A complex suicide

Ruwanpura, Rohan

doi:10.4038/cmj.v54i4.1457

Cited by 4 publications

(4 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The patient was noted as 'appearing to have alcohol intoxication' when examined, based on speech, gait and ethanol smell. No mention of any test to confirm what BAC the patient had Oh and Choi (Rep. of Korea) [ 46 ] Hospital Metaflumizone; Glyphosate Acute Yes Male The patient had co-ingested alcohol with pesticides and was noted to have a serum ethanol concentration of 187.8 mg/dL Pankaj (India) [ 47 ] Hospital Chlorpyriphos Acute, chronic No Male The patient was described as a chronic alcoholic and was under the influence of alcohol when consuming the pesticide Park and Choi (Rep. of Korea) [ 48 ] Hospital Fenitrothion Acute No Female The patient co-ingested ethanol with fenitrothion but it was not further described what level of ethanol she had present in her body or how co-ingestion was determined Planche et al (France) [ 49 ] Hospital Glypohosate Acute, chronic No Male The patient had a history of alcohol abuse (about 50 g per day) and the authors noted that the 'toxicity of glyphosate may have been favoured by the patient's alcohol abuse history' Ruwanpura Sri Lanka [ 50 ] Autopsy Paraquat Acute, chronic Yes Male Man who died by complex suicide, ingestion of paraquat and influence of alcohol was part of the presentation. The man was described as an alcoholic and at the time of death his BAC was 1.85 g/L.…”

Section: Resultsmentioning

confidence: 99%

The role of alcohol use in pesticide suicide and self-harm: a scoping review

Schölin

Lee

London

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

View full text Add to dashboard Cite

Purpose Suicide and self-harm by pesticide self-poisoning is common in low- and middle-income countries (LMICs). Alcohol is an important risk factor for self-harm; however, little is known about its role in pesticide self-poisoning. This scoping review explores the role that alcohol plays in pesticide self-harm and suicide. Methods The review followed the Joanna Briggs Institute scoping review guidance. Searches were undertaken in 14 databases, Google Scholar, and relevant websites. Articles were included if they focussed on pesticide self-harm and/or suicide and involvement of alcohol. Results Following screening of 1281 articles, 52 were included. Almost half were case reports (n = 24) and 16 focussed on Sri Lanka. Just over half described the acute impact of alcohol (n = 286), followed by acute and chronic alcohol use (n = 9), chronic use, (n = 4,) and only two articles addressed harm to others. One systematic review/meta-analysis showed increased risk of intubation and death in patients with co-ingested alcohol and pesticides. Most individuals who consumed alcohol before self-harming with pesticides were men, but alcohol use among this group also led to pesticide self-harm among family members. Individual interventions were recognised as reducing or moderating alcohol use, but no study discussed population-level alcohol interventions as a strategy for pesticide suicide and self-harm prevention. Conclusion Research on alcohol’s role in pesticide self-harm and suicide is limited. Future studies are needed to: further assess the toxicological effects of combined alcohol and pesticide ingestion, explore harm to others from alcohol including pesticide self-harm, and to integrate efforts to prevent harmful alcohol use and self-harm.

show abstract

Section: Resultsmentioning

confidence: 99%

The role of alcohol use in pesticide suicide and self-harm: a scoping review

Schölin

Lee

London

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

View full text Add to dashboard Cite

show abstract

“…Women were commonly mentioned to be affected by someone else's alcohol use, typically a husband or a father's, which subsequently resulted in self-harm or suicide [ 19 , [32] , [33] , [34] , [35] , [36] , [37] ]. Interpersonal conflict related to alcohol use was a predominant theme [ 32 , 36 , [38] , [39] , [40] , [41] , [42] , [43] ], and were often related to struggles over socio-economic issues [ 19 , 44 , 45 ]. For example, women's refusal to hand over money for alcohol to their husbands often led to conflicts resulting in suicidal behaviour [ 37 , 41 ].…”

Section: Resultsmentioning

confidence: 99%

Alcohol use, self-harm and suicide: a scoping review of its portrayal in the Sri Lankan literature

Sørensen,

Pearson,

Pushpakumara

et al. 2023

Heliyon

View full text Add to dashboard Cite

“…Literatürdeki kompleks intihar olguları da bu sık tercih edilen yöntemlerin iki ya da daha fazlasının bir arada kullanıldığı olgulardır. Ası ve ateşli silah kullanımı; ası ve kesici delici alet kullanımı, madde alınması ile yüksekten atlama gibi yöntemlerin kullanıldığı kompleks intihar olgularına literatürde rastlanabilmektedir (2)(3)(4)(5)(6)(7)(8)(9)(11)(12)(13)(14).…”

