Russian Roulette with a Knife

Fatal Russian roulette refers to death following an act of extreme bravado in which the individual spins the cylinder of a revolver loaded with at least one cartridge, aims the muzzle at the head, and pulls the trigger. The majority of victims are men younger than 30 years who, in the presence of others, are under the influence of ethanol or other drugs. This is a 10-year (1993-2002) retrospective review of self-inflicted gunshot wounds of the head, among which we culled and paid special attention to cases of Russian roulette, at the Medical Examiners' Offices in Kentucky. Of the 24 incidents of Russian roulette, the majority of victims were white (79.2%), and all were men between 14 and 47 years with a mean age of 24.8 years. Compared with other cephalic firearm suicides, the subjects engaging in Russian roulette were significantly more likely to have elevated blood levels (> or = 0.1%) of ethanol along with various drugs detected in urine. Although the presumed intent of the risky act is to survive, Russian roulette is deemed to be suicide, which is based on a comprehensive understanding of the inherently deliberate, volitional actions of the decedent.

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Sharp Injury Fatalities in New York City

Gill

Catanese

2002

Journal of Forensic Sciences

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We reviewed the case records of all fatalities due to sharp injuries in New York City in 1999. The epidemiological profile, circumstances, toxicology results, location, and injuries were examined. There were 120 deaths: 101 homicides, 17 suicides, and 2 accidents. The causes of death included: 112 due to stab(s) with or without incised wounds and 8 pure incised wound fatalities of which 5 were suicides. The detection of ethanol and/or illicit drugs was 61% in the homicide and 12% in the suicide groups. “Defense wounds” were reported in 49% of the homicides and “hesitation” wounds were found in 65% of the suicides. There were no selfinflicted sharp injuries of the face. Deaths due to a single stab wound occurred in 34% (34/101) of the homicides and 24% (4/17) of the suicides. Of these 38 deaths, 58% were of the anterior thorax (chest) and 71% injured the heart and/or great vessels. The remaining deaths with single stab wounds involved the femoral artery, abdominal organs, or head. There were no sharp injury suicides by Hispanics, Asians, or anyone under the age of 18 years. Over half of the suicides at home occurred in the bathroom and 78% of these occurred in the bathtub. Suicide notes were found in 24% of suicides, and an additional 24% verbally expressed a plan to commit suicide.

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Russian Roulette with a Knife

Cited by 3 publications

References 2 publications

Approach to firearms deaths

Approach to firearms deaths

Russian Roulette and Risk-Taking Behavior

Sharp Injury Fatalities in New York City

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