Analysis of Suicidal Deaths in Denizli A 10-Years Retrospective Autopsy Study
Objective: In this study, it was aimed to examine the characteristics of suicides in demographic way and to investigate whether it forms difference in various aspects mainly the suicide methods chosen in the subsequent years and especially whether there is an increase in the rate of suicide with firearms.
Materials and Methods: In this retrospective study, 444 suicide autopsies which were performed Pamukkale University Faculty of Medicine, Forensic Medicine Department between 2007 and 2016 were examined in terms of the changes in parameters such as age, gender, suicide site chosen and suicide method, the distribution of the suicides due to the seasons and years.
Results: Seventy-nine-point one percent of the events are male and 20.9% of them are women. The suicides are seen mostly in 19-30 age group. Hanging was seen to be the most chosen suicide method with 52.3% and the use of firearms follows this with 28.4%. It was noted that the method of firearm suicides increased in the subsequent years and this increase rate was found to be higher in young men.
Conclusion: It is observed that a significant increase in the suicides depending on firearms. The fact that the adolescents and young adult males form the risky group indicates that it should be careful about the individuals in this group. New regulations related to the possession and conveyance both the shotgun and firearms and the effective struggle with all kinds of unlicensed gun should also be included in the suicide prevention programs and protocols.
Preventing Suicide A global imperative. World Health Organization, 2014. http://www.who.int/mental_health/suicide-prevention/world_report_2014/en/ Erişim tarihi: 26.09.2017
Türkiye İstatistik Kurumu. İntihar İstatistikleri. http://www.tuik.gov.tr Erişim tarihi: 26.09.2017
Pagea A, Liub S, Gunnellc D, Astell-Burtd T, Fengd X, Wangb L, Zhoub M. Suicide by pesticide poisoning remains a priority for suicide prevention in China: Analysis of national mortality trends 2006-2013. J Affect Disor 2017;208:418-23. DOI: https://doi.org/10.1016/j.jad.2016.10.047
Oner S, Yenilmez C, Ozdamar K. Sex-related differences in methods of and reasons for suicide in Turkey between 1990 and 2010. J Int Med Res 2015;43(4):483-93. DOI: https://doi.org/10.1177/0300060514562056
Azmak AD. Suicides in Trakya region, Turkey, from 1984 to 2004. Med Sci Law 2006;46(1):19-30. DOI: https://doi.org/10.1258/rsmmsl.46.1.19
Hassamal S, Keyser-Marcus L, Crouse Breden E, Hobron K, Bhattachan A, Pandurangi A. A brief analysis of suicide methods and trends in Virginia from 2003 to 2012. Biomed Res Int 2015;2015:104036. DOI: https://doi.org/10.1155/2015/104036
Kõlves K, Potts B, De Leo D. Ten years of suicide mortality in Australia: Socio-economic and psychiatric factors in Queensland. J Forensic Leg Med 2015;36:136-43. DOI: https://doi.org/10.1016/j.jflm.2015.09.012
Chia BH, Chia A, Ng WY, Tai BC. Suicide methods in Singapore (2000-2004): types and associations. Suicide Life Threat Behav 2011;41(5):574-83. DOI: https://doi.org/10.1111/j.2040-1124.2010.00046.x
Wong PW, Caine ED, Lee CK, Beautrais A, Yip PS. Suicides by jumping from a height in Hong Kong: a review of coroner court files. Soc Psychiatry Psychiatr Epidemiol 2014;49(2):211-9. DOI: https://doi.org/10.1007/s00127-013-0743-6
Erel Ö, Katkıcı U, Dirlik M, Özkök M.S. Anabilim Dalımız tarafından otopsileri yapılan intihar olgularının değerlendirilmesi. ADÜ Tıp Fakültesi Dergisi 2003;4(3):13-5.
