Evidence map›Paper›PMID 42205064›Full record

ArticleEpidemiology and psychiatric sciences2026

Long-term effectiveness of banning highly hazardous pesticides on suicide mortality: a 12-year quasi-experimental study in South Korea.

Yangwoo Kim, Inah Kim, Jeehee Min, Soo-Jin Lee

Abstract read
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Article in Epidemiology and psychiatric sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Yangwoo KimDepartment of Social and Preventive Medicine, Inha University College of Medicine, Incheon, Republic of Korea.ORCID https://orcid.org/0000-0003-3205-2780
Inah KimDepartment of Occupational and Environmental Medicine, Hanyang University College of Medicine, Seoul, Republic of Korea.
Jeehee MinDepartment of Occupational and Environmental Medicine, Hanyang University College of Medicine, Seoul, Republic of Korea.
Soo-Jin LeeDepartment of Occupational and Environmental Medicine, Hanyang University College of Medicine, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPesticide self-poisoning accounts for 14-20% of global suicides, predominantly in agricultural regions where highly hazardous pesticides (HHPs) remain accessible. This poses a critical challenge in South Korea despite its advanced healthcare system. In response, South Korea implemented a phased ban on HHPs, including paraquat, beginning in November 2011. This study aimed to evaluate the long-term effect of this ban on pesticide suicide mortality.

methodsWe conducted an interrupted time series study using national mortality data from 2004 to 2023, with autoregressive integrated moving average errors to account for autocorrelation. Sensitivity analyses included alternative intervention timings, period definitions and outcome measures. The primary outcome was the monthly count of pesticide-related suicides.

resultsAmong 268,869 suicide deaths recorded during the study period, 34,962 (13.0%) involved pesticide poisoning. The monthly pesticide suicide counts declined from a mean of 244 before the ban to 81 afterwards. The interrupted time series analysis revealed no immediate level change following the ban (-0.204; 95% confidence interval [CI]: -0.989 to 0.581;

conclusionsThe ban on HHPs in South Korea was associated with a sustained decline in pesticide suicide mortality over 12 years, with no evidence of method substitution. These findings support the means restriction through pesticide regulation as an effective suicide prevention strategy.

Indexed as

PesticidesSuicideSuicide PreventionAdultFemaleHumansInterrupted Time Series AnalysisMaleMiddle AgedPoisoningRepublic of KoreaPesticideshighly hazardous pesticidesinterrupted time series analysisparaquatpesticidesRepublic of Koreasuicide

Identifiers

PMID42205064
PMCPMC13227128

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