66 suicide attempts by SN with 80% successfulness rate: a new scientific article about suicide by SN at Australia

[aminend]

Abstract​

Background There are limited epidemiological studies on emerging trends in suicide methodology relating to Internet promotion of toxic substances. We investigated time trends and demographic characteristics of deliberate self-poisonings with sodium nitrite/nitrate following Internet promotion for euthanasia in 2017 and a cluster of poisonings.
Methods Retrospective observational study of the National Coronial Information System (2000 – June 2020), Poisons Information Centres, toxicology services (2004 – June 2020) and a scoping review including Embase and MEDLINE (2000 – June 2020) for deliberate self-poisonings with sodium nitrite/nitrate. We examined survival, date, gender, age, setting, geographical location, history of a terminal or psychiatric illness, product.
Results We identified 66 deliberate self-poisonings, who were mostly male (65%) with a wide age distribution (median: 44 years; IQR: 24–66 years; range: 16–92 years; mode: 20–29 years). The majority had a fatal outcome (80%). A sudden and sustained step-increase in poisonings was seen from September 2017 (and the first death). Most cases (83%) had a psychiatric illness and no terminal illness (91%). There were 33 unique cases (mostly young adults) identified in the scoping review from eight countries.
Conclusions The promotion of suicide methodology was associated with a dramatic change in harms from sodium nitrite/nitrate in the past two decades. The signal generated by poisons centre cases was confirmed using national coronial data and pooled poisoning data.
Learning Outcomes State public health actions to date have focused on means restriction, improved antidote stocking and clinical education. National and international collaboration is needed for monitoring promoted lethal substances.

2E.005 Toxicovigilance for suicide prevention following Internet promotion of sodium nitrite | Injury Prevention

 

[Mizuri]

This is actually pretty effective when you think about it. You have to remember that SN don't give you any long term damage if you fail the attempt.

Pretty nice.

 

[aminend]

Its Statistical information is very interesting.

 

[EmbraceOfTheVoid]

It comes off as a very anti-choice report to me as he points out how how many people had psychiatric "illnesses" and terminal illnesses. There's also no mention of people with chronic physical pain disorders almost like he's pushing for the idea that only the terminally ill are allowed to die.

His learning outcomes clearly didn't teach him about morality or that restricting a method doesn't prevent suicide.

 

[BrokenArrow]

80% is actually very high. The other 20% could've been found halfway through, or called for help after they took it.

So, if you ensure you won't be found and you don't call for help, the fatality rate of SN is probably a lot higher? Almost 100%, maybe?

This has strengthened my faith in SN

 

[KuriGohan&Kamehameha]

Wait, so is the data over the course of 20 years? I didn't want to log in via my institutional access, so I can't read the full paper. It baffles me that they are trying to restrict access to this substance when there clearly aren't very many people who know about it.
Exit International is based in Australia and I imagine quite a few of the more recent deaths were older exit members judging by the age range.

Simplifying it down to one having a terminal illness versus a mental/psychiatristic illness is so illogical and unscientific as well. Comorbidity and chronic illnesses exist. Just because a disease won't kill you within a matter of years, doesn't mean it won't completely ruin your quality of life.

 

[aminend]

Wait, so is the data over the course of 20 years? I didn't want to log in via my institutional access, so I can't read the full paper. It baffles me that they are trying to restrict access to this substance when there clearly aren't very many people who know about it.
Exit International is based in Australia and I imagine quite a few of the more recent deaths were older exit members judging by the age range.

Simplifying it down to one having a terminal illness versus a mental/psychiatristic illness is so illogical and unscientific as well. Comorbidity and chronic illnesses exist. Just because a disease won't kill you within a matter of years, doesn't mean it won't completely ruin your quality of life.

That's is mentioned that the first death was at 2017, so its data is new

 

[ArtsyDrawer]

This means sn is going to be harder to obtain than it is. I literally can't find anywhere that sells lab grade anymore.

 

[Keto]

I wonder why the author include Sodium Nitrate, knowing that is not fatal.

 

[EmbraceOfTheVoid]

Just because a disease won't kill you within a matter of years, doesn't mean it won't completely ruin your quality of life.

The idea that death is the worst thing that can happen to you is a fallacy and illusion. I suppose people like him will never understand until they experience firsthand how a chronic physical or mental problem can affects every aspect of your life in such a negative way that death is preferable to existing as the walking dead.

 

[6Judas6]

How much money is invested in the SN necessary for a good trip?

 

[autisticalex]

also i read that there is an antidote, so if you really regret taking it then you can ring the ambulance and they could save you. Yes you might still die but unlike hanging or jumping you get a chance of survival if you really do regret it.

 

[HopelessFight]

Good news because it once again proves the reliability of this method. Bad news because the more articles being published like this, the more governments will regulate it, making it harder to obtain.

 

[Symbiote]

also i read that there is an antidote, so if you really regret taking it then you can ring the ambulance and they could save you. Yes you might still die but unlike hanging or jumping you get a chance of survival if you really do regret it.

