International Journal of Legal Medicine最新文献

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A rapid identification system for vaginal fluid stains based on nested recombinant polymerase amplification and lateral flow dipstick. 基于巢式重组聚合酶扩增和侧流试纸的阴道液污渍快速鉴定系统。
IF 2.2 3区 医学
International Journal of Legal Medicine Pub Date : 2025-03-01 Epub Date: 2024-12-11 DOI: 10.1007/s00414-024-03392-z
Bin Liang, Chudong Wang, Weifeng Qu, Ruyi Xu, Yi Liu, Hongtao Jia, Xuan Tang, Siqi Chen, Xue Li, Yue Wang, Jienan Li, Ying Liu, Dan Wen, Lagabaiyila Zha
{"title":"A rapid identification system for vaginal fluid stains based on nested recombinant polymerase amplification and lateral flow dipstick.","authors":"Bin Liang, Chudong Wang, Weifeng Qu, Ruyi Xu, Yi Liu, Hongtao Jia, Xuan Tang, Siqi Chen, Xue Li, Yue Wang, Jienan Li, Ying Liu, Dan Wen, Lagabaiyila Zha","doi":"10.1007/s00414-024-03392-z","DOIUrl":"10.1007/s00414-024-03392-z","url":null,"abstract":"<p><p>In forensic practice, identifying the species of unknown bodily fluid stains can provide assistance in the qualitative analysis and investigation of cases, and vaginal fluid stains, as one of the common bodily fluid stains, are most commonly seen at the scene of sexual assault. At present, the commonly used vaginal peptidase or microscopic detection methods currently have drawbacks such as high false negative rates, poor sensitivity, and high requirements for sample integrity and background color. However, in forensic investigations, the test materials have specificity and scarcity, making it difficult to ensure their quantity and quality. Thus, in order to achieve rapid and sensitive detection of vaginal fluid stains, in this study, we combined nested PCR and isothermal amplification technology to construct a rapid detection system for suspicious vaginal fluid stains using lateral flow dipstick. This system achieves detection by detecting the specific marker microbial community Lactobacillus crispatus in vaginal fluid, and has a high sensitivity and accuracy, which can achieve detection at template quantities as low as 2.31 copies. More importantly, the system can achieve detection at a constant temperature of 37 °C without the need for complex instruments. It can provide rapid and sensitive identification results, providing assistance for subsequent forensic material extraction and individual identification.</p>","PeriodicalId":14071,"journal":{"name":"International Journal of Legal Medicine","volume":" ","pages":"575-587"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fluorescence of various buried fresh and fresh-frozen-thawed tissue types up until the point of active decay: a human taphonomy study. 各种埋藏的新鲜和新鲜冻融组织类型的荧光直到活性衰变点:人体埋藏学研究。
IF 2.2 3区 医学
International Journal of Legal Medicine Pub Date : 2025-03-01 Epub Date: 2024-12-20 DOI: 10.1007/s00414-024-03387-w
Emmanuelle Charlot, Anas Gasser, Roelof-Jan Oostra, Maurice C G Aalders, Tristan Krap
{"title":"Fluorescence of various buried fresh and fresh-frozen-thawed tissue types up until the point of active decay: a human taphonomy study.","authors":"Emmanuelle Charlot, Anas Gasser, Roelof-Jan Oostra, Maurice C G Aalders, Tristan Krap","doi":"10.1007/s00414-024-03387-w","DOIUrl":"10.1007/s00414-024-03387-w","url":null,"abstract":"<p><p>Forensic taphonomy is the study of postmortem changes of human remains for the purpose of answering legal investigative questions. Many variables can affect the pattern and rate of decomposition of remains, posing challenges for taphonomic studies and estimation of the postmortem interval. Given the gap in knowledge regarding the suitability of using frozen remains to extrapolate conclusions to fresh material, investigating the effects of freeze-thaw cycles followed by burial on human remains is vital for forensic practice and taphonomic research. This study explored the impact of a freeze-thaw cycle and subsequent burial on human tissue decomposition under semi-controlled field conditions. Fresh and fresh-frozen-thawed hands were buried at the Amsterdam Research Initiative for Sub-surface Taphonomy and Anthropology for 31.7 to 340.4 accumulated degree days. Decomposition was assessed using fluorescence measurements targeting protein and fluorescent oxidation products, and broader excitation-emission matrix measurements in skin, adipose, and muscle