Effects of a drug overdose in a television drama on presentations to hospital for self poisoning : time series and questionnaire study

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Effects of a drug overdose in a television drama on presentations to hospital for self poisoning : time series and questionnaire study. / Hawton, K; Simkin, S; Deeks, J J; O'Connor, S; Keen, A; Altman, D G; Philo, G; Bulstrode, C.

In: British Medical Journal, Vol. 318, No. 7189, 10.04.1999, p. 972-977.

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Hawton, K ; Simkin, S ; Deeks, J J ; O'Connor, S ; Keen, A ; Altman, D G ; Philo, G ; Bulstrode, C. / Effects of a drug overdose in a television drama on presentations to hospital for self poisoning : time series and questionnaire study. In: British Medical Journal. 1999 ; Vol. 318, No. 7189. pp. 972-977.

Bibtex

@article{4cb6456469d54ca28ee7b66313fb9527,
title = "Effects of a drug overdose in a television drama on presentations to hospital for self poisoning : time series and questionnaire study",
abstract = "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. The use of paracetamol for overdose doubled among viewers of Casualty after the episode (rise of 106%; 28% to 232%).CONCLUSIONS: Broadcast of popular television dramas depicting self poisoning may have a short term influence in terms of increases in hospital presentation for overdose and changes in the choice of drug taken. This raises serious questions about the advisability of the media portraying suicidal behaviour.",
keywords = "Acetaminophen, Adolescent, Adult, Aged, Aged, 80 and over, Analgesics, Non-Narcotic, Child, Confidence Intervals, Drama, Drug Overdose, Emergency Service, Hospital, Female, Great Britain, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Poisoning, Questionnaires, Survival Rate, Television",
author = "K Hawton and S Simkin and Deeks, {J J} and S O'Connor and A Keen and Altman, {D G} and G Philo and C Bulstrode",
year = "1999",
month = apr,
day = "10",
doi = "10.1136/bmj.318.7189.972",
language = "English",
volume = "318",
pages = "972--977",
journal = "British Medical Journal",
issn = "0959-8138",
publisher = "BMJ Publishing Group",
number = "7189",

}

RIS

TY - JOUR

T1 - Effects of a drug overdose in a television drama on presentations to hospital for self poisoning : time series and questionnaire study

AU - Hawton, K

AU - Simkin, S

AU - Deeks, J J

AU - O'Connor, S

AU - Keen, A

AU - Altman, D G

AU - Philo, G

AU - Bulstrode, C

PY - 1999/4/10

Y1 - 1999/4/10

N2 - 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. The use of paracetamol for overdose doubled among viewers of Casualty after the episode (rise of 106%; 28% to 232%).CONCLUSIONS: Broadcast of popular television dramas depicting self poisoning may have a short term influence in terms of increases in hospital presentation for overdose and changes in the choice of drug taken. This raises serious questions about the advisability of the media portraying suicidal behaviour.

AB - 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. The use of paracetamol for overdose doubled among viewers of Casualty after the episode (rise of 106%; 28% to 232%).CONCLUSIONS: Broadcast of popular television dramas depicting self poisoning may have a short term influence in terms of increases in hospital presentation for overdose and changes in the choice of drug taken. This raises serious questions about the advisability of the media portraying suicidal behaviour.

KW - Acetaminophen

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Analgesics, Non-Narcotic

KW - Child

KW - Confidence Intervals

KW - Drama

KW - Drug Overdose

KW - Emergency Service, Hospital

KW - Female

KW - Great Britain

KW - Humans

KW - Male

KW - Middle Aged

KW - Patient Acceptance of Health Care

KW - Poisoning

KW - Questionnaires

KW - Survival Rate

KW - Television

U2 - 10.1136/bmj.318.7189.972

DO - 10.1136/bmj.318.7189.972

M3 - Article

C2 - 10195966

VL - 318

SP - 972

EP - 977

JO - British Medical Journal

JF - British Medical Journal

SN - 0959-8138

IS - 7189

ER -