Another suicide by sodium nitrite and multiple drugs: an alarming trend for “exit”?

@article{Duro2020AnotherSB,
  title={Another suicide by sodium nitrite and multiple drugs: an alarming trend for “exit”?},
  author={Carlos Dur{\~a}o and Frederico Gonçalves Pedrosa and Ricardo Jorge Dinis-Oliveira},
  journal={Forensic Science, Medicine and Pathology},
  year={2020},
  volume={17},
  pages={362-366}
}
This case report describes a fatal case of sodium nitrite and multiple drug consumption. A 37-year-old female was found in bed with a plastic bottle containing sodium nitrite and a bag containing multiple drugs and a suicide note. The results of the autopsy showed completely fixed grayish livor mortis , signs of asphyxia on the lips, and facial cyanosis. This represents the second case in just a few months and highlights how relatively easy it is to buy sodium nitrite to commit suicide… 

Suicide attempt using sodium nitrite ordered on the internet: Two case reports.

Case reports of 2 patients who attempted suicide by sodium nitrite after ordering a "suicide powder" on the internet market are presented, highlighting how simple and easy it is to buy Sodium nitrite for suicidal purposes.

Sodium Nitrite Intoxication and Death: Summarizing Evidence to Facilitate Diagnosis

Sodium-nitrite-related deaths represent a challenge for forensic pathologists; therefore, it is important to promptly recognize the essential features and perform the necessary and unrepeatable examinations for the correct diagnosis of the cause of death.

Increasing use of sodium nitrite in suicides—an emerging trend

While autopsy findings were generally consistent with the literature, scene findings emphasized the accessibility of sodium nitrite to the general public as well as important analytical limitations in the evaluation of suspected cases.

Fatal methemoglobinemia in three suicidal sodium nitrite poisonings

The data from these cases indicate that levels of MetHb can vary widely in fatal cases, and should not be used as the sole criterion for determination of a death caused by sodium nitrite.

The use of sodium nitrite for deliberate self-harm, and the online suicide market: Should we care?

A case of sodium nitrite intoxication for deliberate self-harm is reported and the increasing number of such cases in recent times is discussed.

Commentary on: Dean DE, Looman KB, Topmiller RG. Fatal methemoglobinemia in three suicidal sodium nitrite poisonings. J Forensic Sci. doi: 10.1111/1556‐4029.14689. Epub 2021 Feb 17.

Responses should focus on restricting the ease access to large quantities of sodium nitrite and alert to the risk of death after exposure, and the advertisement by the Internet may contribute to disseminate this burden.

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