{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T11:10:18Z","timestamp":1788952218853,"version":"build-2803163510"},"reference-count":39,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Pesticide self-poisoning is a major global public health issue, yet the post-discharge mental health of survivors remains poorly characterized. To investigate the physical and mental health among survivors of diquat self-poisoning after returning to the community, which informs the effective prevention and intervention measures of repeated suicide.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A follow-up study of 25 patients with acute diquat self-poisoning was enrolled from Guangzhou twelfth people\u2019s hospital during 2017 to 2023. The health-related quality of life (HRQoL) was evaluated using the MOS 36-item short-form health survey (SF-36), and anxiety and depression were, respectively, assessed using Generalized Anxiety Disorder-7 (GAD-7) and \u200cPatient Health Questionnaire-9 (PHQ-9) scales.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty-five (25) diquat self-poisoning patients were enrolled in a follow-up study, with a median follow-up of 1.58 person-years. Most participants had low scores in mental health of the HRQoL survey, with a median score was 108.15. In SF-36 domains, only Role Physical (RP) scored significantly lower in the high-dose group (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f=\u202f0.04). Persistent neurological issues (fatigue, forgetfulness, headache) were the primary physical complaints. HRQoL total scores were significantly shaped by sleep duration, history of major trauma, left-behind child status, and psychological symptoms (\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05). Anxiety and depression symptoms had high prevalent rates of 56 and 68%, respectively. Stratified analysis by toxic dose [low-dose (\u2264 50\u202fmL, n\u202f=\u202f12) vs. high-dose (&amp;gt; 50\u202fmL, n\u202f=\u202f13)] revealed no statistically significant differences in anxiety or depression rates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Diquat self-poisoning survivors may experience persistent physical and psychological health difficulties after returning to the community, warranting further attention. The findings highlighted that prevention of repeated self-harm is still necessary among at-risk populations after returning to the community, particularly adolescents and young adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1940440","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:16:20Z","timestamp":1788948980000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Analysis on quality of life, anxiety, and depression of diquat self-poisoning after returning to the community: a follow-up study"],"prefix":"10.3389","volume":"14","author":[{"given":"Zejin","family":"Ou","sequence":"first","affiliation":[{"name":"Key Laboratory of Occupational Environment and Health, Guangzhou Twelfth People's Hospital","place":["Guangzhou, China"]},{"name":"Institute of Occupational and Environmental Health, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jifeng","family":"Dai","sequence":"additional","affiliation":[{"name":"School of Public Health, North Sichuan Medical College","place":["Nanchong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caiying","family":"Zhong","sequence":"additional","affiliation":[{"name":"School of Public Health, Southern Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shi","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Public Health, Southern Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Zhou","sequence":"additional","affiliation":[{"name":"College of Traditional Chinese Medicine, Guangdong Pharmaceutical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yufan","family":"Deng","sequence":"additional","affiliation":[{"name":"School of Public Health, Southern Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meiyi","family":"He","sequence":"additional","affiliation":[{"name":"School of Public Health, North Sichuan Medical College","place":["Nanchong, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuquan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Occupational Diseases and Poisoning, Guangzhou Twelfth People's Hospital","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuxia","family":"Zhang","sequence":"additional","affiliation":[{"name":"Key Laboratory of Occupational Environment and Health, Guangzhou Twelfth People's Hospital","place":["Guangzhou, China"]},{"name":"Institute of Occupational and Environmental Health, Guangzhou Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi","family":"Wang","sequence":"additional","affiliation":[{"name":"Key Laboratory of Occupational Environment and Health, Guangzhou Twelfth People's Hospital","place":["Guangzhou, China"]},{"name":"Institute of Occupational and Environmental Health, Guangzhou Medical University","place":["Guangzhou, China"]},{"name":"School of Public Health, Southern Medical University","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"ref1","volume-title":"Suicide Worldwide in 2021: Global Health Estimates","author":"Alexandra","year":"2025"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"223","DOI":"10.1016\/S2352-4642(18)30403-6","article-title":"Suicidal ideation, suicide planning, and suicide attempts among adolescents in 59 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