<?xml version="1.0" encoding="utf-8"?>
			<journal>
			<title>Asia Pacific Journal of Medical Toxicology</title>
			<title_fa></title_fa>
			<short_title>APJMT</short_title>
			<subject>Medical Sciences</subject>
			<web_url>https://apjmt.mums.ac.ir/</web_url>
			<journal_hbi_system_id>0</journal_hbi_system_id>
			<journal_hbi_system_user></journal_hbi_system_user>
			<journal_id_issn>2322-2611</journal_id_issn>
			<journal_id_issn_online>2322-4320</journal_id_issn_online>
			<journal_id_pii></journal_id_pii>
			<journal_id_doi></journal_id_doi>
			<journal_id_iranmedex></journal_id_iranmedex>
			<journal_id_magiran></journal_id_magiran>
			<journal_id_sid></journal_id_sid>
			<journal_id_nlai></journal_id_nlai>
			<journal_id_science></journal_id_science>
			<language>en</language>
			<pubdate>
				<type>jalali</type>
				<year>2026</year>
				<month>3</month>
				<day>1</day>
			</pubdate>
			<pubdate>
				<type>gregorian</type>
				<year>2026</year>
				<month>3</month>
				<day>1</day>
			</pubdate>
			<volume>15</volume>
			<number>1</number>
			<publish_type>online</publish_type>
			<publish_edition>1</publish_edition>
			<article_type>fulltext</article_type>
			<articleset><article>
				<language>en</language>
				<article_id_issn></article_id_issn>
				<article_id_issn_online></article_id_issn_online>
				<article_id_pubmed></article_id_pubmed>
				<article_id_pii></article_id_pii>
				<article_id_doi></article_id_doi>
				<article_id_iranmedex></article_id_iranmedex>
				<article_id_magiran></article_id_magiran>
				<article_id_sid></article_id_sid>
				<title_fa></title_fa>
				<title>Deliberate Self-Harm in South India: Patterns, Outcomes and Public Health Implications from a Retrospective Study</title>
				<subject_fa></subject_fa>
				<subject></subject>
				<content_type_fa></content_type_fa>
				<content_type>Original Article</content_type>
				<abstract_fa><![CDATA[]]></abstract_fa>
				<abstract><![CDATA[Background: Deliberate self-harm (DSH) represents a largely under-recognized public health crisis in low- and middle-income countries, particularly affecting young adults. Despite its significant contribution to morbidity, mortality, and long-term psychological and socioeconomic consequences, it continues to receive insufficient attention in public health agendas. We aim to describe the socio-demographic and clinical characteristics of patients who presented with DSH to a secondary care hospital in South India.Methods: This retrospective study was conducted using electronic medical records of patients presenting with DSH to the Emergency Department of a secondary care hospital in South India between 2019 and 2024. Data on sociodemographic characteristics, methods of self-harm, clinical features, and referral outcomes were extracted and analyzed. Descriptive statistics were used to summarize the findings.Results: Of 61,797 Emergency Department visits over five years, 179 (0.29%) were due to DSH. The mean (SD) age was 31.8 (14.1) years, with a slight female predominance (50.8%); most patients were aged 15–30 years (58.7%). Toxic ingestion was the predominant method, with agrochemicals forming the largest group (31.8%), followed by medication overdose (15.1%) and corrosive ingestion (11.2%); hanging accounted for 17.9% of cases. Most patients were referred to tertiary centres (64.8%), while 22.3% were admitted locally. Emergency department mortality was 1.7%.Conclusion: DSH remains a substantial public health burden in India, especially among young adults. The high proportion of impulsive, high-lethality attempts highlights the urgent need to strengthen emergency mental health services, pesticide regulation, and preventive strategies at the secondary care level.]]></abstract>
				<keyword_fa></keyword_fa>
				<keyword>Delibrate self harm, Suicide, Poisoning, Medical toxicology, Drug Overdose</keyword>
				<start_page>44</start_page>
				<end_page>48</end_page>
				<web_url>https://apjmt.mums.ac.ir/article_27770.html</web_url>
			<author_list><author>
				<first_name>Beryl</first_name>
				<middle_name>Ini</middle_name>
				<last_name>Prasantha</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>berylini28@gmail.com</email>
				<code>122072</code>
				<coreauthor>Yes</coreauthor>
				<affiliation>Junior Resident, Department of Medicine chittoor campus, Christian Medical College Vellore, India</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Renju</first_name>
				<middle_name>Mathew</middle_name>
				<last_name>Alex</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>renju1494@gmail.com</email>
				<code>122073</code>
				<coreauthor>No</coreauthor>
				<affiliation>Junior Resident, Department of Medicine chittoor campus, Christian Medical College Vellore, India</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Jangala</first_name>
				<middle_name>Sai</middle_name>
				<last_name>Supriya</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>jangalasaisupriya@gmail.com</email>
				<code>122074</code>
				<coreauthor>No</coreauthor>
				<affiliation>Junior Resident, Department of Medicine chittoor campus, Christian Medical College Vellore, India</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Thomas</first_name>
				<middle_name>Vinod</middle_name>
				<last_name>Thomas</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>thomas.vinod.t@gmail.cpm</email>
				<code>122076</code>
				<coreauthor>No</coreauthor>
				<affiliation>Department of Medicine, Christian Medical College and Hospital, Vellore, Chittoor campus</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Kakileti</first_name>
				<middle_name>Mercy</middle_name>
				<last_name>Theophila</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>mercyktheophila7@gmail.com</email>
				<code>122075</code>
				<coreauthor>No</coreauthor>
				<affiliation>Junior Resident, Department of Medicine chittoor campus, Christian Medical College Vellore, India</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Priyanjali</first_name>
				<middle_name>venkata</middle_name>
				<last_name>Chode</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>priyanjalichode2000@gmail.com</email>
				<code>122077</code>
				<coreauthor>No</coreauthor>
				<affiliation>Junior Resident, Department of Medicine chittoor campus, Christian Medical College Vellore, India</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author><author>
				<first_name>Reginald</first_name>
				<middle_name>George</middle_name>
				<last_name>Alex</last_name>
				<suffix></suffix>
				<first_name_fa></first_name_fa>
				<middle_name_fa></middle_name_fa>
				<last_name_fa></last_name_fa>
				<suffix_fa></suffix_fa>
				<email>dralex98@cmcvellore.ac.in</email>
				<code>122078</code>
				<coreauthor>No</coreauthor>
				<affiliation>Professor and head of chittoor medicine department, Department of Medicine chittoor campus , Christian Medical College Vellore, India</affiliation>
				<affiliation_fa></affiliation_fa>
				 </author></author_list>
				</article>
			</articleset>
			</journal>