title: Cerbera odollam: a 'suicide tree' and cause of death in the state of Kerala, India.
abstract: Cerbera odollam is a tree belonging to the poisonous Apocynaceae family, which includes the yellow and common oleanders. The seeds are excessively toxic, containing cerberin as the main active cardenolide. Cerbera venenifera, a related species found in Madagascar, has a long history as an ordeal poison, and was responsible for the death of 3000 people per year in previous centuries. The odollam tree is responsible for about 50% of the plant poisoning cases and 10% of the total poisoning cases in Kerala, India. It is used both for suicide and homicide. The aim of this retrospective study is to call attention to a powerful toxic plant that is currently completely ignored by western physicians, chemists, analysts and even coroners and forensic toxicologists.
authors.affiliation: Laboratory of Analytical Toxicology (LAT), Quai Jean Jaurès, 07800 La Voulte sur Rhône, France. yvangaillard@aol.com
authors.forename: Yvan
authors.initials: Y
authors.lastname: Gaillard
authors.forename: Ananthasankaran
authors.initials: A
authors.lastname: Krishnamoorthy
authors.forename: Fabien
authors.initials: F
authors.lastname: Bevalot
mesh_terms: D000818:Animals; D029062:Apocynaceae / Q000506:poisoning*; D002423:Cause of Death; D006801:Humans; D007194:India / Q000453:epidemiology; D010939:Plant Poisoning / Q000453:epidemiology*; D012639:Seeds / Q000506:poisoning*