tissue. Decomposition trends varied primarily by treatment group: fresh samples generally aligned with expectations that protein levels would decrease over time while fluorescent oxidation products increased, whereas fresh-frozen samples deviated significantly from these expectations. Significant differences were found between protein and fluorescent oxidation products levels of fresh and fresh-frozen tissue at corresponding time points, indicating this method's potential in determining sample state. However, fluorophore peak monitoring in excitation-emission matrices did not prove useful in establishing decomposition trends or potentially distinguishing between sample states. Despite limitations inherent to pilot and human taphonomy studies, this study clearly demonstrates that differences exist in the decomposition of fresh and fresh-frozen tissue, and that these trends vary slightly by tissue type. We therefore conclude that frozen material cannot be considered a proper substitute for fresh tissue regarding taphonomic processes, and the methods used in this study show promise in being used to differentiate between pre-decomposition treatments.</p>","PeriodicalId":14071,"journal":{"name":"International Journal of Legal Medicine","volume":" ","pages":"917-930"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142864198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Detection of phosphatidylethanol after ethanol intake with targeted blood alcohol concentrations of 0.6 g/kg and 0.75 g/kg. 目标血酒精浓度分别为0.6 g/kg和0.75 g/kg时乙醇摄入后磷脂酰乙醇的检测。
IF 2.2 3区 医学
International Journal of Legal Medicine Pub Date : 2025-03-01 Epub Date: 2024-12-04 DOI: 10.1007/s00414-024-03379-w
Franziska Spleis, Matthias Bantle, Dominik Schuldis, Lorenz M Bell, Annette Thierauf-Emberger, Wolfgang Weinmann
{"title":"Detection of phosphatidylethanol after ethanol intake with targeted blood alcohol concentrations of 0.6 g/kg and 0.75 g/kg.","authors":"Franziska Spleis, Matthias Bantle, Dominik Schuldis, Lorenz M Bell, Annette Thierauf-Emberger, Wolfgang Weinmann","doi":"10.1007/s00414-024-03379-w","DOIUrl":"10.1007/s00414-024-03379-w","url":null,"abstract":"<p><p>Alcohol consumption is widespread in most western countries such as Germany and a relevant risk factor for morbidity and mortality. Sensitive detection of alcohol consumption using suitable markers is therefore of central importance for clinical and forensic diagnostics. Direct alcohol markers are non-oxidative products of ethanol, which are produced in the body during the degradation of ethanol and provide high sensitivity and specificity. Phosphatidylethanol (PEth) is a promising marker for detecting alcohol consumption in the past days to weeks. The aim of this study was to determine the minimum amount of ethanol for a single alcohol consumption that leads to a detectable increase in blood PEth concentration. Therefore, 12 participants were recruited and, after four weeks of abstinence, drinking tests were carried out with target blood alcohol concentrations (BAC) of 0.6 g/kg and 0.75 g/kg. The PEth samples were obtained as dried-blood spots on the test day and the three following days and analyzed using LC-MS/MS. The result of the study were a detectable increase of PEth in the blood above limit of detection after both drinking events in all participants and an increase in PEth above the cutoff concentration for abstinence of 20 ng/mL in 9/12 (75%) and 7/12 (58%) participants, respectively, from a minimum BAC of 0.48 g/kg. These results make PEth appear promising as a marker for controlled moderate alcohol consumption.</p>","PeriodicalId":14071,"journal":{"name":"International Journal of Legal Medicine","volume":" ","pages":"589-596"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142768768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bridging gaps in age estimation: a cross-sectional comparative study of skeletal maturation using Fishman method and dental development using Nolla method among Egyptians. 弥合年龄估计的差距:使用Fishman方法的骨骼成熟和使用Nolla方法的牙齿发育在埃及人中的横断面比较研究。
IF 2.2 3区 医学
International Journal of Legal Medicine Pub Date : 2025-03-01 Epub Date: 2025-01-06 DOI: 10.1007/s00414-024-03394-x
Heba Ibrahim Lashin, Asmaa Fady Sharif, Mohamed Salah Ghaly, Shaimaa Shaban El-Desouky, Amira Elsayed Elhawary
