Tuesday, January 26, 2016

Two Decades of Adolescent Suicides Assessed at Milan University's Medicolegal Unit

Highlights

  • Seventy-eight autopsy cases of adolescents suicide in 20 years were analyzed.
  • Epidemiology, forensic pathology and psychopathological data were discussed.
  • Adolescents were involved in 2.23% of all suicides committed in the Milan area.
  • In the majority of cases there were no premonitory signs or particular motives.
Aim
to analyze the cases of suicide committed by adolescents in and around the city of Milan over a 20-year period (1993–2012).

Materials and methods
cases of suicide involving individuals between 10 and 19 years of age were drawn from 20,757 autopsies performed by the Medico-legal Unit at Milan University. Seventy-eight cases were considered (20 females and 58 males, with the ratio of 1:2.9), and their clinical and circumstantial histories, epidemiology, forensic pathology and psychopathological issues were analyzed.

Result
Adolescents were involved in 2.23% of all suicides committed in Milan during the period examined. The “mean” victim is a male without psychiatric disease, aged between 16 and 19, that commits suicide outdoors.

Conclusions
In the majority of cases, there were no premonitory signs, nor any particular contingent or remote reason that might explain these violent deaths, which therefore remain “impulsive”.

Below:  Graphical representation of the annual distribution of the suicides




Below:  Graphical representation of the monthly distribution of the suicides




Below:  Distribution of the sample of adolescents by method chosen to commit suicide




Full article at:  http://goo.gl/F6rnkQ 

  • 1Sezione di Psicologia, Dipartimento di Fisiopatologia Medico Chirurgica e dei Trapianti, Universit√† degli Studi di Milano, Via Fratelli Cervi 93, 20090 Segrate MI, Italy.
  • 2Sezione di Medicina Legale e delle Assicurazioni, Dipartimento di Scienze Biomediche per la Salute, Universit√† degli Studi di Milano, Via Luigi Mangiagalli 37, 20133 Milano, Italy.
  • 3Azienda Ospedaliera Papa Giovanni XXIII, Piazza OMS 1, 24127 Bergamo, Italy.
  • 4Sezione di Medicina Legale e delle Assicurazioni, Dipartimento di Scienze Biomediche per la Salute, Universit√† degli Studi di Milano, Via Luigi Mangiagalli 37, 20133 Milano, Italy. Electronic address: riccardo.zoia@unimi.it.
  •  2016 Jan;37:15-21. doi: 10.1016/j.jflm.2015.09.016. Epub 2015 Oct 3. 




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