Trends in Suicidal Deaths Brought for Medicolegal Autopsy at Govt. Rajaji Hospital, Madurai: A Retrospective Study

Sadasivam Shanmugam¹, Mohamed Nasim², Chandrasekar Raju, Mohamed Nasim
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Abstract

  Suicide is a major cause of death in today’s world. The pattern of suicidal deaths in a particular area points not only to the quality of living but also the social and mental makeup of the population. AIM AND OBJECTIVES:1. To ascertain suicidal death patterns in and around Madurai. 2. To analyse the data with respect to demographics presentation, methods used for committing suicide. 3. To find out the underlying factors that led to Suicide. METHODOLOGY: The study was conducted at Govt. Rajaji Hospital mortuary, Madurai which covers almost entire district for medicolegal autopsies. The study period was from 01/01/2021 to 31/12/2021 which amounts to one year study. The study design comprised of thoroughly scrutinised information gathered from autopsy related documents, history of relatives of the deceased, hospital records, concerned investigating officers and laboratory report of viscera and other relevant details available in our department. Suicide notes if any were also included. Data was analysed using standard statistical method. RESULTS: Out of 986 cases of suicidal deaths majority of the cases were Male belonging to the age group 21-30 years followed by age group 31-40years. Poisoning and Hanging were the most common methods employed. Most of the victims were of lower socioeconomic class belonging to rural background. Economic instability and family conflict were the most common cause that led to suicides. CONCLUSION: Suicidal deaths are preventable by the combined effort of the Government agencies, adaption of healthy lifestyle, counselling facilities and change in the mindset of the people to adapt to all difficult situations in life.
在马杜赖政府拉贾吉医院进行医学解剖的自杀死亡趋势马杜赖的拉贾吉医院:回顾性研究
自杀是当今世界的一个主要死因。一个特定地区的自杀死亡模式不仅反映了该地区的生活质量,也反映了该地区人口的社会和心理构成。目的和目标:1. 确定马杜赖及其周边地区的自杀死亡模式。2.2. 分析有关人口统计、自杀方式的数据。3.3. 找出导致自杀的潜在因素。方法:研究在马杜赖的 Govt.Rajaji 医院太平间进行,该太平间几乎覆盖了整个马杜赖地区的法医尸检。研究时间为 2021 年 1 月 1 日至 2021 年 12 月 31 日,为期一年。研究设计包括从尸检相关文件、死者亲属病史、医院记录、相关调查人员和内脏化验报告以及本部门现有的其他相关详细信息中收集的经过仔细审查的信息。如有自杀记录,也包括在内。数据采用标准统计方法进行分析。结果:在 986 例自杀死亡病例中,21-30 岁年龄段的男性占大多数,其次是 31-40 岁年龄段。最常见的自杀方式是投毒和上吊。大多数受害者属于社会经济地位较低的农村阶级。经济不稳定和家庭冲突是导致自杀的最常见原因。结论:通过政府机构的共同努力、健康生活方式的调整、心理咨询设施和人们心态的改变来适应生活中的各种困难情况,自杀死亡是可以预防的。
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