Section: Introductionunclassified

“…Plansız kompleks intihar ise ilk denenen metot başarısız olduğunda ya da çok ağrılı olduğunda ya apayrı bir yöntemin ya da yardımcı bir başka yöntemin de intihar girişimine eklenmesidir (1). Adli tıp literatüründe çeşitli yöntemlerin kullanıldı-ğı planlı kompleks intihar olguları bulunmaktadır (2)(3)(4)(5)(6)(7)(8)(9). Çok tercih edilen ve tek başına uygulandığında da ölüm oranı oldukça yüksek olan intihar metotları arasında ası, kesici delici alet, ateşli silah, elektrik devreleri kullanımı, zehirli maddenin vücuda alınması yer almaktadır (10).…”

Section: Introductionunclassified

Kompleks İntihar Olgusunda Kan Lekesi Model Analizi İle Olay Yerinin Yeniden Yapılandırılması

2017

View full text Add to dashboard Cite

İki veya daha fazla yöntemin eş zamanlı ya da peşi sıra uygulanması kompleks intihar olarak adlandırılmaktadır. Tek başına kullanıldığın-da da sonuca ulaşılabilecek iki farklı yöntemin intihar amaçlı kullanıl-ması ölme güdülenmesindeki kararlılığı göstermektedir.40 yaşındaki erkek olgumuz kurusıkıdan dönüştürülmüş bir silah ile kalbine ateş etmiş ve bu sırada kendini asmıştır. Otopside elde edilen bulgular, olay yeri inceleme raporundan alınan bilgiler, vücuttaki ve olay yerindeki kan lekeleri olay orijininin intihar olduğunu düşündürmüştür.Kompleks intihar olgularında olayın orijinini ortaya çıkarma çalış-maları otopsi masasına geldikten sonra değil, olay yeri incelemesinde, hatta ceset ilk görüldüğü andan itibaren başlamalıdır. Olay yerinin multidisipliner olarak ele alınması, ortamda bulunabilecek her nesnenin/ delilin olayın çözümünde yardımının olabileceğinin akılda tutulması orijin tayininin kolaylıkla yapılmasını sağlayacaktır. Benzer şekilde otopsi yapılacak olan bir cesedin, varsa elbiseleri üzerindeki, yoksa vü-cudu üzerindeki kan lekelerinin kan lekesi model analizi yöntemleri ile dikkatli bir şekilde incelenmesi ve belgelendirilmesi de orijin tayininde faydalı bilgiler verebilmektedir.Anahtar kelimeler: Kompleks İntihar; Ası; Dönüştürülmüş Kurusıkı Tabanca Yaralanması; Kan Lekesi Model Analizi; Orijin. AbstractUsing two different methods for suicide, which are usually dangerous-enough for death singly shows the consistency of the desire of death. A 40-year-old man hung himself by shooting through the heart with a converted blank-cartridge gun. Autopsy findings, crime scene investigation findings, bloodstains on the body and the scene made us think that the manner of the death was the suicide.Determining the manner of the death on complex suicide cases should be done before the autopsy with the contribution of crime scene findings. Handling the crime scene findings with a multidisciplinary aspect, considering every object or evidence on the crime scene as a useful tool to solve the case, may facilitate to determine the manner of death. Similarly, when approaching to the deceased at the autopsy room, examination and documentation of bloodstains on the clothes or on the body may provide useful information on determining the manner of the death.Keywords: Complex Suicide; Hanging; Converted Blank Cartridge Gun Wound; Bloodstain Pattern Analysis; Manner of the Death. GirişKompleks intihar terimi iki ya da daha fazla yönte-min aynı anda ya da hemen peşi sıra kullanıldığı intihar durumlarını tanımlamakta olup tekli yöntemlerde olduğunun tersine genellikle tek denemede sonuca ulaşılabil-mektedir. Kompleks intiharlar planlı ve plansız olarak iki ana başlık altına toplanabilmektedir. Planlı kompleks intihar, kullanılacak yöntemlerin önceden belirlenerek aynı anda ya da peşi sıra uygulanmasıdır. Plansız kompleks intihar ise ilk denenen metot başarısız olduğunda ya da çok ağrılı olduğunda ya apayrı bir yöntemin ya da yardımcı bir başka yöntemin de intihar girişimine eklenmesidir (1). Adli tıp literatüründe çeşit...

show abstract

A complex suicide

Abstract: A complex suicide R Ruwanpura1

Cited by 4 publications

References 5 publications

The role of alcohol use in pesticide suicide and self-harm: a scoping review

The role of alcohol use in pesticide suicide and self-harm: a scoping review

Alcohol use, self-harm and suicide: a scoping review of its portrayal in the Sri Lankan literature

Kompleks İntihar Olgusunda Kan Lekesi Model Analizi İle Olay Yerinin Yeniden Yapılandırılması

Contact Info

Product

Resources

About