Epidemiology Of Suicide Death, Autopsy And Effective Factors In Children Under The Age Of 18 Years
International Journal of Medical Toxicology and Forensic Medicine,
20 September 2021
Background: Type of suicide is determined by various factors such as accessibility to drugs, economic problems and psychological disorders.
Objective: This study aimed to assess the epidemiology of suicide death, autopsy and effective factors in children<18 years.
Methods: This was a cross-sectional study carried out on 350 autopsy bodies less than 18 years of age in Tehran Forensic Medicine Center during 2010-2020 who had struggled with suicide. Data were analyzed using SPSS version 18.
Results: Mean age of children was 16.36±1.76 years. The most common method in children less than 15 years and over 15 years was hanging (n=36) and poisoning with chemical substance (n=139), respectively (p<0.001). The most common method of the suicide was poisoning with chemical substance (n=147, 42%). The most common method of suicide in girls and boys was poisoning with chemical substance (n=81) and hanging (n=75), respectively. The highest number of children struggled with were residents in the outskirt of Tehran (n=113, 32.5%). Suicide rate in people with depressive disorder and tentative injury was 10% (n=35) and 18.6% (n=65). In 13 patients, vitreous humor alcohol was positive (mean alcohol: 60.61±43.03 mg/dl). The most common toxin observed in toxicology was rice tablet or aluminum phosphide (n=90, 25.7%). Regarding drug toxicity in toxicology, 52.6% (n=86) was not positive. Opium was found 7.4% of cases (n=26).
Conclusion: The suicide rate has been on the rise during the past ten years through hanging and poisoning with chemical substance such as aluminum phosphide, opium and tricyclic antidepressants especially in outskirts.
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