Committed suicide: forensic autopsy analysis at Ramathibodi Hospital during year 2001-2010 (original) (raw)
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Bhutan Health Journal
Introduction To address the suicide issue in the country, the Royal Government of Bhutan implemented a three year suicide prevention action plan from 1st July 2015 to 30th June 2018. As part of that action plan a national suicide registry was established under the Ministry of Health in January 2016 to collect comprehensive national data on suicide. The purpose of this study is to generate national information on suicide by analysing the suicide cases investigated and reported to suicide registry by the Forensic Department during the first two and half years. Methodology The study is a descriptive, retrospective and quantitative analysis of the suicide cases investigated by the Forensic Department from 1st January 2016 to 30th June 2018. The variables included the characteristics of the suicide victims. Result Majority of the victims were young adults with no or low education and were either unemployed or employed with less income. 56.7% of the victims were women. Majority of them d...
An Autopsy Study of 68 Cases of Murder Suicides
The present prospective study was carried from 2009 to 2012. During this period a Total of 3907 Homicides were Autopsied, of which 68 cases were recorded due to Murder Suicide Incidents, this contributed to 1.74% of Homicides Cases. A total of 174 victims died as a result of Murder. 89.72%(n-61) of the perpetrators were Male. The Most of the perpetrators belonged to the age group 31-40 years, contributing to 66.18% of the cases , and the least age group involved was between 11-20 and 41-50,contributing to 2.94% of cases. None of the Perpetrators above the age of 50 years were involved. Majority of the Victims were Females contributing to 78.74% (n-137) of cases. The Maximum number of Victims belonged to 31-40 year Age group contributing to 40.08%, the least age group involved was between 11-20 and 41-50,contributing to 7.47% and 12.64% respectively. There were no elderly victims recorded. Majority (30.88%;n-21) of the perpetrators involved were policemen and the least type of individuals involved were Soldiers contributing to 2.94%(n-02) of cases. The Relationship of the Victims revealed Divorced Spouse to be the Major Victims contributing to 29.31%(n-51) of the Victims, followed closely by Girlfriends and Children’s contributing to 16.09%(n-28) each. The least affected were Housewives contributing to 11.49%(n-20) of the Victims. The Extramarital relationship (27.94%;n-19) and Jealousy(25%;n-17) were the Two Major Motives behind the Murder Suicide. The least provoking factors were Work stress(4.41%;n-03) and Disease conditions(2.94%;n-02). 91.18%(n-62) of the Perpetrators committed suicide by Gunshots. The least method adopted to commit suicide was Hanging contributing to 1.47% (n-01). 90.80%(n-158) of the Victims died as a result of Gunshot wounds. The least method adopted to Kill was by Ligature Suspension/ Hanging contributing to 1.72% (n-03) each. The perpetrator preferred in 30.88%( n-21)of Incidents Girlfriends House for Murder, followed closely by acts in Home in 25%( n-17) of cases. The commonest weapon of Choice was Firearm, which contributed to 91.18%(n-62) of the Cases, of which Handguns contributed to 75%(n-51) of cases. The least method adopted was by Ligature Suspension recorded in 1.47%(n-01) of cases. None of the incidents reported Murder and Suicide in different premises. The maximum distance between Suicide and Murder reported was 20 meters. Keywords: Firearm; Death; Motive; Occupation; Psyche; Murder; Suicide; Sharp Force; Hanging.
The pattern of completed suicides seen in Kuala Lumpur General Hospital 1999
The Medical journal of Malaysia, 2004
A study was done on 76 suicide cases managed by the Forensic Pathology Department of Hospital Kuala Lumpur (HKL) from January till December 1999 to explore the pattern of suicide and psychiatric history. The Chinese contributed 52% (n=40) of cases followed by the Indians (29%, n=22) and the Malays (12%, n=9). After the age of sixty, 84.6% of the subjects were Chinese. The common methods of suicide were poisoning (39%), hanging (34%) and jumping from height (22%). Four out of 12 case-notes traced had documented psychiatric history i.e. schizophrenia. the suicide rate for Kuala Lumpur is estimated at 7.4 per 100,000. The Indians has the highest suicide rate of 21.1 per 100,000 in keeping with other local studies. The suicide rate for the Chinese is 8.6 per 100,000, but it increased to 23 per 100,000 among the elderly Chinese. The suicide rate for Malays is 2.6 per 100,000, higher than what was cited in previous local studies. The incidence of jumping from height as a suicide method ha...
