Autopsy of a Suicide Note: When Final Words Reveal the Suffering of a Suicidal Crisis – A Forensic Case Study

Background/Objectives: Suicide is a deliberate act of ending one's life, often driven by suffering perceived as insurmountable. Suicidal thoughts serve as warning signs that require urgent intervention. Some individuals leave farewell messages in the form of letters or other media, revealing their psychological state. This study aims to analyze a suicide note from a forensic and psychological perspective to enhance the under-standing of suicidal crises. Methods: We present a forensic case involving a civil serv-ant who was dismissed after a workplace accident that led to neurological complica-tions. Forced to return to work despite his physical incapacity, he experienced a pro-found sense of injustice. The forensic examination included an autopsy, toxicological analysis, and psychological interpretation of the suicide note. Family interviews were conducted to assess prior distress signals. Results: The forensic analysis of the suicide note revealed intense psychological distress and a deep sense of injustice regarding his situation. After the failure of his legal proceedings, his despair worsened. His family reported previous suicidal warning signs that had been overlooked. The autopsy con-firmed the cause of death as hanging, with no evidence of external intervention. Con-clusions: This case highlights the importance of recognizing distress signals during a suicidal crisis—a reversible period if appropriate interventions are implemented. It underscores the medico-legal relevance of suicide notes in forensic investigations and emphasizes the necessity of integrating mental health strategies to strengthen suicide prevention efforts.