TRENDS OF SUICIDE IN DAMMAM KINGDOM OF
Osama Mohamed Al Madni1, Magdy Abdel
Azim Kharosha2, Mamdouh Kamal Zaki3, O.P.
A retrospective study was carried out on
160 suicide cases autopsied at the
Forensic Medicine Center in Dammam,
Kingdom of Saudi Arabia (from 2003 to
Of these cases, 131 (81.87%) were
males and 29 (18.13%) were females, and
the ratio of the males to females was
4.5 : 1 Approximately two thirds (107
cases) from the studied subjects were in
the third and fourth decades.
The largest proportion of suicides
was among Indian population (41.25%),
followed by Saudi nationals (20.625%),
and other fourteen different
nationalities. Suicide by hanging was
the most common method in the majority
of cases (83.125%) followed by firearm
self-shooting in only 8 individuals (5%)
and other seven methods of suicide.
Multiple suicidal methods were used in
just 9 cases. More than 80% of the cases
were laborers and maids, the rest were
jobless, housewives or related to other
Family troubles were documented in 16
cases (10%) while a history of
psychological illnesses was given in
double this figure (31 cases). Suicidal
notes were discovered in the scene of
death in 5% of cases. Postmortem blood
alcohol was revealed in only 5.625% of
cases, and toxicological analysis
resulted in detection of amphetamine and
cannabinoids, in 2.5% and 1.875% of
In conclusion, there was a outstandingly
decrease in suicide rate in Dammam from
51 cases (2.55/100,000 population) in
2003 to 23 cases (1.15/100,000
population) in 2007.
suicide, retrospective, hanging,
Municipality of Dammam (official
internet site). Available at: http://
www.dammam.gov.sa. Accessed August 1st,
Sharma B.R., Gupta M., Sharma A.K.,
Sharma S., Gupta N., Relhan N., et al.
Suicides in Northern India: comparison
of trends and review of literature. J
Clin Forensic Med. 2006; Epub ahead of
Murray C.J.L., Lopez A.D., The global
burden of disease: a comparison
assessment of mortality and disability
from diseases, injuries, and risk
factors in 1990 and projected to 2020.
Cambridge (MA): Harvard School of Public
Cash S.J. and Bridge J.A.,
Epidemiology of youth suicide and
suicidal behavior. Current Opinion in
Pediatrics 2009; 21: 613–19.
Krug E., Dahlberg L., Mercy J., Zwi
A., LozanoÂ R editor. World report on
violence and health. Geneva: World
Health Organization; 2002.
World Health Organization, Figures
and facts about suicide. Department of
Mental Health; 1999.
Yip P.S., Suicide in Hong Kong,
Taiwan and Beijing. Br J Psychiatr.
Peden M., McGee K., Sharma G., The
injury chart book: a graphical review of
the global burden of injuries. Geneva:
Reza A., Mercy J.A., Krug E.
Epidemiology of violent deaths in the
world. Inj Prev. 2001;7: 104–111.
Elfawal M.A. Cultural influence on
the incidence and choice of method of
suicide in Saudi Arabia. American
Journal of Forensic Medicine and
Pathology, 1999; 20(2): 163–8.
Payne-James J., Busuttil A., Smock
W. (editors). Shari’ah law and the
judicial system. In: Forensic Medicine:
Clinical and Pathological Aspects,
Greenwich Medical Media Ltd., UK,
Chapter 3, p.29–37, 2003.
The Holy Quran. Surah An-Nisa,
verses 4: 29.
The Holy Quran. Surah Al-Baqarah,
verses 2: 195.
Medicolegal Administration. Job
description of Forensic Medical
examiners. In: Guide of Instructions for
forensic medical examiners in Saudi
1st ed. Riyadh: Ministry of Health
KSA; 2005, p.19–40.
Cliona M., Denis A.C., A study of
suicides in Kildare, 1995–2002. J Clin
Forensic Med. 2004; 11: 289–98.
Schmidt P., Muller R., Dettmeyer R.,
et al. Suicide in children, adolescents
and young adults. J Forensic Sci Int.
Byard R.W., Markopoulos D., Prasad
D., et al. Adolescent suicide-a
comparative study. J Clin Forensic Med.
2000; 7: 6–9.
Lindqvist P., Gustafson L., Suicide
classiûcation-clues and their use a
study of cases of suicide and
undetermined manner of death. J Forensic
Sci Int. 2002;128: 136–140.
Bennett A.T., Collins K.A., Suicide:
A ten year retrospective study. J
Forensic Sci. 2000;45:
Byard R.W., Hanson K.A., Gilbert
J.D., Suicide methods in the elderly in
South Australia 1981–2000. J Clin
Forensic Med. 2004;11: 71–74.
Internet site: http://www.who.int/mental_health/prevention
/suicide/en/ Pesticides Health2. pdf.
Ali A.Y., The Meaning of “The Holy
Quran.” Kuala Lumpur, Malaysia:Islamic
Book Trust; 2001: 500.
Murty O.P., Paul George, Bride
burning and burns: certain
differentiating aspects thereof. J For
Med Toxicol. 1995;12:13–27.
The Holy Quran. Surah Al-Furqan, vs
Ojima T., Nakamura Y., Detels R.,
Comparative study about methods of
suicide between Japan and the United
States. J Epidemiol. 2004;19(9): 823–9.
Joseph A., Abrajam S., Muliyil J.P.,
Prasad J., Minz S., Abraham V.J., et al.
Evaluation of suicide rates in rural
India using verbal autopsies, 1994-1999.
BMJ. 2003; 326(7399): 1121–22.
Wiesner G., Suicidal methods: a
comparison between East and West
Germany. Epidemiological, forensic and
2004; 47(11): 1095–106.
Shields L.B., Hunsaker D.M.,
Hunsaker J.C., Suicide: A ten-year
retrospective review of Kentucky medical
examiner cases. J Forensic Sci. 2005;
Murty O.P., Cheh L.B., Bakit P.A.,
Ibrahim Z.B. and Jusoh N.B. Suicide and
Ethnicity in Malaysia Am J Forensic Med
Pathol 2008;29: 19–22.
Uzün I., Büyük Y., Gürpinar K.,
Suicidal hanging: fatalities in Istanbul
retrospective analysis of 761 autopsy
cases. J Forensic Leg Med. 2007
Largey M., Kelly C.B., Stevenson M.,
A study of suicide rates in Northern
Ulster Med J. 2009 Jan;78(1): 16–20.
Kanchan T., Menezes R.G., Suicidal
hanging in Manipal, South India-victim
profile and gender differences. J
Forensic Leg Med. 2008 Nov;15(8): 493–6.
Shah A. and De T., Suicide and the
elderly. Int. J. Psychiat. Clin Pract;
2, 3–18, 1998.
Kuwabara H., Shioiri T., Nishimura
A., Abe R., Nushida H., Ueno Y., Akazawa
K., Someya T., Differences in
characteristics between suicide victims
who left notes or not. J Affect Disord;
94(1-3): 145–9, 2006.
Shaw D., Fernandes J.R., Rao C.,
Suicide in children and adolescents: A
10-year retrospective review. Am J
Forensic Med Pathol; 26(4): 309–15,
Salib E., Cawley S., Healy R., The
significance of suicide notes in the
elderly. Aging Ment Health;
Asst. Prof. & Consultant
Department of Forensic Medicine
Central Hospital Dammanm, KSA
Prof. Forensic Medicine,
Ring Faisal University Dammam, KSA
Dr. O.P. Murty
Dr. Magdy A Azim Kharosha