{"title":"Bridging gaps in age estimation: a cross-sectional comparative study of skeletal maturation using Fishman method and dental development using Nolla method among Egyptians.","authors":"Heba Ibrahim Lashin, Asmaa Fady Sharif, Mohamed Salah Ghaly, Shaimaa Shaban El-Desouky, Amira Elsayed Elhawary","doi":"10.1007/s00414-024-03394-x","DOIUrl":"10.1007/s00414-024-03394-x","url":null,"abstract":"<p><p>Estimating the chronological age of humans is a prevalent need in forensic practice. Comparing the accuracy of different age identification methods helps provide the most reliable method for a specific population. This study aimed to compare the accuracy of age assessments using skeletal maturation and dental mineralization in a sample of Egyptians and to assess if combining both methods yields more precise age prediction. A cross-sectional study included 176 Egyptian children and adolescents aged between 8 and 16 who underwent orthopantomograms and hand-wrist radiographs. All radiographs were scored independently for skeletal maturation using the Fishman method and dental development using the Nolla method. While Fishman and Nolla methods were valid and reliable age predictors with variable sex and age group accuracy in Egyptians, the Nolla method showed superior performance. The Nolla method slightly underestimated the chronological age, while the Fishman method slightly over-estimated it, showing median differences of -0.21 and 0.17, respectively. Correlating the estimated age using the Fishman and Nolla methods and the chronological age showed intraclass correlation coefficients of (0.854 and 0.660) and (0.973 and 0.977) for females and males, respectively (P < 0.001). The model adopting the Nolla score exhibited the highest R² (0.973 and 0.968) and the lowest Akaike information criteria (96 and 106) for females and males, respectively, which is comparable to the model adopting both Nolla scores and skeletal maturation indicators. Therefore, we recommend adopting the model incorporating only the Nolla scores for age estimation without the need for further hand and wrist radiography.</p>","PeriodicalId":14071,"journal":{"name":"International Journal of Legal Medicine","volume":" ","pages":"695-714"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850478/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A machine learning approach for estimating Eastern Asian origins from massive screening of Y chromosomal short tandem repeats polymorphisms. 从大量筛选Y染色体短串联重复序列多态性中估计东亚起源的机器学习方法。
IF 2.2 3区 医学
International Journal of Legal Medicine Pub Date : 2025-03-01 Epub Date: 2025-01-08 DOI: 10.1007/s00414-024-03406-w
Haeun You, Soong Deok Lee, Sohee Cho
{"title":"A machine learning approach for estimating Eastern Asian origins from massive screening of Y chromosomal short tandem repeats polymorphisms.","authors":"Haeun You, Soong Deok Lee, Sohee Cho","doi":"10.1007/s00414-024-03406-w","DOIUrl":"10.1007/s00414-024-03406-w","url":null,"abstract":"<p><p>Inferring the ancestral origin of DNA evidence recovered from crime scenes is crucial in forensic investigations, especially in the absence of a direct suspect match. Ancestry informative markers (AIMs) have been widely researched and commercially developed into panels targeting multiple continental regions. However, existing forensic ancestry inference panels typically group East Asian individuals into a homogenous category without further differentiation. In this study, we screened Y chromosomal short tandem repeat (Y-STR) haplotypes from 10,154 Asian individuals to explore their genetic structure and generate an ancestry inference tool through a machine learning (ML) approach. Our research identified distinct genetic separations between East Asians and their neighboring Southwest Asians, with tendencies of northern and southern differentiation observed within East Asian populations. All machine learning models developed in this study demonstrated high accuracy, with the Asian classification model achieving an optimal performance of 82.92% and the East Asian classification model reaching 84.98% accuracy. This work not only deepens the understanding of genetic substructures within Asian populations but also showcases the potential of ML in forensic ancestry inference using extensive Y-STR data. By employing computational methods to analyze intricate genetic datasets, we can enhance the resolution of ancestry in forensic contexts involving Asian populations.</p>","PeriodicalId":14071,"journal":{"name":"International Journal of Legal Medicine","volume":" ","pages":"531-540"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142948542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identification score for robust and secure identification using ante- and post-mortem skull CT scans. 利用死前和死后头骨 CT 扫描进行稳健安全识别的识别评分。
