Letter regarding Ledinek et al.’s “Death from exsanguination due to power drill injuries in a complex suicide”

Janík, Martin; Hejna, Petr

doi:10.1007/s12024-023-00628-z

Forensic Sci Med Pathol

2023

DOI: 10.1007/s12024-023-00628-z

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Letter regarding Ledinek et al.’s “Death from exsanguination due to power drill injuries in a complex suicide”

Martin Janík

Petr Hejna

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2024

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Cited by 2 publications

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Forensic Characterisation of Complex Suicides: A Literature Review

Pallocci,

Passalacqua,

Zanovello

et al. 2024

Forensic Sciences

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Complex suicides refer to using two or more suicide modes. In the literature, complex suicides are distinguished into planned and unplanned. Using multiple methods is related to ensuring a fatal result or because the first method appears too painful, time-consuming, or ineffective. The review aims to provide an overview of the critical features of complex suicides in the forensic context. The review was conducted by searching online databases (PubMed Central and Scopus) up to March 2023. We identified 52 articles that met the inclusion criteria, describing 261 cases. Suicides were classified as planned in 136 cases (52.1%); 105 cases (40.2%) were defined as unplanned, while in the remaining 20 cases (7.7%), the authors did not propose any classification. In 2/261 (0.8%) cases, four modes were indicated, three modes were observed in 34/261 cases (13%), and in 224/261 (85.8%) cases the suicides were carried out using a combination of two distinct methods. The method most frequently employed in the first instance in unplanned suicides were sharp-force injuries and stabbing, followed by mechanical asphyxia (hanging, self-strangulation, plastic bag suffocation) and a fall from height. Regarding planned suicide, the most frequent suicide methods were asphyxia, intoxication (drugs, substances of abuse, or alcohol), and poisoning via toxic substances. Complex suicides represent a relatively rare entity in forensic pathology; nevertheless, they can be challenging for the forensic pathologist in terms of differential diagnosis compared to homicides, due to the sometimes multifaceted presentation.

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Forensic Characterisation of Complex Suicides: A Literature Review

Pallocci,

Passalacqua,

Zanovello

et al. 2024

Forensic Sciences

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Suicide using an electric drill – case report and literature review

Skowronek,

Skowronek

2024

AMSIK

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The use of an electric drill to commit suicide is rare in forensic practice. The aim of the work is to present the first case of this kind from the Upper Silesia. The results of post-mortem examinations and the results of prosecutor’s examination of case files containing medical documentation from the patient’s treatment were analyzed. People with mental disorders and diseases may choose unusual methods of taking their own lives, such as using an electric drill. This may cause investigators a lot of doubt as to whether the event was really a suicide. In addition to full post-mortem diagnostics, it is particularly important in such cases to assess the medical history of the deceased, often with the participation of a psychiatrist as a consultant.

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Letter regarding Ledinek et al.’s “Death from exsanguination due to power drill injuries in a complex suicide”

Cited by 2 publications

References 7 publications

Forensic Characterisation of Complex Suicides: A Literature Review

Forensic Characterisation of Complex Suicides: A Literature Review

Suicide using an electric drill – case report and literature review

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