Tentative injuries in self stabbing

Vanezis, Peter; West, Irma

doi:10.1016/0379-0738(83)90091-9

Cited by 36 publications

(27 citation statements)

References 3 publications

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“…However, there are very few systematic comparative studies of hesitation marks and defense wounds [21][22][23]. This study was thus undertaken to systematically compare features of hesitation marks and defense wounds, with a particular emphasis on dispersion patterns.…”

Section: Introductionmentioning

confidence: 99%

Suicidal and homicidal sharp force injury: a 5-year retrospective comparative study of hesitation marks and defense wounds

Racette¹,

Kremer²,

Desjarlais³

et al. 2008

Forensic Sci Med Pathol

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In sharp force injury cases, the presence of hesitation marks or defense wounds figures among useful characteristics in the distinction of suicide and homicide. However, there are very few systematic comparative studies of hesitation marks and defense wounds in the forensic literature. This study was thus undertaken to systematically compare features of hesitation marks and defense wounds, with a particular emphasis on dispersion patterns. Over a 5-year period, all suicidal and homicidal sharp force cases were retrospectively reviewed for hesitation marks and defense wounds. A total of 58 suicides (7 women; 51 men) and 149 homicides (59 women; 60 men) were found, of which 74% (n = 43) were positive for hesitation marks and 61% (n = 91) for defense wounds. On the upper limbs, hesitations marks were more often observed on the anterior aspect of the limb, while defense wounds were equally distributed on the anterior and posterior aspect. For hand lesions, hesitation marks were generally located on one side only, while defense wounds more commonly involved both sides. No left or right predominance was observed in hesitations marks or defense wounds. Defense wounds were more widely distributed on the upper limbs than hesitation marks.

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Section: Introductionmentioning

confidence: 99%

Suicidal and homicidal sharp force injury: a 5-year retrospective comparative study of hesitation marks and defense wounds

Racette¹,

Kremer²,

Desjarlais³

et al. 2008

Forensic Sci Med Pathol

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show abstract

“…W związku z tym samoobrażenia zadawane ostrym narzędziem są najczęściej umiejscowione w rejonie szyi, serca i jamy brzusznej. Urazy tego typu w obrębie twarzy, pleców, genitaliów oraz innych wrażliwych części ciała uznaje się za rzadkie, a w niektórych przypadkach mogą one wręcz świadczyć przeciwko uznaniu zgonu za samobójstwo [13][14][15]. U osób praworęcznych samoobrażenia są zwykle umiejscowione po przeciwnej stronie ciała, z przebiegiem od lewej ku prawej.…”

Section: Discussionunclassified

“…Zgodnie z danymi literaturowymi ślady zawahania ujawniane są w ponad połowie przypadków samobójstw z użyciem ostrych narzędzi [2,9,14]. Rany próbne zadawane są rozmyślnie podczas aktu samobójczego, gdy samobójca ocenia nasilenie evaluated, the more confident the result that can be attained.…”

Section: Discussionunclassified

“…Accordingly, the most often involved regions in self-inflicted stabbings are the neck, the heart area, and the abdomen. Stabs to the face, the back, genitals, or other sensitive parts of the human body are considered uncommon or even suggest against the possibility of suicide [13][14][15]. In right-handed persons, the self-inflicted wounds tend to be on the contralateral part of the body and directed from left to right.…”

Section: Discussionmentioning

confidence: 99%

“…According to the literature, hesitation marks accompany more than half of cases of suicide by sharp tools [2,9,14]. These wounds are produced voluntarily during a suicide while assessing pain and gathering the courage to inflict the final fatal wound.…”

Section: Discussionmentioning

confidence: 99%

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Atypical stab injury suggesting ritual suicide

Kučerová¹,

Vojtíšek²,

Hejna³

2016

amsik

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StreszczenieOstre przedmioty od dawna należą do narzędzi najczęściej wykorzystywanych w zabójstwach i samobójstwach. W większości przypadków samobójstw z użyciem ostrego narzędzia stwierdza się powierzchowne nacięcia próbne, a brak takich śladów zawahania może budzić wątpliwości odnośnie do rodzaju śmierci. W niniejszej pracy zaprezentowano niecodzienny przypadek zgonu 41-letniego mężczyzny, u którego stwierdzono pojedyncze ograniczone nacięcie zlokalizowane po prawej stronie szyi. Ciało ujawniono w kałuży krwi w kabinie prysznicowej w mieszkaniu denata. Badanie wewnętrzne wykazało kanałowy ubytek o długości 4 cm, przebiegający do wewnątrz i do dołu wzdłuż mięś-nia mostkowo-obojczykowo-sutkowego po prawej stronie. Przyczyną zgonu był krwotok zewnętrzny z uszkodzonej prawej tętnicy szyjnej i żyły szyjnej wewnętrznej. Brzegi rany były gładkie, nieotarte, pozbawione widocznych urazów wskazujących na zawahanie. W rozpryskach krwi zmarłego ujawniono fragment żyletki. Stwierdzono, że jest to jedyne narzędzie, jakie mogło zostać wykorzystane do zadania rany. Zgon w omawianym przypadku został uznany za samobójstwo.Słowa kluczowe: autopsja, rana kłuta, rytualne samobójstwo, żyletka, ślady zawahania. AbstractSharp weapons have been one of the most common deadly tools in cases of homicide and suicide for a long time. Tentative incisions accompany the majority of suicides by sharp force and the absence of hesitation marks provokes questions about the manner of death. We present the bizarre fatality of a 41-year-old male with an isolated circumscribed incision on the right neck, where the body was found lying in a pool of blood in the shower of his apartment. The internal examination revealed a 4-cm-long channel-like defect running inwardly and downwardly along the right sternocleidomastoid region. The cause of death was external bleeding from an injured right carotid artery and internal jugular vein. The wound had clean non-contused margins without any conspicuous hesitation injuries. A fragment of a razor blade, found in blood splatters, was identified as the only potential injuring tool. The case was classified as a suicide.

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Wounds: Sharp Injury

Pollak

Saukko

2009

Wiley Encyclopedia of Forensic Science

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Sharp‐force injuries are traditionally divided into stab, cut, and chop wounds. Stab wounds occur when a pointed object—usually a knife—penetrates into the body along its longitudinal axis. Cuts are caused by the slicing effect of a blade, and chop wounds are produced by blows with a sharp‐edged tool such as an axe or a machete. A morphological feature common to all wounds caused by sharp force is that the skin lesions have smooth, uncontused, more or less gaping margins. Fatal outcomes are mostly due to strong internal and/or external bleeding. Medicolegal investigations are performed for documentation of the injuries and interpretation as to how they came about and whether they were inflicted by the victims themselves or by another person. The group of self‐inflicted injuries includes completed and attempted suicides, dermal artifacts in patients with personality disorders, voluntary self‐damage among prisoners, those inflicted for the purpose of insurance fraud, and, finally, those for simulations of criminal offenses. Characteristic findings help the forensic expert to differentiate between accident, suicide, and homicide. The presence of defense injuries is a certain indicator for an attack with a sharp instrument. The article gives a short overview of the circumstances, phenomena, and consequences of sharp‐force injuries. The text is illustrated by numerous photographs from forensic routine work.

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Tentative injuries in self stabbing

Cited by 36 publications

References 3 publications

Suicidal and homicidal sharp force injury: a 5-year retrospective comparative study of hesitation marks and defense wounds

Suicidal and homicidal sharp force injury: a 5-year retrospective comparative study of hesitation marks and defense wounds

Atypical stab injury suggesting ritual suicide

Wounds: Sharp Injury

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