IF 2.2 3区 医学
International Journal of Legal Medicine Pub Date : 2025-03-01 Epub Date: 2024-11-04 DOI: 10.1007/s00414-024-03361-6
Marie-Edith Richard, Corentin Provost, Tania Delabarde, Pauline Iorio, Yves Menu, Ghazi Hmeydia, Bertrand Ludes, Catherine Oppenheim, Joseph Benzakoun
{"title":"Identification score for robust and secure identification using ante- and post-mortem skull CT scans.","authors":"Marie-Edith Richard, Corentin Provost, Tania Delabarde, Pauline Iorio, Yves Menu, Ghazi Hmeydia, Bertrand Ludes, Catherine Oppenheim, Joseph Benzakoun","doi":"10.1007/s00414-024-03361-6","DOIUrl":"10.1007/s00414-024-03361-6","url":null,"abstract":"<p><p>Due to their unique anatomy, paranasal sinuses have been used for comparative identification between post-mortem CT (PMCT) and ante-mortem CT (AMCT). However, data security issues arise when transferring raw AMCT images of a suspected identity. The aim of this study was to derive and validate an identification score based on CT slices extracted from successive CTs for the identification of subjects. For derivation procedure, we included patients who underwent two successive AMCTs at ≥ 1-year interval (n = 98), and 4 radiologists individually assessed similarity of prespecified CT slices (centered on ethmoid, frontal sinus and Left Semi-Circular Canal). Predictive values were calculated for all combinations of number of readers and slices, and the optimal compromise, termed IDScore, was selected. For validation, we included PMCTs performed between 2018 and 2022 with available comparative head AMCTs (n = 27). For each PMCT, 5 comparison procedures were performed: 1 concordant (with corresponding AMCT) and 4 discordant (with randomly selected AMCTs). Two radiologists evaluated similarity of ethmoid and frontal CT slices with a score ranging from -2 to + 2. IDScore was defined as the sum of these slice scores, averaged between the two readers. In the 135 comparison procedures, IDScore using predetermined thresholds (positive identification for IDScore >  + 2, negative identification for IDScore < -1) allowed a perfect discrimination between identical subjects (Sensitivity = 100%, Specificity = 100%). IDScore could be used for remote identification of a subject with no need to access to the complete raw AMCT images, hence helping to overcome ethical and regulatory issues to access AMCT of a suspected identity.Trial registration: F20220729161623 on Health Data Hub, registered on 29 July 2022.</p>","PeriodicalId":14071,"journal":{"name":"International Journal of Legal Medicine","volume":" ","pages":"639-649"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of the sequencing quality of next-generation sequencing for the entire mitochondrial genome in decomposed human samples. 分解人类样本中整个线粒体基因组的新一代测序质量分析。
IF 2.2 3区 医学
International Journal of Legal Medicine Pub Date : 2025-03-01 Epub Date: 2024-11-28 DOI: 10.1007/s00414-024-03380-3
Seung Eun Lee, Ga Eun Kim, Dong Yeon Lee, Hajin Kim, Moon-Young Kim
{"title":"Analysis of the sequencing quality of next-generation sequencing for the entire mitochondrial genome in decomposed human samples.","authors":"Seung Eun Lee, Ga Eun Kim, Dong Yeon Lee, Hajin Kim, Moon-Young Kim","doi":"10.1007/s00414-024-03380-3","DOIUrl":"10.1007/s00414-024-03380-3","url":null,"abstract":"<p><p>Human body decomposition significantly damages DNA, particularly short tandem repeats used in DNA profiling. In degraded samples, mitochondrial DNA (mtDNA) is used for aiding identification, utilizing hard tissues such as bones as DNA sources. However, extracting DNA from these tissues is complex and time-consuming. This study explores soft tissues for mtDNA analysis employing a next-generation sequencing (NGS) panel. A total of 290 samples from 30 autopsy cases were analyzed using an NGS panel targeting the entire mitochondrial genome. Among them, 239 samples were from 25 decomposed bodies with