Risk Factors of Suicide Death Based on Psychological Autopsy Method; a Case-Control Study
2019
Introduction: Investigation in each community can contribute to understanding the key factors involved in suicide death and its prevention. The present study aimed to investigate suicide death risk factors based on psychological autopsy method. Methods: The present case-control study was conducted from April to September 2017, in Tehran, Iran, to compare two groups of people; those who died by suicide and controls (over the age of 18 years). Data were collected by one interviewer via Structured Clinical Interviews (SCID-I), questionnaires used in the SUPREMISS study, and the Dickman impulsivity scale. Results: Each group consisted of 40 individuals. There was no significant difference between the case and control groups in terms of all demographic variables except for the level of education (p = 0.06) and occupational status (p = 0.009). The frequency of previous history of suicide attempt (p = 0.001), family history of suicide (p = 0.003), DSM IV Axis I disorders (p = 0.006), and s...
Background: Completed or successful suicide is the worst outcome of suicide attempts. This study is an epidemiologic investigation of successful suicides in Tehran, Iran. Methods: In this routine-data-based study, the records of successful suicides in Forensic Pathology Organization of Tehran were investigated with respect to confidentiality of information during March 2011 to March 2016. The obtained data were analyzed by SPSS 11.5. Statistically significant level was considered at less than 0.05. Results: A total of 1773 cases with mean (SD) age of 33.19(13.11) years and male-to-female ratio of 3.1 were included in the study. The mean age of male victims was greater than that of female ones (P=0.01). Of victims, 821(46.3%) were single and 807(45.5%) were unemployed/ housewife. Methods of suicide were hanging in 962(54.6%), poisoning in 640(35.8%), falling in 88(5%), burning in 35(2%), shooting in 29(1.6%) and others in 19(1%) cases. Of poisoned cases, 283(44%) were victims of aluminum phosphide ingestion. Generally, frequency of married victims was greater than single ones but by comparing genders, relative frequency of single victims was greater among males (P<0.001). There was statistically significant association between suicide methods and age (P=0.001), gender (P<0.001), and occupation (P<0.001) of victims. Among different methods, shooting and poisoning were used by the youngest cases. Relative frequency of females was greatest in victims of burning and poisoning. Regarding occupational categories, poisoning was most frequent in students. Conclusion: In this study, the majority of successful suicides happened in people with occupational uncertainty, thus preventive measures should prioritize this issue. It seems that women with marital problems are also prone to suicide and social support programs should target this group, too. Association between the method of suicide and demography of victims will help us to recognize common methods in various groups of the society and establish appropriate preventive measures. While limiting access to supplies of suicide (like legislation on distribution of drugs for prevention of poisoning) is valuable, fundamental interventions at community level will be more effective in prevention of all kinds of suicide.
Suicide: Attempts Methods and Causes in Cases Brought for Autopsy in Bpkihs, Dharan
Journal of Forensic Research, 2012
Objective: To identify the intensity of the frequency of suicide in relation with the Medicolegal aspect of the incidence such as method, duration of survival, causes of committing suicide and previous attempts to commit suicide. Material and Methods: Descriptive study of 100 fatal suspected suicidal cases brought for postmortem examination at BPKIHS, Dharan from January 2007 to April 2008. Pre-tested questionnaire was used to obtain data by direct interview with the visitor of the victim and information available on police record. Results: Death on spot was (47%) while 41% victims died within 24 hours of incidence, whereas 11% victims survived for 7 days. Suicidal victims (56%) were either discovered dead not hospitalized. Low socioeconomic conditions were most frequent (45%) cause for committing suicide, followed by psychosocial causes (43%), and chronic diseases (12%). Poisoning (53%) and hanging (45%) were the two exclusive methods employed for committing suicide. Most of the victims (83%) made sure shot and successful attempt to commit suicide in their very first attempt while history of previous suicidal attempts was available in 17% of victims. Conclusion: This study exemplified that most of the victims incorporated such suicidal attempts and method that they made sure that their attempt is successful suicide and the cause to commit is mostly their low socioeconomic condition and psychosocial reasons.
