Background: Suicide is the leading cause of unnatural death worldwide. Over the past five decades, there has been noticeable increase in suicide rates around the globe. The pattern of suicide fatalities in a particular community is reflected in the relationship between an individual's mental health and social status. Suicide is influenced by a wide range of cultural and socio-economic factors, as well as quality of life of an individual. Objective: The purpose of this study was to determine the demographics and trends of suicidal deaths at a Tertiary Health Center in Bangladesh. Methods: This retrospective study was conducted at The Department of Forensic Medicine and Toxicology, Sir Salimullah Medical College and Mitford Hospital in Dhaka, Bangladesh. The study covered all suicidal deaths that occurred between 2022 to 2024. In all cases, a complete post-mortem examination was performed and findings were recorded. Details of all suicidal deaths regarding age, gender, religion, marital status and mode of death were duly documented. Results: A total of 446 cases were evaluated, of them 208 were male and 238 were female. Maximum (44.11%) cases were in 21-30 years age group followed by 42.01% were in 11-20 years age group then 8.82% were in 31-40 years age group. Regarding the marital status majority (65.02%) of the cases were married in both genders. Among the study cases hanging (64.13%) was the most adapted method to commit suicide followed by poisoning (35.87%). Conclusion: The current study demonstrated that suicidal deaths are prevalent among females and married individuals. Adolescent and young adults are vulnerable to suicidal deaths. Hanging is the most adapted method to commit suicide followed by poisoning. To lower suicide rates particularly in adolescent and young adults, a well-designed comprehensive program is required that will identify the causative factors and may aid in suicide prevention.