Successful Suicide by Self-Inflicted Multiple Stab Wounds of the Skull, Abdomen, and Chest

Fékéte, J.; Fox, Alex

doi:10.1520/jfs11267j

Cited by 27 publications

(12 citation statements)

References 3 publications

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“…The stabs to the abdomen can possibly be regarded as attempted stabs to the heart since they always entered in the upper abdomen and the tracts were usually upwards, thus reaching the thoracic cavity. Suicidal stab wounds to extremities or to the skull did not occur in this series but have been reported before (Fekete and Fox 1980;Start et al 1992;Madea and Schmidt 1993). Tentative marks are typical for suicide and their high incidence is in accordance with previous investigations (Vanezis and West 1983;Karlsson et al 1988;Start et al 1992).…”

Section: Discussionmentioning

confidence: 47%

“…The sometimes spectacular phenomenology of this method of suicide has resulted in numerous and also bizarre case reports (e.g. Fekete and Fox 1980;Hasekura et al 1985;Chadly et al 1991;Pollak and Ropohl 1992;Betz and Eisenmenger 1995;Moriani et al 1996;Bohnert et al 1997;Oshima and Kondo 1997;Ueno et al 1999) but systematic investigations (Watanabe et al 1973;Karlsson et al 1988;Start et al 1992;Karlsson 1998) are rare.…”

Section: Introductionmentioning

confidence: 99%

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Suicides by sharp force: typical and atypical features

Karger

Niemeyer

Brinkmann

2000

International Journal of Legal Medicine

123

110

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A total of 65 consecutive cases of suicide by sharp force were investigated by evaluating the autopsy and prosecution department records. Suicides constituted 17% of all fatalities from sharp force autopsied between 1967 and 1996. Young males and persons with a psychiatric history predominated among the persons who chose this "hard" method of suicide. The most common implements used were knives (62%) and razor blades (15%). Cutting injuries in isolation were present in 26, stab injuries in isolation in 24 and a combination of both in 15 fatalities. The number of injuries per case varied from 1 to 37 but 1/3 showed one injury. More than 85% of the cutting injuries were located at the wrist, elbow crease or neck whereas 79% of the stab injuries involved the ventral aspect of the trunk. Perforation of clothing was present in 16 (52%) out of 31 stab injuries to the trunk. Injuries to more than one body region were observed in 34 (52%) cases. Tentative marks were present in 50 (77%) fatalities and the number varied from 1 to 60 per case. Superficial incisions of the fingers were found in 15% with razor blades constituting the weapon in half of these cases. Deviations from these typical patterns occurred not infrequently. The utter determination of the victim to carry it through or the use of unusual weapons resulted in a few bizarre cases which are outlined briefly.

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Section: Discussionmentioning

confidence: 47%

Section: Introductionmentioning

confidence: 99%

Suicides by sharp force: typical and atypical features

Karger

Niemeyer

Brinkmann

2000

International Journal of Legal Medicine

123

110

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“…11,[13][14][15] Moreover, several independent groups have reported unusual cases in which stab wounds were found to the head or throat. [16][17][18][19][20][21] In our series, a 61-year-old male was found lying on his back, with a knife in the rear of his head near the mastoid process. Moreover, forensic pathologists have to take account of the victim's handedness.…”

Section: Discussionmentioning

confidence: 74%

Retrospective study on suicidal cases by sharp force injuries

Fukube

Hayashi

Ishida

et al. 2008

Journal of Forensic and Legal Medicine

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“…-The site of some injuries -stabs to the back of the neck, the upper face, the temples and the sides of the torso were also not encountered in a combined series of 182 cases (Karlsson et al 1988;Start et al 1992;Karger et al 2000) but suicidal stabs to the head (Rouse 1994), the face (Sperhake and Schulz 1998) or the back of the neck (Klose and Pribilla 1989) have been published. -The perforation of the skull -intracranial stabbing injuries have rarely been published in suicides (Levin 1928;Althoff 1975;Dempsey et al 1977;Fekete and Fox 1980). -The perforation of ribs -suicides commonly try to avoid striking the ribs (Karlsson 1998b;Karger et al 2000).…”

Section: Discussionmentioning

confidence: 99%

Suicide by more than 90 stab wounds including perforation of the skull

Karger¹,

Vennemann²

2001

International Journal of Legal Medicine

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A man committed suicide in his bathroom using a small pocket knife. At the autopsy a total of 92 stab wounds on the forehead, in both temples, the anterior aspect of the neck, the back of the neck, the chest and the sides of the trunk were found. In addition, repeated stabbing had caused a large soft tissue defect on the forehead. The frontal bone showed 3 perforations but no brain injury was present and two ribs were severed in the bony part, one of which carried a star-like pattern from repeated stabbing. No major vessels were injured and the cause of death was exsanguination after a considerable survival time. The large number of stab wounds, the perforation of bone and some injury sites, especially the head and back of the neck, are extraordinary findings in suicides which were probably favoured by insufficient anatomical knowledge and the use of a short-bladed knife. A psychiatric history could not be verified.

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Successful Suicide by Self-Inflicted Multiple Stab Wounds of the Skull, Abdomen, and Chest

Cited by 27 publications

References 3 publications

Suicides by sharp force: typical and atypical features

Suicides by sharp force: typical and atypical features

Retrospective study on suicidal cases by sharp force injuries

Suicide by more than 90 stab wounds including perforation of the skull

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