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Original Research

Open Access Special Issue

Suicide in the Province of Foggia: Retrospective Study and Analysis of the Difference between Men and Women

  • Stefania De Simone1
  • Giovanni Pollice1
  • Francesco Carpano1
  • Luigi Cipolloni1,*,
  • Maria Antonella Bosco1
  • Elena Giacani1
  • Raffaele La Russa1

1Department of Clinical and Experimental Medicine, Section of Legal Medicine, University of Foggia, 71122 Foggia, Italy

DOI: 10.31083/j.jomh1808166 Vol.18,Issue 8,August 2022 pp.1-7

Submitted: 16 February 2022 Accepted: 31 March 2022

Published: 31 August 2022

*Corresponding Author(s): Luigi Cipolloni E-mail:


Background: Suicide is a significant cause of mortality affecting each age, gender, and country. In 2018, the Italian National Institute of Statistics (ISTAT) estimated that 3820 people committed suicide, with the highest incidence in males between 35 and 64 years old. The present study aims to report and analyze the data relating to suicides collected by the Institute of Forensic Medicine of Foggia compared to the data presented in the literature. Methods: The present study represents a retrospective analysis of crime scene investigations and autopsies records relating to all suicides from January 2015 to December 2021 referred to the archives of the Institute of Forensic Medicine of Foggia. The analyzed features were: the sex of the victim, method of suicide, age, the season of death, and presence of psychiatric or addiction history. Results: We selected 226 cases of suicide during the period from January 2015 to December 2021, from a total of 1184 deceases. 78% of the victims are men of average age; the most common methods of suicide are hanging and precipitation. Conclusions: The results of this study highlight the importance of personalized and gender-specific interventions and can inform policymakers in the development of provincial suicide prevention plans and public health interventions. Studying suicidality in a well-defined population can help implement targeted interventions.


suicide; suicidal attempts; hanging; psychiatric anamnesis; depression; gender-related difference; gender-related suicide;

suicidal behavior

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Stefania De Simone,Giovanni Pollice,Francesco Carpano,Luigi Cipolloni,Maria Antonella Bosco,Elena Giacani,Raffaele La Russa. Suicide in the Province of Foggia: Retrospective Study and Analysis of the Difference between Men and Women. Journal of Men's Health. 2022. 18(8);1-7.


[1] World Health Organization. Primary prevention of mental, neu-rological and psychosocial disorders. World Health Organiza-tion: Geneva. 1998.

[2] World Health Organization. WHO country presence in small is-land developing states (SIDS), 2021: revised July 2021. World Health Organization: Geneva. 2021.

[3] Almost 8 in 10 suicides among men. 2020. Available at: (Accessed: 11 February 2022).

[4] Suicide. Health at a Glance: Europe 2012. OECD. 2012; 28–29.

[5] OECD. Health at a Glance 2015: OECD Indicators. OECD. 2015.

[6] World Health Organization. Preventing suicide: A global imper-ative. World Health Organization: Geneva. 2014.

[7] Simonsen L, Chowell G, Andreasen V, Gaffey R, Barry J, Olson D, et al. A review of the 1918 herald pandemic wave: impor-tance for contemporary pandemic response strategies. Annals of Epidemiology. 2018; 28: 281–288.

[8] Pompili M, Vichi M, Innamorati M, Lester D, Yang B, De Leo D, et al. Suicide in Italy during a time of economic recession: some recent data related to age and gender based on a nationwide register study. Health & Social Care in the Community. 2014; 22: 361–367.

[9] Gunnell D, Appleby L, Arensman E, Hawton K, John A, Ka-pur N, et al. Suicide risk and prevention during the COVID-19 pandemic. The Lancet Psychiatry. 2020; 7: 468–471.

[10] Zalsman G, Stanley B, Szanto K, Clarke DE, Carli V, Mehlum L. Suicide in the Time of COVID-19: Review and Recommen-dations. Archives of Suicide Research. 2020; 24: 477–482.

[11] Conejero I, Berrouiguet S, Ducasse D, Leboyer M, Jardon V, Olié E, et al. Suicidal behavior in light of COVID-19 out-break: Clinical challenges and treatment perspectives. En-cephale. 2020; 46: S66–S72. (In French)

[12] Bernal M, Haro JM, Bernert S, Brugha T, de Graaf R, Bruffaerts R, et al. Risk factors for suicidality in Europe: results from the ESEMED study. Journal of Affective Disorders. 2007; 101: 27–34.

[13] Albert PR. Why is depression more prevalent in women? Jour-nal of Psychiatry & Neuroscience. 2015; 40: 219–221.

[14] Murphy GE. Why women are less likely than men to commit suicide. Comprehensive Psychiatry. 1998; 39: 165–175.

[15] Fawkner HJ. Body Image Development – Adult Men. Encyclo-pedia of Body Image and Human Appearance. 2012; 14: 194–200.

[16] Houle J, Mishara BL, Chagnon F. An empirical test of a medi-ation model of the impact of the traditional male gender role on suicidal behavior in men. Journal of Affective Disorders. 2008; 107: 37–43.

