Differentiation between suicidal and accidental falls from height using the method proposed by Teh et al.

Abstract

Różnicowanie samobójczych i przypadkowych upadków z wysokości z wykorzystaniem metody Teh i wsp. Differentiation between suicidal and accidental falls from height using the method proposed by Teh et al.

Identifying the Differences of Injury Patterns in Fatal Falls from Height and Pedestrian Traffic Accidents: An Autopsy Study and Comparison with Literature for Differential Diagnosis in Ambiguous Cases

“…This diversity is similarly noted in instances of falls from height, where rib injury prevalence is recorded at 63.3% [20], 79% [22], 67.9% [27], 73.8% [28], 75.6% [31], 72.4% [32], and 64.9% [35], though some studies have documented lower percentages: 21.2% [26], 41.3% [28], 41.8% [33], and 24.8% [34]. Atanasijevic et al [24] further delved into the specific locations of rib fractures, identifying damage exclusively to the left ribs in 12.9% of cases, to the right in 11.4%, and bilateral injuries in 35.4%.…”

“…Case reports e systematic reviews were excluded. Thus, 29 articles were identified and analyzed -12 with data on pedestrians [7][8][9][10][11][12][13][14][15][16][17][18], 1 with a sample of both pedestrians and descents [19], and 16 on falls from heights [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35].…”

“…Rancic et al [9] reported a significantly lower rate of 14.3% for cranial vault fractures alone, which increases to 28.6% for concurrent vault and base fractures. The falls from height group displays equal heterogeneity, with comparable rates of 56.9% [18], 62.2% [20], 55% [21], 52.6% [22], 59.2% [23], 50% [27], and 45.7% [35], and lower figures of 28.6% [28], 27.5% [29], 20.5% [31], and 11.3% [33]. Atanasijevic et al [25] and Suresh et al [30] counter with higher cranial fracture rates of 73.6% and 67.4%, respectively.…”

“…Within the pedestrian group, pelvic involvement rates vary widely: 12.7% [10], 15% [12], 34.2% [17], 39.3% [7], escalating to 50.3% [18] and 52.8% [11]. The falls from height group mostly showed lower prevalence rates: 11.1% [20], 30.7% [22], 1.2% [23], 6% [26], 18% [28], 13.8% [29], 15.3% [34], 23.2% [35], peaking at 47.1% [27] and 43.9% [31]. Pelvic fractures were not assessed in our study, hence a comparison with these findings is not feasible.…”