Medicine, Science and the Law最新文献_第5页

Forensic and psychopathological framing of complex suicides: A retrospective study over the last 30 years. 复杂自杀的法医和精神病理学框架：过去30年的回顾性研究。

IF 1.5 4区医学

Medicine, Science and the Law Pub Date : 2025-02-21 DOI: 10.1177/00258024251319694

Stefano Tambuzzi, Guendalina Gentile, Michele Boracchi, Franca Crippa, Raffaella Calati, Riccardo Zoja

{"title":"Forensic and psychopathological framing of complex suicides: A retrospective study over the last 30 years.","authors":"Stefano Tambuzzi, Guendalina Gentile, Michele Boracchi, Franca Crippa, Raffaella Calati, Riccardo Zoja","doi":"10.1177/00258024251319694","DOIUrl":"https://doi.org/10.1177/00258024251319694","url":null,"abstract":"Complex Suicide (CS) is defined as an unusual form of suicide in which several harmful methods are used, simultaneously or in succession, whose purpose is to avoid the possible ineffectiveness of one of the methods used to produce a certain fatal outcome. The study of CS is of great interest and plays a fundamental role in characterizing the knowledge of these rare events. We have retrospectively evaluated all CS cases examined at the Institute of Forensic Medicine of Milan from 1993 to 2022 (n = 75) with the aim of characterizing the deceased who have resorted to it. We also compared the sample of 75 CS cases with a sample of paired 115 \"simple\" suicides (with a single method). Our analysis revealed that the CS cases were carried out by a \"typical\" subject identified as an adult male, between 41 and 50 years old, suffering from psychiatric disorders and, in particular, major depressive disorder. The most frequent harmful mode was plastic bag suffocation associated with self-poisoning. CS cases used less violent methods than simple suicide controls. The pathological-forensic approach has brought to light elements that can be useful both for forensic professionals (pathologists and psychiatrists) in correctly classifying these unusual and challenging events and for clinicians working on the front line. Some profiles have been outlined that can be used to identify potentially vulnerable individuals who could benefit from increased health surveillance to treat and prevent suicide.","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"258024251319694"},"PeriodicalIF":1.5,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468533","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

An analysis of offence patterns and legal response to one-punch fatalities in Australia. 分析澳大利亚的犯罪模式和对一拳致死的法律反应。

IF 1.5 4区医学

Medicine, Science and the Law Pub Date : 2025-02-05 DOI: 10.1177/00258024251316669

Reena Sarkar, Hayley Duncan, Richard Bassed, Olaf H Drummer, Abbie Roodenburg, Jennifer Schumann

{"title":"An analysis of offence patterns and legal response to one-punch fatalities in Australia.","authors":"Reena Sarkar, Hayley Duncan, Richard Bassed, Olaf H Drummer, Abbie Roodenburg, Jennifer Schumann","doi":"10.1177/00258024251316669","DOIUrl":"https://doi.org/10.1177/00258024251316669","url":null,"abstract":"One-punch deaths draw considerable legal and media attention due to the nature of catastrophic events and their impact on victims and families. Empirical research on the sentencing outcomes and offence categories faced by the perpetrators is non-existent. This Australian study examined judicial sentencing reviews to unpack perpetrator characteristics, offence patterns and sentencing outcomes for one-punch fatalities over a 30-year period. Two hundred and eighty-seven perpetrator convictions were reported by various parameters such as median sentencing length, injury mechanism and maximum sentencing categories. Secondary outcomes were details of concentrations of alcohol and illicit drug usage and usage of one-punch specific laws, hitherto unelucidated for one-punch assaults. Nearly all perpetrators were male with a median age of 26 years, with 61% charged in New South Wales and Victoria alone. The median sentence length of imprisonment was 3.8-11.5 years for a manslaughter conviction. Median sentence length when categorized by injury mechanism demonstrated variation in both life sentence and one-punch offence categories. About 40% of Australian perpetrators were convicted under one-punch laws in states where these were introduced. The study will increase knowledge and public awareness regarding the impact of one-punch violence and outcomes.","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"258024251316669"},"PeriodicalIF":1.5,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Without a trace: Long-term missing women and girls and 'no-body' femicides from the Republic of Ireland. 无迹可寻：爱尔兰共和国长期失踪的妇女和女孩以及“无人”杀害妇女的案件。

