title: Patterns of suicide in Kuwait: a retrospective descriptive study from 2003-2009.
abstract: BACKGROUND
  Prior to the invasion of Kuwait by Iraq in 1990, suicides were almost unheard of in Kuwait. However, there has been a notable increase in the referrals of suicide cases to the forensic authorities since then. A review of suicide cases was performed to investigate the demographics of this phenomenon and the suicide modalities used and to uncover issues that can be addressed by the region's government.
  
  
  METHODS
  The sole source of data was the general department of criminal evidence (GDCE), where cases are referred by police authorities and by hospital investigators from the entire country. All cases signed out by forensic investigators as "suicide" during the time period 2003-2009 were retrieved. A full review of the data from the case files was made. This included demographic data, scene examination, radiographic investigations, autopsies with histo-pathological examination findings and toxicological screening results in each case.
  
  
  RESULTS
  A total of 347 cases were retrieved and studied. Hanging was found to be the most common suicide modality used by subjects (60 %). Non-citizens constituted 87 % of cases, and no significant difference was found between married and single subjects or between Muslims and non-Muslims. Regions that were more populated with an expatriate labour force had the highest suicide prevalence.
  
  
  CONCLUSIONS
  The government of Kuwait needs to investigate the dire conditions in which some expatriates live and to improve their situation. More control over the dispensing of certain medications needs to be enforced. Finally, strict firearm control could help reduce the suicide rates in Kuwait.
authors.affiliation: Faculty of Medicine, Kuwait University, 72, 71661, Shamiyah, Kuwait. salah.w@hsc.edu.kw.
authors.forename: Salah
authors.initials: S
authors.lastname: Al-Waheeb
authors.affiliation: General Department of Criminal Evidence, Ministry of Interior, Farwaniyah, Kuwait. pathgirl.n@gmail.com.
authors.forename: Nadia
authors.initials: N
authors.lastname: Al-Kandary
mesh_terms: D000293:Adolescent; D000328:Adult; D001344:Autopsy; D005260:Female; D005554:Forensic Medicine; D006801:Humans; D007514:Islam; D007730:Kuwait / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D013405:Suicide / Q000706:statistics & numerical data*; D055815:Young Adult