[Suicide in Paris and Ile-de-France]

A study carried out in collaboration between the Institute of Forensic Medicine of Paris and the INSERM (SC8) concerned all the suicide occurred in Paris region over 1990; 455 suicides in Paris and 1,229 in the suburbs of Paris (overall, 1,684 suicides observed in Paris area for the same period). For Paris city, the rate of suicide reaches 23.3 per 100,000 subjects. This frequency increases up to 40 years and falls after this age with a further rise between 75 and 85 years. Suicide represents 17% of the total mortality for adolescents and young adults living in Paris, with a large over-representation of males (277 males, 178 females). Suicide is more frequent before 45 years in Paris than in France but this tendency is reversed after 45 years. It represents the first cause of violent deaths among young population (15-34 years) living in Paris and is, after AIDS, the second cause of death. In Paris suburbs, it constitutes the second cause of mortality after traffic accidents. The mode of suicide in Paris is essentially poisoning, then hanging and jumping from high place. In contrast, outside Paris, the hanging is more frequently used than poisoning and firearms. The contribution of the Institute of Forensic Medicine of Paris is essential for the knowledge of these voluntary deaths, a large part of them being unknown in the National statistic of causes of death. This underestimation is extremely important: only 68% of the suicides are known by the Official Statistic in Paris region and 26% for Paris city.(ABSTRACT TRUNCATED AT 250 WORDS)