Forty-nine cases of parasuicide attempts involving acetaminophen in Jamaica were analyzed. The mean age was 23 years and 84% were women. Acetaminophen only was ingested in 71% of cases and 29% involved an additional drug. Patients presented an average of 6.5 hours after ingestion. Serum transaminases were elevated in 18% and mean duration of hospitalization was three days. One patient developed liver failure and there were no deaths.