Child and Adolescent Suicide in the Broader Area of Athens, Greece: A 13-Year Retrospective Forensic Case-Series Analysis
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Sample Selection
- The deceased was aged 19 years or younger
- The manner of death was certified as suicide
- The case was referred by investigative authorities due to its classification as sudden, unexpected, or violent death
- A complete forensic autopsy had been conducted, including both external and internal examination and toxicological examination
2.3. Data Collection Procedures
- Demographic data (age and gender)
- Autopsy findings: (a) cause of death, (b) external examination: recent injuries, scars indicating prior self-harming behavior, tattoos with a special meaning, (c) findings from internal examination if abnormal.
- Toxicological analysis results
- Medical and psychiatric history, where available
- Information provided by next of kin (e.g., family dynamics, recent stressors)
- Police investigation findings (scene characteristics, suicide notes, digital evidence)
3. Results
4. Discussion
4.1. Methods of Suicide
4.2. Psychiatric Disorders and Psychological Distress
4.3. Suicide Notes
4.4. Previous Suicide Attempts and Self-Harm
4.5. Demographics: Age and Gender Trends
4.6. Substance Use and Toxicological Findings
4.7. Location of Suicides
4.8. Limitations of the Study
4.9. Implications for Prevention
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
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Case No. | Age | Sex | Method | Toxicology Findings | Psychiatric History | Suicide Note | Previous Suicide Attempts or Self-Harm | Place of Death |
---|---|---|---|---|---|---|---|---|
1 | 16 | F | Hanging | Negative | Depression (no treatment) | No | No | Her home’s yard |
2 | 19 | F | Hanging | Negative | None | No | No | Her bedroom |
3 | 14 | F | Gas inhalation | 6.8% carboxyhemoglobin | None | Yes | Yes | Her bedroom |
4 | 19 | M | Hanging | Negative | None | No | No | Sheepfold |
5 | 19 | M | Hanging | 0.75 g/L ethanol, THC metabolite | Psychological issues (no treatment) | Yes | No | His bedroom |
6 | 19 | M | Hanging | Therapeutic levels of citalopram | Depression (under treatment) | No | No | His home’s yard |
7 | 16 | F | Hanging | Negative | None | No | No | Her bedroom |
8 | 18 | M | Hanging | Fluvoxamine, ethanol, olanzapine | Psychological issues (under treatment) | Yes | No | His bedroom |
9 | 14 | M | Hanging | Negative | None | No | No | His home’s yard |
10 | 19 | M | Falling from height | Δ9-THC, THC metabolite | None | No | No | Friend’s home |
11 | 19 | F | Hanging | 0.60 g/L ethanol | None | No | Yes | Her bedroom |
12 | 19 | M | Gunshot | 0.73 g/L ethanol (possible postmortem production) | None | No | No | Living room (his home) |
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Fragkou, K.; Alexandri, M.; Dimitriou, K.; Tatsioni, A.; Bacopoulou, F.; Ferentinos, P.; Martrille, L.; Papadodima, S. Child and Adolescent Suicide in the Broader Area of Athens, Greece: A 13-Year Retrospective Forensic Case-Series Analysis. Pediatr. Rep. 2025, 17, 72. https://doi.org/10.3390/pediatric17040072
Fragkou K, Alexandri M, Dimitriou K, Tatsioni A, Bacopoulou F, Ferentinos P, Martrille L, Papadodima S. Child and Adolescent Suicide in the Broader Area of Athens, Greece: A 13-Year Retrospective Forensic Case-Series Analysis. Pediatric Reports. 2025; 17(4):72. https://doi.org/10.3390/pediatric17040072
Chicago/Turabian StyleFragkou, Kallirroi, Maria Alexandri, Konstantinos Dimitriou, Athina Tatsioni, Flora Bacopoulou, Panagiotis Ferentinos, Laurent Martrille, and Stavroula Papadodima. 2025. "Child and Adolescent Suicide in the Broader Area of Athens, Greece: A 13-Year Retrospective Forensic Case-Series Analysis" Pediatric Reports 17, no. 4: 72. https://doi.org/10.3390/pediatric17040072
APA StyleFragkou, K., Alexandri, M., Dimitriou, K., Tatsioni, A., Bacopoulou, F., Ferentinos, P., Martrille, L., & Papadodima, S. (2025). Child and Adolescent Suicide in the Broader Area of Athens, Greece: A 13-Year Retrospective Forensic Case-Series Analysis. Pediatric Reports, 17(4), 72. https://doi.org/10.3390/pediatric17040072