Evidence map›Paper›PMID 40632483›Full record

Observational studyInternal and emergency medicine2026

Epidemiology of suicides attempt by self-poisoning: the Pavia Emergency-Toxicologic Network experience before and after the COVID-19 pandemic years.

Azzurra Schicchi, Irene Ruvituso, Valeria M Petrolini, Ilaria Ferrari, Santi Di Pietro, Davide Lonati, Elisa Roda, Antonella Valli, Alberto L Malovini, Stefano Perlini and 2 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Internal and emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

12 authors.

Azzurra SchicchiPavia Poison Control Centre National Toxicology Information Centre, Clinical and Experimental Lab, Toxicology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Via Salvatore Maugeri, 10, 27100, Pavia, Italy. azzurra.schicchi@icsmaugeri.it.ORCID http://orcid.org/0000-0002-5017-8750
Irene RuvitusoPavia Poison Control Centre National Toxicology Information Centre, Clinical and Experimental Lab, Toxicology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Via Salvatore Maugeri, 10, 27100, Pavia, Italy.
Valeria M PetroliniPavia Poison Control Centre National Toxicology Information Centre, Clinical and Experimental Lab, Toxicology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Via Salvatore Maugeri, 10, 27100, Pavia, Italy.
Ilaria FerrariEmergency Medicine Unit and Emergency Medicine Postgraduate Training Program, Department of Internal Medicine, IRCCS Policlinico San Matteo Foundation, University of Pavia, Pavia, Italy.
Santi Di PietroEmergency Medicine Unit and Emergency Medicine Postgraduate Training Program, Department of Internal Medicine, IRCCS Policlinico San Matteo Foundation, University of Pavia, Pavia, Italy.
Davide LonatiPavia Poison Control Centre National Toxicology Information Centre, Clinical and Experimental Lab, Toxicology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Via Salvatore Maugeri, 10, 27100, Pavia, Italy.
Elisa RodaPavia Poison Control Centre National Toxicology Information Centre, Clinical and Experimental Lab, Toxicology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Via Salvatore Maugeri, 10, 27100, Pavia, Italy.
Antonella ValliLaboratory of Analytical Toxicology, Clinical Chemistry Service, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Alberto L MaloviniLaboratory of Informatics and Systems Engineering for Clinical Research, Istituti Clinici Scientifici Maugeri IRCCS, Pavia, Italy.
Stefano PerliniEmergency Medicine Unit and Emergency Medicine Postgraduate Training Program, Department of Internal Medicine, IRCCS Policlinico San Matteo Foundation, University of Pavia, Pavia, Italy.
Carlo A LocatelliPavia Poison Control Centre National Toxicology Information Centre, Clinical and Experimental Lab, Toxicology Unit, Istituti Clinici Scientifici Maugeri IRCCS, Via Salvatore Maugeri, 10, 27100, Pavia, Italy.
Francesco SalinaroEmergency Medicine Unit and Emergency Medicine Postgraduate Training Program, Department of Internal Medicine, IRCCS Policlinico San Matteo Foundation, University of Pavia, Pavia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In Italy, deliberate self-poisoning (DSP) represents a significant proportion of emergency department (ED) admissions for acute poisoning. This study examines the impact of the COVID-19 pandemic on the incidence, characteristics, and management of DSP in adults in Pavia, a region of Italy heavily affected during the initial outbreak. We conducted a retrospective observational study of DSP cases managed at the ED of IRCCS San Matteo Foundation University Hospital for which the advice of the Pavia Poison Control Centre (PPCC) was requested (January 1, 2019-December 31, 2022). Data were collected from the PPCC and ED electronic health records. We analyzed trends in DSPs in relation to Italian government-imposed COVID-19 restrictions. We included 324 cases, the 74.7% had a history of psychiatric disease. The trends in DSPs changed in relation to the phases of the COVID-19 pandemic. The number of DSPs increased during lockdown 2. A significant increase in DSPs has been found in patients with no prior history of psychiatric illness before COVID. The most used substances were drugs, covering 84.3% of all included cases with neuropsychotropic drugs as the most frequently used (222/273, 81.3%). The COVID-19 pandemic had an impact on DSP trends in the adult population, with an increase in cases among individuals without prior psychiatric history. The persistence of DSP cases throughout 2022 suggests that the psychological toll of the pandemic may have long-term consequences in the Pavia area, Italy. Future studies should aim to explore the long-term effects of the pandemic on mental health and suicidal behavior.

Indexed as

COVID-19PoisoningSuicide, AttemptedAdultEmergency Service, HospitalFemaleHumansIncidenceItalyMaleMiddle AgedPoison Control CentersRetrospective StudiesCOVID-19Emergency MedicineSelfpoisoningToxicology

Identifiers

What OpenQuestion holds

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Registered trials

None linked

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.