pesticide. Results: The standardized pesticide suicide rate decreased by 60.5% from 6.50 in 2006 to 2.56 per 100,000 in 2018. Larger declines were evident among people in urban areas (67.3%), female individuals (63.5%), and people aged 15-44 years (68.1%). The effect of policies banning highly hazardous organophosphorus pesticides (HHOP) [rate ratio (RR) = 0.993, 95% CIs (0.991-0.994)] in December 2008 and stopping domestic sales and use of paraquat aqueous solution (RR = 0.992, 95% CIs: 0.990-0.994) in July 2016 were more pronounced than regulating the paraquat-related products (RR = 1.003, 95% CIs: 1.002-1.004) in April 2012. Conclusion: Declines in suicide by pesticide in China occurred contemporaneously with regulatory bans and restrictions implemented on several pesticides, particularly in urban areas, among female individuals, and the relatively low age profile. These findings indicate the potential influence of these bans on trends of suicide by pesticides.
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