A retrospective observational study of poisoning and hanging cases during lockdown as a marker of emotional tide of COVID-19 pandemic in a tertiary care center in Northwestern India
Keywords:COVID-19 pandemic, Complete lockdown, Hanging and poisoning
Background: In January 2020, WHO declared the outbreak of a new coronavirus disease COVID-19 to be a public health emergency of international concern. Worldwide lockdown led to panic, mass unemployment, poverty and domestic violence. The present study was designed to observe the impact of lockdown on the spectrum of medico-legal cases being admitted with drastic events of poisoning and hanging.
Methods:In this retrospective, observational and comparative study, around 131 patients were recruited from the admitted patients in the medicine wards in SMS medical college and hospital during COVID-19 lockdown period from 23 March 2020 to 31 May 2020 after applying inclusion and exclusion criterias. Their clinical profile were noted and comparatively assessed with patients admitted in medicine wards during adjoining pre-lockdown period, that is, from 12 January 2020 to 22 March 2020.
Results: Out of 131 cases recruited during lockdown period, hanging cases were 10 (8%) while it was 10 cases out of 213 (5% )during pre-lockdown period. Organophosphorus poisoning was 4.5% and 1.4%, celphos poisoning was 3.8% and 2.3%, rat killer poisoning was 3.05% and 1.4% during lockdown and pre-lockdown period respectively. Cases due to ingestion of other than the major group of poisoning were lower (3.8%) during lockdown period while it was 10.3% during pre-lockdown period.
Conclusions:Extreme negative behavioral changes precipitated by corona and this might be aggravated further by complete lockdown, to which people resorted to the means which were easily available to them at home like hanging and common poisonings.
WHO. Fact sheet: WHO Director-General's opening remarks at the media briefing on COVID-19, 2020. Available at: https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020. Accessed on 2 March 2021.
Kerala confirmed first novel coronavirus case in India: pib.gov.in, 30 January 2020
Ministry of Health and Family Welfare. Fact sheet: Latest Updates, 2021. Available at: https://mohfw.gov.in. Accessed on 2 March 2021.
WHO. Fact sheet: Coronavirus disease (OVID-19) pandemic, 2021. Available at: www.who.int/emergencies/diseases/novel-coronavirus-2019. Accessed on 2 March 2021.
Businessinsider.in : BI India Bureau, March 26,2020.18.32 IST
Goyal K, Chauhan P, Chhikara K, Gupta P, Singh MP. Fear of COVID 2019: first suicidal case in India! Asian J Psychiatr. 2020;49:101989.
Reger MA, Stanley IH, Joiner TE. Suicide mortality and coronavirus disease 2019: a perfect storm? JAMA Psychiatry. 2020;77(11):1093-4.
CDC. Fact sheet: 2019 Novel Coronavirus, Wuhan, China: Symptoms. Available at: https://www.cdc.gov/coronavirus/2019-ncov/about/symptoms.html. Accessed on 2 March 2021.
Lau YL, Peiris JS. Pathogenesis of severe acute respiratory syndrome. Curr Opin Immunol. 2005;17(4):404-10.
Dainik Tribune. Fact sheet: Coronavirus update, 2020. Available at: https://www.tribuneindia.com/news/Ludhiana/. Accessed on 2 March 2021.
Tarsem Singh Deogan: Hindustan times, Ludhiana, June 28, 2020.
Life News. Fact sheet: Study: suicides and deaths due to lockdown may kill almost as many people as coronavirus, 2020. Available at: https://www.lifenews.com/.../study-suicides-because-of-lockdown-fallout-may-kill-almost-as-many-people-as-coronavirus/. Accessed on 2 March 2021.
The Tribune News. Fact sheet: Punjab/anxiety-over-covid-19-leads-to-phagwara womans-suicide-https://www.tribuneindia.com/news/66466. Accessed on 2 March 2021.
Mamun MA, Griffths MD. First COVID-19 case in Bangladesh due to fear of COVID-19 and xenophobia: possible suicide prevention strategies. Asian J Psychiatr. 2020;51:102073.