Methylene Blue is the antidote. Most city hospitals have it, but the rural county hospitals do not. Ambulance will hook you up to an oxygen tank and get you to the hospital to put you on a drip bag and slowly inject Meth Blue into you. If they inject Meth Blue too quickly, you'll code and end up in a coma like I did.

 

[Crusader]

And what permanent damage have the survivors after using SN ?

 

[Symbiote]

And what permanent damage have the survivors after using SN ?

For 95% of the survivors, absolutely nothing. For the 5%, it's cardiovascular issues, but that was usually from the administration of the antidote.

 

[Mizuri]

How much money is invested in the SN necessary for a good trip?

Just to make it clear, the only thing you really need to CTB – is SN itself (95%+ purity and this is important).

All other drugs are purely for making the process just a little bit more comfortable. Although you don't have to use them, I'd strongly recommend using at least an antiemetic since vomiting from SN seems to be a common problem among people.

1 kilo of SN (the minimum packaging that I think most places that sell SN have) and a pack of antiemetics should probably cost you less than 10 dollars.

Keep in mind that I'm converting my country's currency to dollars and it may be cheaper or more experience depending on where you live.

If you want a "good trip" here is my shopping list:

• SN.
• Antiemetic.
• Antacid to help SN get sucked into the blood faster.
• Pain killer to deal with the headache.
• Beta blocker to deal with the tachycardia.
• Benzodiazepine sedative, they are hard to get but make you really chill.
• Disposable cardboard cups.
• Straws to make it easier to deal with SN taste that seems to be not very tasty.
• Some mint candies to get rid of the salty taste in the mouth after the SN drink.
• Digital scales to measure the exact 20 grams of SN.

Medications all together are the most expensive thing. The bare minimum I'd recommend buying to make the process as nice as possible is an antiemetic.

You should read "Stan's guide to SN" because it tells you about the medications and the SN in much more depth and is essentially a must-read if you want to use SN as you method to CTB.

 

[Crusader]

For 95% of the survivors, absolutely nothing. For the 5%, it's cardiovascular issues, but that was usually from the administration of the antidote.

But you can prohibit treatment with a living will. So they are not allowed to safe your life.

 

[Mizuri]

But you can prohibit treatment with a living will. So they are not allowed to safe your life.

You will probably be unconscious when doctors will try to save you.

And I think they will try to save you anyway, even if you will be conscious and refuse, because they can say that you are in a deranged state or smth like that.

 

[Crusader]

Maybe "living will" is not the right translation for the german word "Patientenverfügung". In Europe, even if you are unconscious, they are not allowed to do any treatment when you have a written living will/Patientenverfügung. I allways have a copy of it with me and one is saved in an online register, where every hospital and doctor has access around the clock.

Sorry about my englisch. Sometimes I think I´m loosing it ;-)

 

[HopelessFight]

Maybe "living will" is not the right translation for the german word "Patientenverfügung". In Europe, even if you are unconscious, they are not allowed to do any treatment when you have a written living will/Patientenverfügung. I allways have a copy of it with me and one is saved in an online register, where every hospital and doctor has access around the clock.

Sorry about my englisch. Sometimes I think I´m loosing it ;-)

I have such statement as well and doctors have to follow this by law, but you cannot officially register it in this country and so doctors can act like they're not aware and just destroy it.

 

[6Judas6]

Just to make it clear, the only thing you really need to CTB – is SN itself (95%+ purity and this is important).

All other drugs are purely for making the process just a little bit more comfortable. Although you don't have to use them, I'd strongly recommend using at least an antiemetic since vomiting from SN seems to be a common problem among people.

1 kilo of SN (the minimum packaging that I think most places that sell SN have) and a pack of antiemetics should probably cost you less than 10 dollars.

Keep in mind that I'm converting my country's currency to dollars and it may be cheaper or more experience depending on where you live.

If you want a "good trip" here is my shopping list:

• SN.
• Antiemetic.
• Antacid to help SN get sucked into the blood faster.
• Pain killer to deal with the headache.
• Beta blocker to deal with the tachycardia.
• Benzodiazepine sedative, they are hard to get but make you really chill.
• Disposable cardboard cups.
• Straws to make it easier to deal with SN taste that seems to be not very tasty.
• Some mint candies to get rid of the salty taste in the mouth after the SN drink.
• Digital scales to measure the exact 20 grams of SN.

Medications all together are the most expensive thing. The bare minimum I'd recommend buying to make the process as nice as possible is an antiemetic.

You should read "Stan's guide to SN" because it tells you about the medications and the SN in much more depth and is essentially a must-read if you want to use SN as you method to CTB.

Thank you very much for this information. One more thing, how much do you calculate that should be invested for all that?

 

[BandAddict]

This makes me feel like I need to get my ass in gear. As much as these studies are helpful, it scares me to think the wrong people will pay attention to this and work towards further regulating it.

 

[HopelessFight]

Thank you very much for this information. One more thing, how much do you calculate that should be invested for all that?

