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BMJ 2005;330:602 (12 March), doi:10.1136/bmj.330.7491.602-b
| The first 150 words of the full text of this article appear below. |
EDITORRajagopal's editorial discussed how strangers can initiate suicide pacts on the internet.1 The two cited Japanese suicide pacts both used a new suicide method, charcoal burning. These widely publicised pacts were followed by four additional pacts and 13 deaths in two months, all of whom used charcoal burning. The new suicide method entails smouldering barbecue coal in a small and sealed environment, such as a bedroom, with the aim of producing a carbon monoxide chamber in a short time.2-4
In Hong Kong we had also observed that suicide pacts commonly used charcoal burning to institute death. In 2002 and 2003, 20 of the 22 suicide pacts (91%) used charcoal burning. Of all charcoal burning deaths during the same period, 7% were suicide pacts (unpublished review of coroners' case records for 2002-3, Coroner Court, Hong Kong SAR).
Several characteristics of charcoal burning make it desirable for people who want
Dominic T S Lee, professor
dominiclee@cuhk.edu.hk, Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China
Kathy P M Chan, adjunct associate professor
Department of Psychiatry, Chinese University of Hong Kong, Hong Kong SAR, China
Paul S F Yip, director
Centre for Suicide Research and Prevention, University of Hong Kong, Hong Kong SAR, China
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