ArticleBMC public health2025
A retrospective five-year autopsy based study of suicide in Punjab province of Pakistan.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Evidence on Deliberate Self-Harm, Suicidal Ideation, and Suicides in Pakistan: A Scoping Review of Methods, Contributing Factors, and Associated Mental Disorders.Neuropsychobiology · 2026Review
- The state of mental health in Pakistan: analyzing system gaps and social determinants using data from the Global Mental Health Countdown 2030.Frontiers in public health · 2026Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSuicide deaths are significantly under-reported in Pakistan due, in part, to the absence of a national registry of suicide and stigma resulting from its illegal status until recently. Past studies of suicide by forensic autopsy have focused on larger cities. We aimed to identify the pattern of suicidal deaths in five rural districts in Punjab Province of Pakistan.
methodsThe data included all autopsies performed for suspected suicide in five districts of Punjab province (Bhakkar, Okara, Nankana Sahib, Khanewal and Khushab) over five years between January 2018 and December 2022, identified through collaboration with the Surgeon Medicolegal Punjab Office and district medico-legal officers. Demographic information and post-mortem toxicological findings were collected through a pre-designed proforma based on previous research.
resultsA total of 205 autopsies due to suspected suicides were identified. Most were aged under 30 years (133/205, 64.9%) and the male-to-female ratio was observed as 1.1:1. The most common methods overall were ingestion of poisonous substances (80/205, 39%; 18.5% of men and 61.9% of women) and hanging (75/205, 36.6%; 46.3% of men and 25.8% of women). Kala-pathar (paraphenylenediamine hair dye) was the most common ingested poison (41/80, 51.3%) followed by aluminium phosphide (formulated as 56% of 3 g fumigant wheat pills). Domestic conflict was the most common motive identified.
conclusionsThis retrospective review of suicide autopsy cases in five districts of the Pakistan Punjab showed that poisoning was the most common means of suicide, particularly with paraphenylenediamine hair dye. There is need for systematic collection of such data from all districts across Pakistan, which can lead to the development of a national suicide registry. This will allow official reporting of suicide deaths on a national level to help guide development and monitoring of an effective suicide prevention strategy.
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