[17] Crestani C, Masotti V, Corradi N, Schirripa ML, Cecchi R. Sui-cide in the elderly: a 37-years retrospective study. Acta Biomed-ica. 2019; 90: 68–76.

[18] Knizek BL, Hjelmeland H. To die or not to die: a qualitative study of men’s suicidality in Norway. BMC Psychiatry. 2018; 18: 263.

[19] Forray A, Yonkers KA. The Collision of Mental Health, Sub-stance Use Disorder, and Suicide. Obstetrics & Gynecology. 2021; 137: 1083–1090.

[20] Starace, F, Minguzzi R. QEP: La Salute Mentale nelle Regioni. Analisi dei trend 2015–2017. 2019. Available at: (Ac-cessed: 18 October 2019).

[21] Ministero della Salute. c_17: Rapporto salute mentale. Analisi dei dati del Sistema Informativo per la Salute Mentale (SISM). 2018. Available at: azione/p6_2_2_1.jsp?lingua=italiano&id=3081 (Accessed: 25 June 2021).

[22] Värnik A, Kõlves K, van der Feltz-Cornelis CM, Marusic A, Oskarsson H, Palmer A, et al. Suicide methods in Europe: a gender-specific analysis of countries participating in the “Eu-ropean Alliance Against Depression”. Journal of Epidemiology and Community Health. 2008; 62: 545–551.

[23] Ajdacic-Gross V. Methods of suicide: international suicide pat-ters derived from the who mortality database. Bulletin of the World Health Organization. 2008; 86: 726–732.

[24] Wu KC, Chen Y, Yip PSF. Suicide methods in Asia: impli-cations in suicide prevention. International Journal of Environ-mental Research and Public Health. 2012; 9: 1135–1158.

[25] De Leo D, Vichi M, Kolves K, Pompili M. Late life suicide in Italy, 1980–2015. Aging Clinical and Experimental Research. 2020; 32: 465–474.

[26] Hempstead KA, Phillips JA. Rising Suicide among Adults Aged 40–64 Years. American Journal of Preventive Medicine. 2015; 48: 491–500.

[27] Shaw RJ, Cullen B, Graham N, Lyall DM, Mackay D, Okolie C, et al. Living alone, loneliness and lack of emotional support as predictors of suicide and self-harm: a nine-year follow up of the UK Biobank cohort. Journal of Affective Disorders. 2021; 279: 316–323.

[28] Innamorati M, Pompili M, Di Vittorio C, Baratta S, Masotti V, Badaracco A, et al. Suicide in the old elderly: results from one Italian county. the American Journal of Geriatric Psychiatry. 2014; 22: 1158–1167.

[29] Juurlink DN, Herrmann N, Szalai JP, Kopp A, Redelmeier DA. Medical illness and the risk of suicide in the elderly. Archives of Internal Medicine. 2004; 164: 1179–1184.

[30] Vijayakumar L. Suicide in women. Indian Journal of Psychiatry. 2015; 57: S233–S238.

[31] Altamura C, VanGastel A, Pioli R, Mannu P, Maes M. Seasonal and circadian rhythms in suicide in Cagliari, Italy. Journal of Affective Disorders. 1999; 53: 77–85.

[32] Alpert H, Durkheim E, Spaulding JA, Simpson G, Solovay SA, Mueller JH, et al. Suicide: a Study in Sociology. American So-ciological Review. 1951; 16: 565.

[33] Chew KS, McCleary R. The spring peak in suicides: a cross-national analysis. Social Science & Medicine. 1995; 40: 223–230.

[34] Yarza S, Vodonos A, Hassan L, Shalev H, Novack V, Novack L. Suicide behavior and meteorological characteristics in hot and arid climate. Environmental Research. 2020; 184: 109314.

[35] Souêtre E, Salvati E, Belugou JL, Douillet P, Braccini T, Dar-court G. Seasonality of suicides: environmental, sociologi-cal and biological covariations. Journal of Affective Disorders. 1987; 13: 215–225.

[36] Maes M, De Meyer F, Thompson P, Peeters D, Cosyns P. Syn-chronized annual rhythms in violent suicide rate, ambient tem-perature and the light-dark span. Acta Psychiatrica Scandinav-ica. 1994; 90: 391–396.

[37] Costantini L, Pasquarella C, Odone A, Colucci ME, Costanza A, Serafini G, et al. Screening for depression in primary care with Patient Health Questionnaire-9 (PHQ-9): a systematic review. Journal of Affective Disorders. 2021; 279: 473–483.

[38] Baertschi M, Costanza A, Canuto A, Weber K. The dimensional-ity of suicidal ideation and its clinical implications. International Journal of Methods in Psychiatric Research. 2019; 28: e1755.

[39] Posner K, Brown GK, Stanley B, Brent DA, Yershova KV, Oquendo MA, et al. The Columbia–Suicide Severity Rating Scale: Initial Validity and Internal Consistency Findings from Three Multisite Studies with Adolescents and Adults. American Journal of Psychiatry. 2011; 168: 1266–1277.

[40] Serrano CC, Dolci GF. Suicide prevention and suicidal behavior. Gaceta médica de México. 2021; 157: 547–552.

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