Journal of Indian Academy of Forensic Medicine

SCOPUS
  • Year: 2020
  • Volume: 42
  • Issue: 3

Autopsy audit of fatal suicidal burns: A retrospective study in South India

  • Author:
  • Siddhartha Das1, Vinod Ashok Chaudhari1,, Swaroop Kumar Sahu2, Gerard Pradeep Devnath1, Ankit Chandra3
  • Total Page Count: 5
  • Page Number: 202 to 206

1Department of Forensic Medicine and Toxicology, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India

2Department of Preventive & Social Medicine, Jawaharlal Institute of Postgraduate Medical Education & Research, Pondicherry, India

3Center for Community Medicine, All India Institute of Medical Sciences, New Delhi, India

*Corresponding Author Dr. Vinod Ashok Chaudhari (Associate Professor), Email: drvinodchaudhari@gmail.com, Mobile: +918940483914

Online published on 15 May, 2021.

Abstract

Suicide is an important cause of death globally. Burns is the commonly employed method for Suicidal deaths. Burns is common in Asian countries and India had the maximum cases of suicidal burns with the highest fatality rate. In the South India particularly Tamil Nadu and Pondicherry had high rate of suicides. India has the highest hospital admission of cases due to suicidal burns. Autopsy based study will help to collect important data on deaths due to suicidal burns. This study mainly focuses on various aspects of fatal suicidal burns, reasons for committing suicide by burns and socio-demographic factors associated with it. It is a record based retrospective study of fatal suicidal burns from January 2010 to December 2014 in a tertiary hospital in South India. We reviewed 3996 medicolegal autopsy case records and analyzed 459 fatal suicidal burns. Deidentified data were collected in anonymous data proforma. A total of 459 (38%) fatal suicidal burns were studied out of 1205 fatal suicides. The majority of victims were females (67.9%) as compared to males (32.1%). the mean age was 29.9 years (female - 27.9years, male - 34.2years). Common age group was 21-30 years (n=221, 48.14%). Family problems (n=185, 40.3%) and financial problems (n=32, 6.9%) were the main reason for suicide among both sexes and most of the victims were married. The victims were from rural locality (n=364, 79.3%) and kerosene (n=436, 94.98%) was the commonly used accelerant. The common time of the incident of burns was 12.00 to 06.00 pm (n=155, 33.7%). Three hundred ninety-eight cases (86.71%) had above 50% of burn TBSA with a median survival period of 184 hours. Most of the victims were female, from the rural areas, family problems were the common reason for fatal suicidal burns. Median burn TBSA was also higher. Data generated will be helpful for planning awareness and interventional programs to prevent suicidal burns.

Keywords

Suicide, Burns, Self-immolation, Total body surface area, Reason for suicide