{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T10:54:47Z","timestamp":1784717687372,"version":"3.55.0"},"reference-count":38,"publisher":"Hogrefe Publishing Group","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Crisis"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>Abstract. Background: Over-the-counter (OTC) analgesics are frequently used in suicide attempts. Accessibility, toxicity, and unsupervised acquisition of large amounts may be facilitators. Aims: To identify patient characteristics associated with OTC drug use as a suicide attempt method among adults. Method: A cross-sectional study was conducted using chart review of all individuals who presented to the emergency department (ED) of two adult general hospitals following a suicide attempt during 2009\u20132010 in Montreal, Canada. Results: Among the 369 suicide attempters identified, 181 used overdosing, 47% of whom used OTC drugs. In logistic regression, women and those with medical comorbidity were more likely to use overdosing, while those with substance use disorders were less likely to do so. Among those who overdosed, women were more likely to use OTC drugs, while those who were Caucasian, had children, comorbidities, diagnoses with substance use disorders, and made attempts in the Fall were less likely to do so. Substances most frequently used were: acetaminophen among OTC drugs (30%); antidepressants (37%), anxiolytics (30%), opioids (10%), and anticonvulsants (9%) among prescription drugs; and cocaine (10%) among recreational drugs. Limitations: Reasons for the suicide method choice were not available. Conclusion: OTC drugs, in particular acetaminophen, are frequently used in suicide attempts. Accessibility to these drugs may be an important contributor.<\/jats:p>","DOI":"10.1027\/0227-5910\/a000545","type":"journal-article","created":{"date-parts":[[2018,9,14]],"date-time":"2018-09-14T12:03:18Z","timestamp":1536926598000},"page":"166-175","source":"Crossref","is-referenced-by-count":10,"title":["Over-the-Counter Drugs and Other\u00a0Substances\u00a0Used\u00a0in\u00a0Attempted Suicide\u00a0Presented\u00a0to\u00a0Emergency Departments in Montreal, Canada"],"prefix":"10.1027","volume":"40","author":[{"given":"Alexandre","family":"Mikhail","sequence":"first","affiliation":[{"name":"Department of Medicine, McGill University, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Omaid","family":"Tanoli","sequence":"additional","affiliation":[{"name":"Department of Medicine, McGill University, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilles","family":"L\u00e9gar\u00e9","sequence":"additional","affiliation":[{"name":"Bureau d'information et d'analyse en sant\u00e9 des populations, Institut National de Sant\u00e9 Publique du Qu\u00e9bec, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pierre-Andr\u00e9","family":"Dub\u00e9","sequence":"additional","affiliation":[{"name":"Direction de la sant\u00e9 environnementale et de la toxicologie, Institut National de Sant\u00e9 Publique du Qu\u00e9bec, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youssef","family":"Habel","sequence":"additional","affiliation":[{"name":"Research Institute of the McGill University Health Centre, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alain","family":"Lesage","sequence":"additional","affiliation":[{"name":"D\u00e9partment de Psychiatrie, Universit\u00e9 de Montr\u00e9al, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy C. P.","family":"Low","sequence":"additional","affiliation":[{"name":"Research Institute of the McGill University Health Centre, Montreal, QC, Canada"},{"name":"Department of Psychiatry, McGill University Health Centre, Montreal, QC, Canada"},{"name":"Mental Health Service, Services for Students, McGill University, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne","family":"Lamarre","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, St-Mary's Hospital, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santokh","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, St-Mary's Hospital, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elham","family":"Rahme","sequence":"additional","affiliation":[{"name":"Department of Medicine, McGill University, Montreal, QC, Canada"},{"name":"Research Institute of the McGill University Health Centre, Montreal, QC, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"101","reference":[{"key":"c1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.07.043489"},{"key":"c2","unstructured":"Association qu\u00e9becoise d'\u00e9tablissement de sant\u00e9 et de services sociaux. 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(2016).Stronger, clearer labels for over-the-counter acetaminophen products to further address the risk of liver damage.Retrieved from http:\/\/healthycanadians.gc.ca\/recall-alert-rappel-avis\/hc-sc\/2016\/60198a-eng.php#issue-problem"},{"key":"c15","doi-asserted-by":"publisher","DOI":"10.1136\/emermed-2011-201033"},{"key":"c16","doi-asserted-by":"publisher","DOI":"10.1038\/mp.2015.19"},{"key":"c17","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.325.7373.1155"},{"key":"c18","doi-asserted-by":"publisher","DOI":"10.1159\/000288121"},{"key":"c19","doi-asserted-by":"publisher","DOI":"10.1177\/070674370304800406"},{"key":"c20","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.159.6.909"},{"key":"c21","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0129062"},{"key":"c22","unstructured":"Navaneelan, T. 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