title: Not so patchy story of attempted suicide…leading to 24 hours of deep sleep and survival!
abstract: Here, we present a somewhat unusual suicide attempt where, despite an unbelievable overdose with transdermal fentanyl patches, the patient survived. The patient-a woman aged 70 years, who has suffered from chronic back pain despite starting transdermal fentanyl patches in 2007. The unconventional method of attempted suicide was based on online research into deaths from fentanyl patch toxicity. She had gradually accumulated 100 µg fentanyl patches from repeat prescriptions, applying 14 patches with fatal intent, alongside 2 45 mg mirtazapine tablets, and concurrent therapeutic doses of tramadol and morphine sulfate oral solution. However, after 24 hours, she awoke from a deep sleep to the sound of the telephone ringing, somewhat amazed her drastic efforts had failed. During admission to Great Western hospital, she was seen by liaison psychiatry and subsequently transferred to the care of the pain management team, to which she had already been referred.
authors.affiliation: Faculty of Health Sciences, University of Bristol, Bristol, UK.
authors.forename: Adam Joseph
authors.initials: AJ
authors.lastname: Trist
authors.affiliation: Faculty of Health Sciences, University of Bristol, Bristol, UK.
authors.forename: Hardeep
authors.initials: H
authors.lastname: Sahota
authors.affiliation: Great Western Hospitals NHS Foundation Trust, Swindon, UK.
authors.forename: Lucy
authors.initials: L
authors.lastname: Williams
mesh_terms: D000368:Aged; D000701:Analgesics, Opioid / Q000506:poisoning*; D001416:Back Pain; D059350:Chronic Pain; D062787:Drug Overdose; D005260:Female; D005283:Fentanyl / Q000506:poisoning*; D006801:Humans; D013406:Suicide, Attempted; D057968:Transdermal Patch
chemical_list: D000701:Analgesics, Opioid; D005283:Fentanyl