Suicidal deaths: A three years autopsy based study
2021
According to the World Health Organization (WHO), over eight hundred thousand people commit suicide every year all over the world. In India, every year >1 lakh people commit suicide and it accounts for 17.5% of all suicidal deaths in the world. The study was carried out in Dept. of Forensic Medicine Toxicology of Government medical college, Kota over a period of three years between Jan. 2015 to Dec. 2017. There were 1033 suicidal deaths out of 3217 unnatural deaths during study period. The manners of committing suicidal deaths were burns 14.81%, poisoning 49.17 % drowning 7.16 % and hanging 28.86% etc. The males 746 outnumbered the females. More married persons committed the suicide. Study also reveals that age group 21-30 includes most suicides. If we compare the reasons of suicides it is observed that family problems were the most common cause of suicides. Keywords: Suicidal deaths, Family problems, Black mailing.
Open Access Journal of Science and Technology, 2015
Problem statement. Suicide is one of the ten leading causes of death in the world, accounting for more than 400,000 deaths annually. The pattern of suicide and the incidence of suicide vary from country to country. Cultural, religious and social values play some role in suicide. Currently, there is no data regarding the incidence of suicide in Kenya. Setting. Moi Teaching and Referral Hospital Mortuary. Study population. A seven-year retrospective study of all the autopsies performed at the Moi Teaching and Referral Hospital was analysed and the cases that were definitely determined as suicides were further studied. Objective. To characterize the pattern of suicide cases through autopsies conducted at MTRH mortuary between the years 2005 to 2012. Methodology. Retrospective descriptive cross-sectional study. Suicide cases were identified from the MTRH autopsy record books. From these record books, the autopsy number was used to retrieve the pathologists autopsy report. Data regarding age, gender and methods of suicide was retrieved and entered into a data collection form. Data analysis: Data collected was analysed using Stata version 10. Results. There were 213 autopsies performed. Majority were male 180(85%). The subjects had a median age of 29(IQR: 23-37) years. Organophosphate poisoning was the most preferred method followed by hanging. Organophosphate poisoning accounted for 195(91.54%) and hanging for 17(7.98%) of the subjects. Conclusion. The preferred methods of suicide were poisoning and hanging. The study may have missed some cases where the relatives could have declined for the postmortem procedure and hence the body released without postmortem examinations.
Purpose Yearly, 600,000 people complete suicide in low-and middle-income countries, accounting for 75% of the world's burden of suicide mortality. The highest regional rates are in South and East Asia. Nepal has one of the highest suicide rates in the world; however, few investigations exploring patterns surrounding both male and female suicides exist. This study used psychological autopsies to identify common factors, precipitating events, and warning signs in a diverse sample. Methods Randomly sampled from 302 police case reports over 24 months, psychological autopsies were conducted for 39 completed suicide cases in one urban and one rural region of Nepal. Results In the total police sample (n = 302), 57.0% of deaths were male. Over 40% of deaths were 25 years or younger, including 65% of rural and 50.8% of female suicide deaths. We estimate the crude urban and rural suicide rates to be 16.1 and 22.8 per 100,000, respectively. Within our psychological autopsy sample, 38.5% met criteria for depression and only 23.1% informants believed that the deceased had thoughts of self-harm or suicide before death. Important warning signs include recent geographic migration, alcohol abuse, and family history of suicide. Conclusions Suicide prevention strategies in Nepal should account for the lack of awareness about suicide risk among family members and early age of suicide completion, especially in rural and female populations. Given the low rates of ideation disclosure to friends and family, educating the general public about other signs of suicide may help prevention efforts in Nepal.
Suicide Cases in Manipal, South India: An Autopsy Study
Suicide constitutes a major public health problem. It is a manifestation of self-destructive behavior that results from a crisis situation often not sufficiently recognized by relatives and friends or by the medical profession. The present study sample consisted of 656 cases of suicide out of the 3571 total autopsy cases done in the department of Forensic Medicine, Kasturba Medical College, Manipal, Karnataka. The present study shows that the people of all age groups were involved. The highest incidence was amongst the 21–30 years (35.06 %). Male victims predominated. Present study predicts marriage as being one of the important risk factors for suicide. Most of the victims belonged to the Hindu religion (86.4 %). When we look at the presence of any past illness, 174 cases (26.5%) were having some form of chronic physical and mental disorders at the time of committing suicides. Although seasonal variation is not much, however the present study reveals highest number of cases in summer season (36.1%). Despair with life was the most common motive for suicide. 74.4 % of the total victims in the present study used chemicals for terminating their lives and only 26.8 % of the study group used physical methods for committing suicide. Amongst those who opted for physical methods, hanging was the most common (15.6 %). Among the poisoning cases, organ phosphorus poisoning (51 %) was the most commonly used method for suicide. Keywords: Autopsy, Suicide, Methods, Poisoning, Hanging