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

Kaliszan, Michał

doi:10.1016/j.jflm.2010.10.004

Cited by 24 publications

(21 citation statements)

References 19 publications

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“…Some of the characteristics of the injuries used to diagnose a case of suicide rather than homicide are the direction and the axis of the wound. In suicides, the blows are usually unidirectional , also described as parallel or collinear , while homicidal wounds are multidirectional or chaotically arranged . Concerning the axis, injuries have been defined as vertical when their major axis is parallel to the body's longitudinal axis and horizontal when their major axis is parallel the body's transversal axis .…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

“…Sharp force injuries have been and will remain a major cause of violent death and trauma. Fatalities from sharp force are mainly homicidal, as suicides by sharp force represent only 1.6–3% of all suicides .…”

mentioning

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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“…In the examined case, both the jersey and T‐shirt were cut seven times, which corresponded to the number of wounds. This demonstrates that the aforementioned case once again proves to be an exception from the rule .…”

Section: Discussionmentioning

confidence: 77%

Complex Suicide by Self‐stabbing with Subsequent Drowning in the Sea

Kaliszan

Karnecki

Tomczak

et al. 2013

Journal of Forensic Sciences

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The paper presents a unique case of a complex suicide committed by a young man, mostly probably triggered by a disappointment in love. The uniqueness of the suicide lies in the fact that the victim inflicted several deep stab wounds on himself, in the chest and abdomen, while standing partly submerged in the sea and, having done so, he dropped and disappeared in the water. The postmortem examination showed, apart from deep wounds in the trunk, characteristics of drowning that manifested itself in the form of aqueous emphysema of the lungs. Suicide was clearly determined on the basis of the circumstances preceding death, the location, and arrangement of the trunk wounds and the testimony given by a witness of the incident. The circumstances preceding the suicidal act clearly suggest an underlying undiagnosed mental disorder.

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“…Atypical wound morphology, wound multiplicity or suspicious anatomical locality in conjunction with unclear scene findings may constitute a confusing picture during a medico-legal death investigation, or even lead to false manner-of-death interpretation [5][6][7].…”

Section: Discussion and Medico-legal Interpretationmentioning

confidence: 99%

“…Surgical excisions are widely utilized in plastic surgery for karskiego, a nawet prowadzić do fałszywych ustaleń dotyczących rodzaju śmierci [5][6][7].…”

Section: Discussion and Medico-legal Interpretationunclassified

“Surgically created” excision of the back mimicking homicide: report of an unusual case

Janík¹,

Novomeský²,

Straka³

et al. 2015

amsik

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StreszczenieZgony w następstwie urazu ciała spowodowanego ostrym narzędziem można zaklasyfikować jako przestępstwo, samookaleczenie albo wypadek. W pracy opisano przypadek nietypowego urazu ciała spowodowanego ostrym narzędziem w niecodziennych i początkowo niejasnych okolicznościach mogących wskazywać na zabójstwo. Izolujący się od otoczenia 69-letni mężczyzna został znaleziony martwy z nietypową zmianą o charakterze wycięcia skórnego umiejscowioną w prawej okolicy podłopatkowej. Wokół zmiany stwierdzono ślady obfitego krwawienia. Badanie pośmiertne potwierdziło, że w wyniku rany doszło do krwotoku zewnętrznego ze skutkiem śmiertelnym. Analiza toksykologiczna krwi i moczu ujawniła ciężki stan upojenia alkoholowego ofiary. W toku śledztwa policyjnego ustalono, że denat miał bolesnego czyraka skóry w górnej części pleców. Obawiał się leczenia, dlatego zwrócił się do dwóch znajomych z proś-bą o pomoc w "chirurgicznym" usunięciu zmiany. Na podstawie okoliczności zgonu oraz wyników badania pośmiert-nego stwierdzono, że uraz ciała powstał bez zamiaru wyrządzenia krzywdy ani spowodowania śmierci, a zgon był efektem zaniedbania. Sprawę zakwalifikowano jako nieumyślne spowodowanie śmierci. Opisywany przypadek pokazuje, że nawet bardzo podejrzane, nietypowo ukształtowane rany zadane narzędziami ostrokrawędzistymi i zlokalizowane w niedostępnych obszarach ciała nie muszą jednoznacznie sugerować zabójstwa. Należy także rozważyć inne podłoże obrażeń, np. nieszczęśliwy wypadek, zamiar samobójczy, a nawet jatrogenne pochodzenie rany.Słowa kluczowe: uraz spowodowany ostrym narzędziem, rodzaj śmierci, wycięcie, badanie pośmiertne, zabójstwo. AbstractFatalities due to sharp force trauma, with respect to manner of death, may be homicidal, self-inflicted, or accidental in nature. This article presents a case of an unusual sharp force injury inflicted under very specific and seemingly obscured circumstances, initially suggestive of homicidal origin. A 69-year-old, socially isolated male was found dead with a strange, heavily blood-stained excision-like lesion on the right subscapular area. The autopsy confirmed that the wound led to fatal external blood loss. Toxicological analysis of the blood and urine revealed severe alcohol intoxication. The police investigation turned up that the man had suffered from a painful skin furuncle of the right upper back. As he was worried about receiving medical treatment, he voluntarily asked his two acquaintances for "surgical" assistance to remove the skin affection. Based on the circumstances surrounding death and findings at autopsy, it was concluded that the injury was inflicted without the intent to harm or cause death, as a result of simple negligence. Consequently, the manner of death was ultimately certified as an involuntary manslaughter. Our case has clearly illus- Martin Janík, František Novomeský, Ľubomír Straka, Jozef Krajčovič, Petr Hejna "Chirurgiczna rana" w obrębie grzbietu sugerująca zabójstwo -studium nietypowego przypadku 48Archiwum Medycyny Sądowej i Kryminologii Archives of ...

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

Cited by 24 publications

References 19 publications

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

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

Complex Suicide by Self‐stabbing with Subsequent Drowning in the Sea

“Surgically created” excision of the back mimicking homicide: report of an unusual case

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