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Deliberate Self-Poisoning in Ontario Following the Terrorist Attacks of September 11, 2001
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To the Editor: The terrorist attacks in the United States on September 11, 2001, caused significant medical and psychiatric morbidity, particularly in Manhattan, and acutely disrupted the lives of people around the world.1 However, little research has examined the effects of September 11 outside the United States. We hypothesized that the attacks influenced rates of deliberate self-harm, a complex behavioral phenomenon that includes deliberate self-poisoning. We conducted an ecological analysis of poisonings in the days immediately following September 11 in a population geographically removed from the events.
Methods
We identified all hospitalizations for self-poisoning in Ontario during the month of September from 1988 to 2003 using the population-based records of the Canadian Institutes of Health Information (International Classification of Diseases, Ninth Revision codes 960.0-990.0 and International Statistical Classification of Diseases, 10th Revision codes T36-T50.) To exclude instances of accidental toxicity, we restricted the analysis to poisonings in which the external . . . [Full Text of this Article]
Michael E. Detsky, BSc
Department of Medicine
University of Toronto
Toronto, Ontario
Marco L. A. Sivilotti, MD, MSc
Department of Pharmacology and Toxicology
Queen’s University
Kingston, Ontario
Alexander Kopp, BA;
Peter C. Austin, PhD
Institute for Clinical Evaluative Sciences
Toronto, Ontario
David N. Juurlink, MD, PhD
dnj@ices.on.ca
Sunnybrook and Women’s College Health Sciences Centre
University of Toronto
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