IF 1.5 4区医学

Medicine, Science and the Law Pub Date : 2025-02-03 DOI: 10.1177/00258024251316240

Bernadette M Manifold

{"title":"Without a trace: Long-term missing women and girls and 'no-body' femicides from the Republic of Ireland.","authors":"Bernadette M Manifold","doi":"10.1177/00258024251316240","DOIUrl":"https://doi.org/10.1177/00258024251316240","url":null,"abstract":"Missing persons are a major part of everyday policing. However, some missing person cases can be highly emotive and challenging such as missing women and girls. Women who go missing have a greater risk of coming to harm. This study focused on 38 long-term missing women and girls from the Irish Republic from 1971 to 2023 of which 12 cases are now classified as homicides, and the whereabouts of the bodies remain unknown. The majority of cases are in Leinster with 25. Eight missing persons are under 18 years, and 22 are between the ages of 18 and 45 years. Domestic violence was a feature in five cases, involvement in a fight prior to disappearance in seven cases, and inconsistencies in statements by intimate partners and close family members regarding the victim's mental health were noted in seven cases. In nine cases, the personal belongings of the victim remained in the home. In seven cases, there was suggestive evidence that the victim entered water. These factors were seen in both the missing and classified homicide cases. The suicide narrative is heavily implied in many of these cases. A woman's mental health and stage of life such as pregnancy, childbirth and menopause can be exploited and used as an advantage to a potential killer. It is therefore paramount that missing women who are considered to have taken their own lives should be thoroughly investigated, with a special focus on cases where evidence suggests drowning and jumping from a height.","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"258024251316240"},"PeriodicalIF":1.5,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Diatoms in maggots; a potential tool for drowning diagnosis - A preliminary study. 蛆中的硅藻；诊断溺水的潜在工具--初步研究。

IF 1.5 4区医学

Medicine, Science and the Law Pub Date : 2025-01-01 Epub Date: 2024-04-01 DOI: 10.1177/00258024241241374

I K Badu, D Asante, E D Agyemang, K Kwaku Duah, C K Adokoh, E Girela-Lopez

{"title":"Diatoms in maggots; a potential tool for drowning diagnosis - A preliminary study.","authors":"I K Badu, D Asante, E D Agyemang, K Kwaku Duah, C K Adokoh, E Girela-Lopez","doi":"10.1177/00258024241241374","DOIUrl":"10.1177/00258024241241374","url":null,"abstract":"Advanced putrefaction causes extensive loss of soft tissue, rendering it difficult to use the diatom test as a reliable diagnostic tool for drowning investigations. A positive diatom test in carrion insect larvae may provide significant assistance in overcoming the challenge of decomposition. The studies determined the utility of diatom test in carrion larvae on severely decomposed bodies. A modified acid digestion method involving nitric acid, K2Cr2O7 and HCl, was used to digest the blowfly larvae feeding on piglet carrion previously drowned in freshwater and sea water, respectively. Extracted diatom frustules were analysed and characterised using light microscopy coupled to a digital camera. Diatoms recovered from maggots on sea-drowned piglets were similar to diatoms from sea water (drowning medium). Centric diatoms recovered in maggots were higher (200 ± 60 diatoms/ mL) than pennate diatoms (80 ± 20 diatoms/mL). Isolated diatoms common to both maggots and water samples included Coscinodiscus sp. and Navicular spp. Albeit, there were no diatoms recovered from maggots on freshwater-drowned piglets. The findings of this study suggest that the diatom test is still a reliable diagnostic tool to determine if drowning was involved in the death of a fully decomposed body. This is the first study that isolated diatoms from maggots feeding on drowned bodies. It serves as the basis for further research into the utility of maggots for drowning investigations.","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"36-43"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140336214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

An examination of service user satisfaction in forensic mental health settings. 法医精神卫生机构服务使用者满意度调查。

IF 1.5 4区医学

Medicine, Science and the Law Pub Date : 2025-01-01 Epub Date: 2024-01-31 DOI: 10.1177/00258024241227719