total body scores (TBS) ranging from 3 to 24. Nine types of soft tissue, including heart, liver, kidney, lung, brain, pectoralis muscle, iliacus muscle, aorta, and uterus, were examined. Rib cartilage, a representative hard tissue, and blood samples served as reference materials. Over 90% of the mtDNA sequence was confirmed in 49.6% of decomposed samples, increasing to 78.7% in hypervariable regions. As much as 95-100% of the mtDNA sequence could be retrieved from several highly decomposed soft tissues, comparable to rib cartilage. Among soft tissues, the uterus and aorta showed the shortest regions of uncovered mtDNA, highlighting their potential in decomposed bodies. No significant correlation was found between mtDNA sequencing quality and TBS or the nuclear DNA degradation index. The NGS panel successfully obtained most mtDNA sequences from decomposed soft tissues, suggesting that decomposition does not preclude genetic testing. Employing uterine or aortic tissues as alternatives to hard tissues in forensic contexts could streamline procedures, saving both time and resources.</p>","PeriodicalId":14071,"journal":{"name":"International Journal of Legal Medicine","volume":" ","pages":"551-562"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142739227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Charting the growth through intelligence: A SWOC analysis on AI-assisted radiologic bone age estimation. 通过智能绘制成长图:关于人工智能辅助放射学骨龄估计的 SWOC 分析。
IF 2.2 3区 医学
International Journal of Legal Medicine Pub Date : 2025-03-01 Epub Date: 2024-10-26 DOI: 10.1007/s00414-024-03356-3
Gargi Jani, Bhoomika Patel
{"title":"Charting the growth through intelligence: A SWOC analysis on AI-assisted radiologic bone age estimation.","authors":"Gargi Jani, Bhoomika Patel","doi":"10.1007/s00414-024-03356-3","DOIUrl":"10.1007/s00414-024-03356-3","url":null,"abstract":"<p><p>Bone age estimation (BAE) is based on skeletal maturity and degenerative process of the skeleton. The clinical importance of BAE is in understanding the pediatric and growth-related disorders; whereas medicolegally it is important in determining criminal responsibility and establishing identification. Artificial Intelligence (AI) has been used in the field of the field of medicine and specifically in diagnostics using medical images. AI can greatly benefit the BAE techniques by decreasing the intra observer and inter observer variability as well as by reducing the analytical time. The AI techniques rely on object identification, feature extraction and segregation. Bone age assessment is the classical example where the concepts of AI such as object recognition and segregation can be used effectively. The paper describes various AI based algorithms developed for the purpose of radiologic BAE and the performances of the models. In the current paper we have also carried out qualitative analysis using Strength, Weakness, Opportunities and Challenges (SWOC) to examine critical factors that contribute to the application of AI in BAE. To best of our knowledge, the SWOC analysis is being carried out for the first time to assess the applicability of AI in BAE. Based on the SWOC analysis we have provided strategies for successful implementation of AI in BAE in forensic and medicolegal context.</p>","PeriodicalId":14071,"journal":{"name":"International Journal of Legal Medicine","volume":" ","pages":"679-694"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Forensic issues in autoerotic deaths: A 44-year systematic review and a case series from the legal medicine institutes of Bologna and Milan, Italy. 自虐致死的法医问题:意大利博洛尼亚和米兰法律医学研究所 44 年的系统回顾和系列案例。
IF 2.2 3区 医学
International Journal of Legal Medicine Pub Date : 2025-03-01 Epub Date: 2024-11-09 DOI: 10.1007/s00414-024-03367-0
Guido Pelletti, Nicola Galante, Lorenzo Franceschetti, Luca Berti, Maria Carla Mazzotti, Riccardo Zoia, Susi Pelotti
