Original ArticlesPattern of Suicide Methods and Postmortem Toxicological Findings in Suicide-Related Deaths A Retrospective 7-Year Forensic-Based Study in IranValipour, Rooholah MSc∗,†; Shekari, Ahmad MSc∗,†; Setareh, Mehrdad MD∗,†; Soltaninejad, Kambiz PharmD, PhD† Author Information From the ∗Laboratory of Forensic Toxicology, Legal Medicine Center of Zanjan, Zanjan Province †Department of Forensic Toxicology, Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran. Manuscript received May 18, 2020; accepted July 11, 2020. The authors report no conflict of interest. This study has been financially supported by the Legal Medicine Research Center (Grant No. 20743). Reprints: Kambiz Soltaninejad, PharmD, PhD, Department of Forensic Toxicology, Legal Medicine Research Center, Legal Medicine Organization, Behesht St, Tehran-1114795113, Iran. E-mail: [email protected]. R.V. and A.S. performed the research. M.S. and K.S. designed the research study. R.V. and A.S. analyzed the data. K.S. wrote the manuscript. This study has been approved by the ethical committee of the Legal Medicine Research Center, Tehran, Iran (Number: 20743). The informed consent was therefore not necessary. The American Journal of Forensic Medicine and Pathology: March 2021 - Volume 42 - Issue 1 - p 23-29 doi: 10.1097/PAF.0000000000000607 Buy Metrics Abstract Suicide is a public health threat that leads to morbidity and mortality worldwide. In this study, we evaluated postmortem toxicological finding among forensic autopsies on suicidal deaths from 2010 to 2016 at the Legal Medicine Center of Zanjan Province (northwest of Iran). All suicide fatal cases were investigated to define the cause and manner of death. Toxicological analyses were performed using thin-layer chromatography, high-performance liquid chromatography, gas chromatography/mass spectrometry, headspace gas chromatography, and gas chromatography equipped with nitrogen phosphorus detector. Demographic data (age, sex, educational level, residential location, and marital status), cause of death, and postmortem toxicological findings were extracted from forensic reports and were entered into the designed questioners. During this period, a total of 181 cases of suicide deaths were investigated. Among them, 74% were male. The most often used suicide method was hanging, followed by self-poisoning in young people. Aluminum phosphide was the most frequent poison detected in the fatal suicidal cases (33 cases), followed by opioids. Hanging and self-poisoning were the frequent suicidal method in young male population. It seems that psychological and social supports in young people along with restriction to easy access to drugs and poisons should be considered by policy making and healthcare authorities. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.