Original Article

Factors Aff ecting Mortality in Endosulfan Ingestion With Suicidal Intent


  • Murat Orak
  • Mehmet Üstündağ
  • Ayhan Özhasenekler
  • Yusuf Ali Altuncı
  • Cahfer Güloğlu
  • Yusuf Tamam

Received Date: 02.04.2010 Accepted Date: 05.04.2010 Eurasian J Emerg Med 2010;9(4):158-160


Most pesticides containing Endosulfan have either been restricted or prohibited due to the fact that they remain active longer in nature, and have a long half-life and mid-level toxicity in the body. Acute or chronic exposure to Endosulfan, which may be life-threatening or at times fatal, has rarely been reported. Our aim was to analyze the aff ective factors of endosulfan toxicity on clinical fi ndings and mortality cases.

Materials and Methods:

In the study, all patients who called upon the emergency service due to suicidal endosulfan ingestion were retrospectively analyzed. Twenty-seven patients over the age of 15 years with defi nite proof that they used medicine containing an endosulfan substance were included into the study.


The average age of our patients was 26.56±13.6 years (15-68). The number of male patients was 10 (37.1%), while that of female patients was 17 (62.9%). There were 17 patients (62.9%) who presented with nausea and vomiting complaints, 12 (44.4%) patients with seizure, and 15 (55.5%) with loss of consciousness. The 5 patients who died had loss of consciousness and seizure, and required mechanical ventilation support during seizure and follow- up. In the surviving group, however, loss of consciousness was detected in 10 patients, seizure during follow-up in 5, and ventilation support was required in 5 patients.


Loss of consciousness following suicidal endosulfan ingestion, seizure on arrival and/or during follow-up and need for mechanical ventilation support were the factors which aff ected mortality.

Keywords: Endosulfan, mortality, emergency service, suicide