Two decades of adolescent suicides assessed at Milan University's medicolegal unit: Epidemiology, forensic pathology and psychopathology

J Forensic Leg Med. 2016 Jan:37:15-21. doi: 10.1016/j.jflm.2015.09.016. Epub 2015 Oct 3.

Abstract

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".

Keywords: Adolescence; Forensic pathology; Psychopathology; Suicide.

MeSH terms

  • Adolescent
  • Age Distribution
  • Family Conflict
  • Female
  • Humans
  • Italy / epidemiology
  • Male
  • Mental Disorders / epidemiology
  • Racial Groups / statistics & numerical data
  • Retrospective Studies
  • Seasons
  • Sex Distribution
  • Suicidal Ideation
  • Suicide / psychology
  • Suicide / statistics & numerical data*
  • Young Adult