Erkol Z, Beyaztaş FY, Büken B, Erkol H. Kahramanmaraş ili'ndeki intihar orijinli ölüm olgularının analizi. Turkiye Klinikleri J Foren Med 2007;4(1):7-16
Demirci Ş, Günaydın G, Doğan KH. Konya'da 2000-2005 yılları arasında gerçekleşen intihar orijinli ölüm olgularının retrospektif değerlendirilmesi. Adli Tıp Bülteni 2007;12(2):62-7. DOI: https://doi.org/10.17986/blm.2007122638
Khan I, Shakeel M, Usmani JA, Hasan SA. Emerging Trends of Intentional Firearm Injuries in Northern India: A Study. J Clin Diagn Res 2016;10(10):HC01-HC04. DOI: https://doi.org/10.7860/JCDR/2016/23392.8760
Dias D, Mendonça MC, Real FC, Vieira DN, Teixeira HM. Suicides in the Centre of Portugal: seven years analysis. Forensic Sci Int 2014;234:22-8. DOI: https://doi.org/10.1016/j.forsciint.2013.10.034
Shaw D, Fernandes J, Rao C. Suicide in child and adolescent: A 10-year retrospective review. Am J Forensic Med Pathol. 2005;26(4):309-15
Metin A, Çileli G, Koçar İ, Dokgöz H. Mersin İlinde Gerçekleşen İntihar Olgularının Sosyodemoğrafik Özellikleri. Adli Tıp Bülteni 2014;19(1):49-52. DOI: https://doi.org/10.17986/blm.2014191769
Biddle L, Donovan J, Owen-Smith A, Potokar J, Longson D, Hawton K, Kapur N, Gunnell D. Factors influencing the decision to use hanging as a method of suicide: qualitative study. Br J Psychiatry. 2010;197(4):320-5
Kellermann AL, Rivara FP, Somes G, Reay DT, Francisco J, Banton JG, Prodzinski J, Fligner C, Hackman BB. Suicide in the home in relation to gun ownership. N Engl J Med. 1992;327(7):467-72
Siegel M, Rothman EF. Firearm Ownership and Suicide Rates Among US Men and Women, 1981-2013. Am J Public Health. 2016;106(7):1316-22. DOI: https://doi.org/10.2105/AJPH.2016.303182
Atlı A, Bulut M, Uysal C, Kaya M.C, Karababa F, Güneş M, Beşaltı S, Bez Y, Sır A. Silah ruhsatı rapor başvuruları: Şanlıurfa örneği. Mustafa Kemal Üniv. Tıp Derg. 2012;3(12):28-38
Akcan A. Silahlanma... diğer ülkelerde neler oluyor? Anatolian Journal of Psychiatry 2006;7(suppl.1):5-9.
Salib E, Cawley S, Healy R. The significance of suicide notes in the elderly. Aging Ment Health 2002;6:186-90. DOI: https://doi.org/10.1080/13607860220126745
Mohanty S, Sahu G, Mohanty MK, Patnaik M. Suicide in India: a four year retrospective study. J Forensic Leg Med. 2007;14:185-9. DOI: https://doi.org/10.1016/j.jcfm.2006.05.007
Cavanagh B, Ibrahim S, Roscoe A, Bickley H, While D, Windfuhr K, Appleby L, Kapur N. The timing of general population and patient suicide in England, 1997-2012. J Affect Disord. 2016 Jun;197:175-81. Epub 2016 Mar 2. DOI: https://doi.org/10.1016/j.jad.2016.02.055
Miller TR., Furr-Holden CD., Lawrence BA., Weiss HB. Suicide deaths and nonfatal Hospital admissions for deliberate self-harm in the United States. Temporality by day of week and month of year. Crisis, 33 (2012), pp. 169-177
Kumral B, Taktak Ş, Ünsal A, Özdes T, Büyük Y, Özdemir RO. lnfluence of seasonality on suicidal hanging in Istanbul, 1979-2012: Associations with gender, age, location and instruments of suicide. Nobel Medicus, 2014;11(1):49-54
Copyright (c) 2018 Sümeyra Demir, Mustafa Eray Yazar, Ayşe Kurtuluş Dereli, Kemalettin Acar
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Bulletin of Legal Medicine is an open access scientific journal. Open access means that all content is freely available without charge to the user or his/her institution on the principle that making research freely available to the public supports a greater global exchange of knowledge. The Journal and content of this website is licensed under the terms of the Creative Commons Attribution (CC BY) License. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access.
The Creative Commons Attribution License (CC BY) allows users to copy, distribute and transmit an article, adapt the article and make commercial use of the article. The CC BY license permits commercial and non-commercial re-use of an open access article, as long as the author is properly attributed.
The Bulletin of Legal Medicine requires the author as the rights holder to sign and submit the journal's agreement form prior to acceptance. The authors retain copyright of their work and grant the Association for its publication. This ensures both that The Journal has the right to publish the article and that the author has confirmed various things including that it is their original work and that it is based on valid research.
Authors who publish with this journal agree to the following terms:
*Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
*Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
*Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.