Background: Adolescent suicide represents a significant public health challenge in India. Understanding the risk factors and patterns associated with suicidal behavior is crucial for developing effective prevention strategies.

Objectives: To analyze the socio-demographic characteristics, risk factors, and methods of suicide attempts among adolescents presenting to a tertiary care hospital in India.

Methods: A prospective cross-sectional study was undertaken involving adolescents who presented to the hospital with suicide attempts during the period of 15 months from January 2023 to May 2024. Data on sociodemographic variables risk for suicide and suicide pattern were collected and analyzed using descriptive statistics and chi-square tests.

Results: The majority of cases (75%) occurred in the 17-18 year age group (p=0.042). Lower socioeconomic status was significantly associated with suicidal behavior (100%, p=0.001). Significant risk factors included relationship failure (p=0.001), diagnosed psychiatric illness (p=0.004), past suicide attempts (p=0.011), substance abuse (p≤0.001), academic stress (25%, p=0.011), and family history of suicide (p=0.004). Consumption of Tablet/medication overdose was the most common method of attempt (45%).

Conclusion: The study highlights the complex interplay of socio-demographic factors and risk factors in adolescent suicidal behavior. The findings emphasize the need for comprehensive screening, targeted interventions, and the integration of mental health services in school health services to prevent adolescent suicide in India.