Objectives To determine whether a serious paracetamol overdose in the medical television drama Casualty altered the incidence and nature of general hospital presentations for deliberate self poisoning.
Design Interrupted time series analysis of presentations for self poisoning at accident and emergency departments during three week periods before and after the broadcast Questionnaire responses collected from self poisoning patients during the same periods.
Setting 49 accident and emergency departments and psychiatric services in United Kingdom collected incidence data ; 25 services collected questionnaire data.
Subjects 4403 self poisoning patients ; questionnaires completed for 1047.
Main outcome measures Change in presentation rates for self poisoning in the three weeks after the broadcast compared with the three weeks before, use of paracetamol and other drugs for self poisoning, and the nature of overdoses in viewers of the broadcast compared with non-viewers.
Results Presentations for self poisoning increased by 17% (95% confidence interval 7% to 28%) in the week after the broadcast and by 9% (0 to 19%) in the second week.
Increases in paracetamol overdoses were more marked than increases in non-paracetamol overdoses.
Thirty two patients who presented in the week after the broadcast and were interviewed had seen the episode-20% said that it had influenced their decision to take an overdose, and 17% said it had influenced their choice of drug. (...)
Mots-clés Pascal : Intoxication médicamenteuse, Paracétamol, Film, Programme télévision, Etude comparative, Service urgence, Incidence, Consultation, Tentative suicide, Médicament, Royaume Uni, Europe, Homme
Mots-clés Pascal anglais : Drug intoxication, Paracetamol, Film, Television program, Comparative study, Emergency department, Incidence, Consultation, Suicide attempt, Drug, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0235012
Code Inist : 002B30A11. Création : 16/11/1999.