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4. Senaratne SMDKG, Sri Ranganathan S, Dawson AH, Buckley N, et al. Management of acute paracetamol poisoning in a tertiary care hospital. Ceylon Medical Journal 2008; 53: 89-92. This study provides evidence of a recent increase in hospital admissions after DSH among children and adolescents, especially girls. This is in contrast to the decline in suicide rates reported nationally [3]. The data also suggest an increase in paracetamol overdose among adolescents, especially girls. This mirrors a broader national trend, as suggested by a recent study from the National Hospital of Sri Lanka [4]. Though there were no deaths, medical management of paracetamol overdose is costly. Furthermore it is difficult to restrict children's access to paracetamol, which is found in many households and can easily be purchased. This study has some limitations. Information on BHTs may not be accurate. Moreover, any hospital-based study of DSH underestimates its true incidence because many episodes of DSH are not admitted to a hospital.

Prevalence of <i>Helicobacter pylori</i> infection determined by histology in patients with different upper gastrointestinal diseases