An Autopsy-Based Analysis of Unnatural Deaths in Dinajpur, Bangladesh

Abstract

Background: Unnatural deaths are a significant public health and legal issue in Bangladesh. They are linked to social, economic, and psychological stressors and remain a major cause of premature mortality. Objective: This study aimed to describe the demographic and toxicological profiles of unnatural deaths in Dinajpur during January–December 2023. Methods: A retrospective review of autopsy records was conducted. Data were analyzed for age, sex, type and manner of death, place of occurrence, toxicological findings, and seasonal variation. Descriptive statistics were used to summarize the findings. Results: A total of 141 cases were included. Hanging was the most common type of death, followed by poisoning and road traffic accidents. Suicidal deaths predominated over homicidal and accidental ones. Most incidents occurred at home. Young adults, particularly those aged 21–30 years, were the most affected group. Toxicology tests were frequently not performed, limiting interpretation. Conclusion: Unnatural deaths in Dinajpur are a serious concern, with suicide being the leading manner of death. The findings underscore the need for preventive strategies focusing on mental health, regulation of toxic substances, and family and community support systems.