{"title":"Forensic issues in autoerotic deaths: A 44-year systematic review and a case series from the legal medicine institutes of Bologna and Milan, Italy.","authors":"Guido Pelletti, Nicola Galante, Lorenzo Franceschetti, Luca Berti, Maria Carla Mazzotti, Riccardo Zoia, Susi Pelotti","doi":"10.1007/s00414-024-03367-0","DOIUrl":"10.1007/s00414-024-03367-0","url":null,"abstract":"<p><p>Autoerotic deaths, defined as accidental fatalities occurring during solitary sexual activities, show complex forensic challenges due to their different mechanisms and variable death scene presentations. This study combines a systematic review of global literature spanning 44 years (from 1980 to 2024) with a detailed case series analysis from the Legal Medicine Institutes of Bologna and Milan, Italy, to provide comprehensive insights into this phenomenon.The systematic review identified 67 relevant reports from databases namely Scopus, Web of Science, and PubMed. In parallel, a case series of 7 autoerotic fatalities was analyzed, highlighting victims' demographics, causes of death, and associated factors.Findings from 101 cases of autoerotic deaths included in the systematic review indicate a predominant prevalence of asphyxial deaths, with hanging being the most common method, followed by intoxication. The study underscores significant gender disparities, with men comprising most cases (n = 91), spanning a broader age range (12-87 y.o.) compared to women (17-48 y.o.). The findings are fully consistent with the Italian case series presented here, in which all the subjects were men aged 18 to 72 years, and the cause of death was asphyxia in 6 cases.Toxicological analyses played a crucial role in elucidating the cause and manner of death in most cases, yet their utilization varies widely, impacting data reliability and evaluation of the cause of death. Notably, the evidence of volatile substances, especially inhalants, creates an emerging area of interest with potential epidemiological and preventive implications. The systematic analysis revealed substantial variability in death scene characteristics and forensic procedures, emphasizing the need for standardized investigative protocols.This study highlights the multifaceted nature of autoerotic deaths and the importance of a holistic forensic approach encompassing death scene investigation, autopsy, and toxicological analysis. By enhancing the understanding and awareness about this phenomenon, this research aims to inform evidence-based practices in forensics, mitigate diagnostic uncertainties, and facilitate preventive interventions.</p>","PeriodicalId":14071,"journal":{"name":"International Journal of Legal Medicine","volume":" ","pages":"779-794"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of cold exposure in a confined environment: an original case of suicide by freezing. 在密闭环境中暴露于寒冷的影响:一个通过冷冻自杀的原始案例。
IF 2.2 3区 医学
International Journal of Legal Medicine Pub Date : 2025-03-01 Epub Date: 2025-01-17 DOI: 10.1007/s00414-025-03413-5
Adeline Blanchot, Thibault Willaume, Elisa Macoin, Annie Geraut, Marie-Claire Tortel, Anne Gressel, Pascal Kintz, Jean-Sébastien Raul, Catherine Cannet
{"title":"Effects of cold exposure in a confined environment: an original case of suicide by freezing.","authors":"Adeline Blanchot, Thibault Willaume, Elisa Macoin, Annie Geraut, Marie-Claire Tortel, Anne Gressel, Pascal Kintz, Jean-Sébastien Raul, Catherine Cannet","doi":"10.1007/s00414-025-03413-5","DOIUrl":"10.1007/s00414-025-03413-5","url":null,"abstract":"<p><p>The authors present a case involving a 37-year-old woman discovered in an operating freezer. Suicide hypothesis has been considered from the beginning. Due to the exceptional scene circumstances, a forensic autopsy was performed. Apart from some non-specific hypothermia and asphyxia signs, the autopsy revealed several skull fractures, prompting extensive anatomopathological and histological analyses. These analyses confirmed the fractures origin and determined whether they were ante-mortem or post-mortem, thus ruling out the possibility of a criminal act disguised as suicide. The authors also describe the challenges in determining the cause of death, particularly the issues related to the post-mortem diagnosis of lethal hypothermia and asphyxia. This case is the first in the literature to describe suicide by exposure to cold in a confined environment. It highlights the importance of close collaboration between forensic pathologists, histologists, toxicologists, and police investigators to answer judicial inquiries.</p>","PeriodicalId":14071,"journal":{"name":"International Journal of Legal Medicine","volume":" ","pages":"825-836"},"PeriodicalIF":2.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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