It all depends on where you live and what you have access to.

For example, I have access to benzo's because I take them for medical issues and they cost me next to nothing. However, if you really want these and buy them on the black market, you'll have to pay a lot.

 

[Into The Void]

Abstract​

Background There are limited epidemiological studies on emerging trends in suicide methodology relating to Internet promotion of toxic substances. We investigated time trends and demographic characteristics of deliberate self-poisonings with sodium nitrite/nitrate following Internet promotion for euthanasia in 2017 and a cluster of poisonings.
Methods Retrospective observational study of the National Coronial Information System (2000 – June 2020), Poisons Information Centres, toxicology services (2004 – June 2020) and a scoping review including Embase and MEDLINE (2000 – June 2020) for deliberate self-poisonings with sodium nitrite/nitrate. We examined survival, date, gender, age, setting, geographical location, history of a terminal or psychiatric illness, product.
Results We identified 66 deliberate self-poisonings, who were mostly male (65%) with a wide age distribution (median: 44 years; IQR: 24–66 years; range: 16–92 years; mode: 20–29 years). The majority had a fatal outcome (80%). A sudden and sustained step-increase in poisonings was seen from September 2017 (and the first death). Most cases (83%) had a psychiatric illness and no terminal illness (91%). There were 33 unique cases (mostly young adults) identified in the scoping review from eight countries.
Conclusions The promotion of suicide methodology was associated with a dramatic change in harms from sodium nitrite/nitrate in the past two decades. The signal generated by poisons centre cases was confirmed using national coronial data and pooled poisoning data.
Learning Outcomes State public health actions to date have focused on means restriction, improved antidote stocking and clinical education. National and international collaboration is needed for monitoring promoted lethal substances.

2E.005 Toxicovigilance for suicide prevention following Internet promotion of sodium nitrite | Injury Prevention

Many people in Australia especially the politicians hate Philip Nitschke author of the PPH and the main one pushing the use of SN in the book world and over there in Australia,. I think the authors of this study are biased.

 

[Mizuri]

Thank you very much for this information. One more thing, how much do you calculate that should be invested for all that?

I didn't count but I think 40 dollars will be more than enough.

 

[bad luck]

Thanks. Very interesting information.

 

[Grave]

I wonder why the author include Sodium Nitrate, knowing that is not fatal.

Yeah, I wondered that also.

It's an interesting article though, unfortunate that SN is so hard to obtain and increased awareness of what it is being used for will lead to more scrutiny over its selling.

Maybe "living will" is not the right translation for the german word "Patientenverfügung". In Europe, even if you are unconscious, they are not allowed to do any treatment when you have a written living will/Patientenverfügung. I allways have a copy of it with me and one is saved in an online register, where every hospital and doctor has access around the clock.

Sorry about my englisch. Sometimes I think I´m loosing it ;-)

In the UK we have something called a DNR, standing for Do Not Resuscitate, so like if your heart stops, they can't perform CPR (cardiopulmonary resuscitation) on you. But it's mainly only people like 70+ or with physical terminal illnesses who have them, and I guess they could be ignored.

 

[pthnrdnojvsc]

Abstract​

Background There are limited epidemiological studies on emerging trends in suicide methodology relating to Internet promotion of toxic substances. We investigated time trends and demographic characteristics of deliberate self-poisonings with sodium nitrite/nitrate following Internet promotion for euthanasia in 2017 and a cluster of poisonings.
Methods Retrospective observational study of the National Coronial Information System (2000 – June 2020), Poisons Information Centres, toxicology services (2004 – June 2020) and a scoping review including Embase and MEDLINE (2000 – June 2020) for deliberate self-poisonings with sodium nitrite/nitrate. We examined survival, date, gender, age, setting, geographical location, history of a terminal or psychiatric illness, product.
Results We identified 66 deliberate self-poisonings, who were mostly male (65%) with a wide age distribution (median: 44 years; IQR: 24–66 years; range: 16–92 years; mode: 20–29 years). The majority had a fatal outcome (80%). A sudden and sustained step-increase in poisonings was seen from September 2017 (and the first death). Most cases (83%) had a psychiatric illness and no terminal illness (91%). There were 33 unique cases (mostly young adults) identified in the scoping review from eight countries.
Conclusions The promotion of suicide methodology was associated with a dramatic change in harms from sodium nitrite/nitrate in the past two decades. The signal generated by poisons centre cases was confirmed using national coronial data and pooled poisoning data.
Learning Outcomes State public health actions to date have focused on means restriction, improved antidote stocking and clinical education. National and international collaboration is needed for monitoring promoted lethal substances.

2E.005 Toxicovigilance for suicide prevention following Internet promotion of sodium nitrite | Injury Prevention

@aminend thanks for providing this and other similar articles. Very informative. Maybe this one should be pinned?

 

[aminend]

@aminend thanks for providing this and other similar articles. Very informative. Maybe this one should be pinned?

Ur welcome reading these scientific articles give us more comfort, I think