Multiple Self‐Inflicted Stab Wounds to Neck, Chest and Abdomen as a Unique Manner of Suicide

Kaliszan, Michał; Kernbach-Wighton, G.; BouHaidar, Ralph

doi:10.1111/j.1556-4029.2010.01322.x

Cited by 17 publications

(23 citation statements)

References 17 publications

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“…The use of many self-inflicted stab wounds to the neck, chest, and abdomen has been reported by Kaliszan M et al as a unique way of committing suicide. 20 With regards to the possibility of murder, we did not find any cuts or puncture-incised injuries on the body of the deceased man which could be described as "defensive". 17 A great number of flesh-wounds were also found, which points to the fact that the man was undecided and vouch for doing harm to himself.…”

Section: Discussionmentioning

confidence: 64%

An autopsy case of suicide with three knives: a forensic and anatomical discussion

Apostolov¹,

Hristov²,

Krastev³

et al. 2013

RRFMS

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We present a case of a 30-year-old man who committed suicide, using three knives, after a domestic disturbance in which he repeatedly stabbed his wife. During the inspection of the corpse of the man at the scene, two knives were found embedded in the neck and one in the abdomen. During the autopsy, we found two stab-incised injuries on the anterior surface of the neck in the lower section of the second segment bilaterally, one injury on the left side of the chest, and eleven injuries in the abdomen of the deceased with varying depth. Wound channels ranged from 1.5 cm to 20 cm. Despite our expectations that some of the major arterial and/or venous vessels in the neck would be cut, we found breaks in only small vessels, nervous structures, sublingual glands, and muscles in the course of the wound channels. In this case, we define such an autopsy finding as rare, or rather, as a rare accident. The inflicted stab-incised injuries as individual anatomical lesions would not lead to certain death. At the time of autopsy we revealed that the fatal injury was in the abdomen, wherein the abdominal aorta was cut. This led to the development of acute blood loss. In the genesis of death, a puncture-incised injury of the left lung was involved, leading to the development of hemopneumothorax. With regards to the possibility of murder, we did not find any cuts or puncture-incised injuries on the body of the deceased man which could be described as "defensive", or such that could have been received while trying to escape. During the police investigation, evidence for the presence of a third person at this domestic incident was not found.

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Section: Discussionmentioning

confidence: 64%

An autopsy case of suicide with three knives: a forensic and anatomical discussion

Apostolov¹,

Hristov²,

Krastev³

et al. 2013

RRFMS

View full text Add to dashboard Cite

show abstract

“…20 The toxicological tests excluded the presence of alcohol and common drugs of abuse whose possible presence could explain the number and severity of the wounds, since a drug-related state of mind can sometimes justify the choice of such a manner of death, as was shown in our previous paper. 21 However, even the therapeutic blood concentrations of antidepressant medication fluoxetine, a selective serotonin reuptake inhibitor, which has been taken by the deceased for a few days before his death, according to the literature, may contribute to violent selfdestructive behavior. 22,23 …”

Section: Discussionmentioning

confidence: 99%

Multiple severe stab wounds to chest with cuts to the ribs. Suicide or homicide?

Kaliszan

2011

Journal of Forensic and Legal Medicine

Self Cite

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“…Classic criteria for the differentiation of self-inflicted injuries from injuries inflicted by another person are described in both classic and modern textbooks of forensic pathology (125,126) and in the literature (8)(9)(10)(11)(12)15,29,35,38,39,63,103,123,127) and are generally considered to be the following:…”

Section: Discussionmentioning

confidence: 99%

Suicidal or Homicidal Sharp Force Injuries? A Review and Critical Analysis of the Heterogeneity in the Forensic Literature

De-Giorgio

Lodise

Quaranta

et al. 2014

Journal of Forensic Sciences

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The differential diagnosis between self-inflicted and nonself-inflicted, suicidal and homicidal, injuries is difficult or impossible in many cases and, above all, cannot be made on the basis of information obtained solely from the autopsy or the medicolegal clinical examination. The purpose of this study is to analyze the literature on suicidal and homicidal sharp force injuries and identify the relevant parameters that may help differentiate between suicidal and homicidal deaths. To achieve this goal, a review of 595 potentially relevant articles was performed. After excluding the nonrelevant papers by screening the titles, all abstracts were reviewed, and articles meeting the inclusion criteria underwent a full-text review. The following parameters were compiled into a table: number of cases, localization of the injuries, and number of injuries. The data were statistically analyzed and compared with those available in the forensic literature. On the basis of the heterogeneity of data revealed by the present review, a simple and short checklist of the parameters that should be included when reporting suicides and homicides by sharp force has been proposed.

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Multiple Self‐Inflicted Stab Wounds to Neck, Chest and Abdomen as a Unique Manner of Suicide

Cited by 17 publications

References 17 publications

An autopsy case of suicide with three knives: a forensic and anatomical discussion

An autopsy case of suicide with three knives: a forensic and anatomical discussion

Multiple severe stab wounds to chest with cuts to the ribs. Suicide or homicide?

Suicidal or Homicidal Sharp Force Injuries? A Review and Critical Analysis of the Heterogeneity in the Forensic Literature

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