Suicide by self-disembowelment in prison

Mugadlimath, Anand; Sane, M.; Zine, K U; Hiremath, Rekha M

doi:10.5114/amsik.2018.83094

Cited by 2 publications

(2 citation statements)

References 12 publications

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“…According to several authors, the modality of suicide by abdominal self-stabbing is rarely described in the literature, with an incidence of between 1.6% to 3% of all suicides [15]. Some studies have shown this form of suicide is more frequent in men (28.6%, n = 1035) than in women (12.5%, n = 216) [6], especially between the ages of 40 to 60 years [8,9].…”

Section: Discussionmentioning

confidence: 99%

Men’s Suicide by Self-abdominal Cut and Disembowelment: A Literature Review and Analysis of Three Cases

Simone¹,

Vittorio²,

Cipolloni³

et al. 2022

JOMH

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Introduction: Suicide by abdominal cut wounds and consequent disembowelment is a modality rarely described in the literature, with rates between 1.6% and 3%. The incidence is higher in men. This type of suicide might be so unusual as the abdominal injuries are not supposed to be related to immediate death (compared to the wrists or throat, which involves rapid bleeding, for example). Considering the infrequency of suicides by abdominal self-cutting, in such cases, the main hypothesis is a homicide, especially in those with multiple injuries or occurred in a complex setting. These cases require a detailed autopsy report with the analysis of the injuries and circumstances of death (e.g., farewell note, history of depression, previous suicide attempts, defense injuries, and signs of hesitation) to allow a differential diagnosis between suicide and homicide. This study aims to highlight the characteristics of suicides through self-cut wounding, focusing on those that determine a large abdominal opening and evisceration. Methods: The authors conducted the literature search using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, on PubMed and Scopus databases, using the following keywords: "(suicide) AND (abdominal stab wounds)", "(suicide) AND (abdominal sharp injuries)", "(suicide) AND (abdominal self-stabbing)", "(suicide) AND (abdominal cut wounds)". Results: 7 articles were included in the systematic review, for a total of 11 cases of suicide by abdominal self-cutting. Of these cases, 3 were women and 8 were men. Conclusions: The analysis of the external examination findings versus the crime scene results is essential to clarify if injuries are self-inflicted with suicidal intention. Suicide through a violent act can also be practiced by people who have no history of psychiatric conditions or other risk factors. Therefore, in cases of abdominal cut and evisceration with victims' survival time, the forensic pathologist has to consider that the deceased himself could cause modifications to the crime scene, turning it into a complicated suicide.

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Section: Discussionmentioning

confidence: 99%

Men’s Suicide by Self-abdominal Cut and Disembowelment: A Literature Review and Analysis of Three Cases

Simone¹,

Vittorio²,

Cipolloni³

et al. 2022

JOMH

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“…Kesici-delici alet ile intihar tüm intiharların %2'sini oluştururken, neredeyse Harakiriye eş değer olan batına yönelik kesici-delici aletlerle meydana gelen intihar oranı %0,2'dir. Bu düşük insidans eğilimi, 1983'ten 2016'ya gözden geçirilen literatürde değişmeden kalmıştır (5).…”

Section: Introductionunclassified

Harakiri Benzeri Yöntem İle İntihar: Bir Olgu Sunumu

Baltaci¹,

Zeybek²,

Tekin³

et al. 2020

Bull Leg Med

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İntihar ‘bireyin duygusal, ruhsal ya da sosyal nedenlerin etkisiyle kendi yaşamına son vermesi’ olarak tanımlanmaktadır. İntihar yöntemi seçiminde kültürel yapı, etnik grup, yaş, cinsiyet, ulaşılabilirlik gibi birçok faktör etkilidir. En sık intihar yöntemi ası olup, bunu ateşli silah, yüksekten atlama ve kimyevi madde alımı takip etmektedir. Kesici-delici alet ile intihar tüm intiharların % 2‘sini oluştururken, neredeyse Harakiriye eş değer olan batına yönelik kesici-delici aletlerle meydana gelen intihar oranı % 0,2’dir. Olgumuzu değerli kılan, şahsın Türk ırkına mensup olması ve Japon ırkına özgü olan nadir rastlanan harakiriye benzer bir intihar yöntemi seçmiş olmasıdır. 56 yaşında psikotik bozukluk tanılı erkek olgu, batına nafiz kesici-delici alet yaralanmalarına bağlı periton, ince bağırsak ve mezenter yaralanması sonucu kanama ve hipovolemik şok nedeniyle ölmüştür.

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Suicide by self-disembowelment in prison

Cited by 2 publications

References 12 publications

Men’s Suicide by Self-abdominal Cut and Disembowelment: A Literature Review and Analysis of Three Cases

Men’s Suicide by Self-abdominal Cut and Disembowelment: A Literature Review and Analysis of Three Cases

Harakiri Benzeri Yöntem İle İntihar: Bir Olgu Sunumu

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