ABSTRACT

A 24-year-old woman visits hospital reporting that she took a paracetamol overdose 4 h earlier in an attempt to end her life. The patient describes taking 32 × 500 mg paracetamol tablets. She took the tablets all at once, over a 5-min period. She was certain of the time of the overdose, as she checked her phone and sent a text message as she was taking the tablets. She did not take any other medications or any recreational drugs with the paracetamol and did not drink any alcohol at the time. Her past medical history included a diagnosis of depression, for which she was taking sertraline 50 mg OD. She took no other regular medications and had no known drug allergies. She was a postgraduate university student, drank approximately 14 units of alcohol per week and did not use recreational drugs.