Author(s): B.N.Macharia,M.A.Iddah,F.M.Ndiangui,and A.Keter
Problem statement. Suicide is one of the ten leading causes of death in the world, accounting for more than 400,000 deathsannually.Thepattern ofsuicide andtheincidence ofsuicide varyfromcountrytocountry.Cultural,religiousandsocial valuesplaysomeroleinsuicide.Currently,thereisnodataregardingtheincidenceofsuicideinKenya.Setting.MoiTeachingand ReferralHospitalMortuary.Studypopulation.Aseven-yearretrospectivestudyofalltheautopsiesperformedattheMoiTeaching and Referral Hospital was analysed and the cases that were deï¬nitely determined as suicides were further studied. Objective. To characterize the pattern of suicide cases through autopsies conducted at MTRH mortuary between the years 2005 to 2012. Methodology.Retrospectivedescriptivecross-sectionalstudy.Suicidecaseswereidentiï¬edfromtheMTRHautopsyrecordbooks. From these record books, the autopsy number was used to retrieve the pathologists autopsy report. Data regarding age, gender andmethodsofsuicidewasretrievedandenteredintoa datacollectionform. Data analysis:Datacollected wasanalysedusing Stata version 10. Results. There were 213 autopsies performed. Majority were male 180(85%). The subjects had a median age of 29(IQR: 23–37) years. Organophosphate poisoning was the most preferred method followed by hanging. Organophosphate poisoningaccounted for195(91.54%)and hangingfor17(7.98%) ofthe subjects. Conclusion.Thepreferredmethods ofsuicide werepoisoningandhanging.Thestudymayhavemissedsomecaseswheretherelativescouldhavedeclinedforthepostmortem procedureandhencethebodyreleasedwithoutpostmortemexaminations.
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