title: Social risk factors and outcome analysis of poisoning in an Iranian referral medical center: A toxico-epidemiological approach.
abstract: OBJECTIVE
  Suicide is the second major reason of death in the age range of 15-24 and is the eighth reason for overall death of adults. Because of high accessibility of people to different medications in our society, one of the easiest ways for suicide is intentional self-poisoning with medications. Therefore, the aim of this study was to determine the rate of suicide with respect to influencing social factors on patients with intentional self-poisoning.
  
  
  METHODS
  This was an analytic-descriptive prospective study. All study data were collected through a checklist in patients with intentional self-poisoning who had been referred to referral hospital within 2011-2012.
  
  
  RESULTS
  A total of 400 patients (60% female) were evaluated. Age average ± standard deviation of participants was 22.57 ± 9.20 years. About 78.2% had high school degree or less. Nearly 27.8% of all happened suicides take place as a result of family disputes, marital problems (21%) and poverty (11.5%). Love issues with a rate of 10.3% were set in the next step. About 23.2% had a history of a past psychological disorder. Around 97.5% of the patients survived. The shorter the time of hospitalization is for each patient, the better survival rate is obtained through post-suicidal medical care. A statistically meaningful relationship was observed between self-poisoning to commit suicide and absence of academic education (P = 0.02).
  
  
  CONCLUSIONS
  Suicide attempt through self-poisoning is more common in female, married individuals, people without academic education and those with a poor socio-economic status. Furthermore, results announce family disputes as the most pre-disposing factor for suicide.
authors.affiliation: Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Ali Mohammad
authors.initials: AM
authors.lastname: Sabzghabaee
authors.affiliation: Department of Clinical Toxicology, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Marzieh
authors.initials: M
authors.lastname: Soleimani
authors.affiliation: Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Ziba
authors.initials: Z
authors.lastname: Farajzadegan
authors.affiliation: Department of Clinical Toxicology, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Sarah
authors.initials: S
authors.lastname: Hosseinpoor
authors.affiliation: Department of Clinical Toxicology, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Seyyed Mohammad Mahdy
authors.initials: SM
authors.lastname: Mirhosseini
authors.affiliation: Isfahan Clinical Toxicology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Nastaran
authors.initials: N
authors.lastname: Eizadi-Mood
keywords: Intentional; medications; self-poisoning; suicide