Charcoal-burning suicide

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Charcoal-burning suicide is a method of suicide in which a person burns charcoal in an enclosed space, such as a room or car, leading to death by carbon monoxide poisoning. This method of suicide became notably prevalent in Hong Kong in the early 2000s and has since been reported in various other countries. The method involves the production of carbon monoxide gas from the incomplete combustion of carbonaceous materials, which, when inhaled in sufficient quantities, prevents oxygen from being utilized by the body, leading to unconsciousness and death.

Background

Charcoal-burning suicides first gained attention in Hong Kong in 1998 and quickly became a significant public health concern due to its high fatality rate and the ease with which the materials needed for this method could be obtained. The phenomenon has been associated with media reporting, with studies suggesting that detailed reports on such suicides can lead to a copycat effect, increasing its prevalence. This method has also been observed in Taiwan, Japan, and South Korea, among other countries, indicating a regional spread within Asia, and there have been reports in Western countries as well.

Mechanism

The primary cause of death in charcoal-burning suicides is carbon monoxide poisoning. Carbon monoxide (CO) is a colorless, odorless gas produced by the incomplete combustion of carbon-containing materials. When inhaled, CO binds to hemoglobin in the blood with a much greater affinity than oxygen, forming carboxyhemoglobin, which prevents the blood from carrying oxygen to cells, tissues, and organs. Prolonged exposure to CO can lead to hypoxia (a deficiency in the amount of oxygen reaching the tissues), unconsciousness, and eventually death.

Prevention

Efforts to prevent charcoal-burning suicides focus on restricting access to large quantities of charcoal and improving public awareness about the dangers of carbon monoxide poisoning. Additionally, mental health support and intervention strategies are crucial in preventing suicides. This includes the promotion of mental health awareness, the provision of support for individuals at risk, and the training of healthcare professionals in identifying and supporting individuals at risk of suicide.

Impact

The rise of charcoal-burning suicides has had a significant impact on public health policies, especially in regions where this method has become more common. It has led to discussions on the role of media in reporting suicides and the need for responsible reporting practices to minimize the risk of copycat incidents. Furthermore, it has highlighted the importance of comprehensive suicide prevention strategies that include both restriction of means and the enhancement of mental health support services.

See Also

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Contributors: Prab R. Tumpati, MD