A very unusual case of attempted suicide

Misiak, Piotr; Jabłoński, Sławomir; Dziwińska, Katarzyna; Terlecki, Artur

doi:10.5114/kitp.2016.61050

Cited by 4 publications

(7 citation statements)

References 8 publications

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“…1%-3% of all suicide attempts [11]. While suicide was not the focus of this study, our data suggests that self-stabbing is not necessarily rare when it comes to fatal stab wounds.…”

Section: Ta B L Ementioning

confidence: 63%

Breaking point? An analysis of fatal stab wounds to the torso in Ireland between 2011 and 2018, examining the extent of rib fractures

Bourke,

McCartney,

Greene

et al. 2023

Journal of Forensic Sciences

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This study examines the pattern of rib injuries occurring in cases of fatal torso stab wounds in Ireland between 2011 and 2018. It has been suggested by previous studies that rib fractures are not commonly sustained in stab wounds to the torso. We wanted to ascertain whether this was the case, as our data suggested that rib fractures were frequent, and where a rib is fractured there is a higher chance of organ injury and death, making this an important area of study. One hundred and forty seven cases of fatal stab wounds from an eight‐year period were retrospectively reviewed. Fatal stab wounds to other body areas, were excluded; leaving a total of 104 cases with stab wounds to the torso. We found that 69.2% of cases had rib injuries, a figure significantly higher than previously reported. Our data suggests that stab wounds to the torso often fracture ribs, putting the underlying organs at increased risk of injury and perhaps contributing to fatality. The amount of force needed to cause a rib fracture can be difficult to quantify and indeed from the high percentage of rib fractures sustained in our data it appears that the ribs may be fractured regardless of the amount of force used; this is borne out by the finding that self‐inflicted injuries also caused rib fractures. Our study shows that other factors, such as anatomical positioning and wound depth may have a greater bearing than force in terms of whether a rib fracture is sustained.

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“…1%-3% of all suicide attempts [11]. While suicide was not the focus of this study, our data suggests that self-stabbing is not necessarily rare when it comes to fatal stab wounds.…”

Section: Ta B L Ementioning

confidence: 63%

Breaking point? An analysis of fatal stab wounds to the torso in Ireland between 2011 and 2018, examining the extent of rib fractures

Bourke,

McCartney,

Greene

et al. 2023

Journal of Forensic Sciences

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“…Sanju et al in Toronto in Canada had recorded delays of four (04) days [13], Adeyi et al in Nigeria had had cases arriving in consultation after twelve (12) hours to four (04) days after the suicide attempt [15]. There is a contrast between lesion severity and mortality [1] [25]. Among the psychotic disorders of young subjects, the risk of suicide is always present in a depressive phase [7] [20].…”

Section: Discussionmentioning

confidence: 99%

“…Their potential seriousness makes them a concern for the ENT surgeon [1]. For Misiak et al in Poland in 2016, the knife blade retained in the neck can at the same time play the role of local hemostasis [25]. The linear wound of the knife blade penetration site measured five (05) cm in the longitudinal axis (Figure 1), yet the depth was eleven (11) cm.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Cervical Penetrating Wound Extended to the Right Pleural Dome

Vodouhe¹,

Apouakone²,

Zounon³

et al. 2022

IJOHNS

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“…[ 22 ] Cases of suicide by neck wounding are also rare, but regularly described in the medicolegal literature. [ 23 – 26 ] Several publications have addressed the issue of determining the suicidal or homicidal nature of injuries caused by a cutting instrument. Although morphological criteria can lend support to suicide (accessibility, symmetry, etc), they do not provide definitive evidence.…”

Section: Discussionmentioning

confidence: 99%

Self-inflicted neck wounds under influence of lysergic acid diethylamide

Daré¹,

Gicquel²,

Baert

et al. 2020

Medicine

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Rationale: Lysergic acid diethylamide (LSD) is a highly potent psychedelic drug derived from ergot alkaloids. The available literature data derived from controlled studies or usage in a medical setting seem reassuring; however the literature contains very rare cases of fatal self-inflicted injuries associated with LSD exposure. The behavioral disorder that created the conditions conducive to death is a maladaptive or irrational response to the psychiatric manifestations induced by the substance. Patient concern: Here, we report the case of a 26-year-old man found dead with large neck wounds in a locked house. No medical history other than recreational use of alcohol and narcotics was reported as well as any history of psychotic disease. The entirety of the other investigations carried out did not demonstrate the presence of a third party at the place of death and a dropper bottle containing LSD was found near the body. Diagnosis: We report the first case of fatal self-inflicted neck wounds with a cutting instrument in the context of acute exposure to LSD in a patient with no psychiatric history and without suicidal symptoms at the time of the self-aggressive act. Intervention and outcomes: In the present work, we used a validated method using liquid chromatography coupled with mass spectrometry for simultaneous quantification of LSD and its metabolites (O-H-LSD and Nor-LSD) in whole blood and urine samples. LSD and O-H-LSD were respectively found at 1460 and 182 pg/mL in blood. In the urine, the concentrations of LSD, nor-LSD, O-H-LSD were, respectively, 3670, 201, and 4890 ng/L. Lessons: This observation is particularly relevant in view of the resurgence of interest in the therapeutic use of LSD, notwithstanding the fact that the literature has not demonstrated a link between suicidal risk and acute or chronic exposure to LSD.

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A very unusual case of attempted suicide

Cited by 4 publications

References 8 publications

Breaking point? An analysis of fatal stab wounds to the torso in Ireland between 2011 and 2018, examining the extent of rib fractures

Breaking point? An analysis of fatal stab wounds to the torso in Ireland between 2011 and 2018, examining the extent of rib fractures

An Unusual Cervical Penetrating Wound Extended to the Right Pleural Dome

Self-inflicted neck wounds under influence of lysergic acid diethylamide

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