Al Adiya Khan, Victoria Stirrup, Douglas MacInnes

{"title":"An examination of service user satisfaction in forensic mental health settings.","authors":"Al Adiya Khan, Victoria Stirrup, Douglas MacInnes","doi":"10.1177/00258024241227719","DOIUrl":"10.1177/00258024241227719","url":null,"abstract":"High levels of service user satisfaction are viewed as a reliable indicator of a service providing good care and treatment. There has been limited research looking into levels of satisfaction in forensic mental health settings with most work focused on staff satisfaction in these settings. This study examined service users' levels of satisfaction with a forensic mental health service in the United Kingdom. The service covered two sites; one a purpose-built secure unit and the other based in an old cottage hospital. Thirty-nine in-patients completed a 60-item validated forensic satisfaction scale. The scale measured seven domains of satisfaction as well as reporting an overall satisfaction score. The results indicated the service users were reasonably satisfied with the care and treatment they received. The domains of rehabilitation, safety, staff interaction and overall care showed the highest level of satisfaction. The high rehabilitation satisfaction score demonstrated the importance of meaningful activities for users accessing forensic services and may have been influenced by the security measures on the wards. The high safety domain score indicated respondents felt safe and secure within the wards and were likely to be influenced by positive interpersonal interactions. Good staff interaction was also an important factor in helping service users feel safe on the wards. These interactions are likely to be associated with longer periods of admission in secure services allowing therapeutic relationships to develop. Financial advice/support was the one domain that recorded negative satisfaction levels. Financial literacy training may help develop money management skills.","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"9-14"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11622528/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139651053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Artefacts due to putrefactive gas production - an overview. 腐败气体产生的假象--综述。

IF 1.5 4区医学

Medicine, Science and the Law Pub Date : 2025-01-01 Epub Date: 2024-08-16 DOI: 10.1177/00258024241275894

Roger W Byard

{"title":"Artefacts due to putrefactive gas production - an overview.","authors":"Roger W Byard","doi":"10.1177/00258024241275894","DOIUrl":"10.1177/00258024241275894","url":null,"abstract":"Autolytic and putrefactive processes can cause considerable alterations to soft tissues and internal organs that may complicate forensic assessments. An overview was undertaken of the range of taphonomonic changes and processes that may result from postmortem putrefactive gas accumulation. The most commonly encountered phenomenon was purging of putrefactive fluids from the nose and mouth that was on occasion confused with bleeding from antemortem trauma. Much less common was putrefactive 'rigor mortis' where the limbs extend due to the accumulation of soft tissue and subcutaneous gas. This may sometimes be associated with alteration of the position of a body suggesting that it had been deliberately moved. Distension and stretching of the skin and subcutaneous tissues may cause recently sutured surgical incisions to dehisce, raising the possibility of inflicted incised wounds. Raised intra-abdominal pressures may cause diaphragmatic herniation of small intestine and has been associated with so-called 'coffin birth' where a fetus is expelled from the uterus after death due to pressure on the fundus. Gas accumulation on postmortem computed tomography examination may be confused with air embolism or the effects of trauma. All of these changes are the result of anaerobic bacterial action generating gases such as methane, carbon dioxide and hydrogen sulphide resulting in pressure gradients.","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"65-70"},"PeriodicalIF":1.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Initiating further measures to prevent traffic accidents in Japan: The use of a social medicine perspective. 日本预防交通事故的进一步措施：社会医学视角的运用。

IF 1.5 4区医学

Medicine, Science and the Law Pub Date : 2025-01-01 Epub Date: 2024-09-28 DOI: 10.1177/00258024241286770

Ken Inoue, Sultana Razia, Yuri Murayama, Masato Nakano, Noriyuki Kawano, Satomi Kameo, Yasuyuki Fujita, Haruo Takeshita

引用次数: 0

Eye movement desensitisation and reprocessing (EMDR) within prisons and the criminal justice system. 监狱和刑事司法系统中的眼动脱敏和再处理疗法（EMDR）。

IF 1.5 4区医学

Medicine, Science and the Law Pub Date : 2025-01-01 Epub Date: 2024-11-06 DOI: 10.1177/00258024241293540

Clare Crole-Rees, Daniel Lawrence, Laura Blundell, Kate Saward, Lewis Jones, Sarah El Anany, Gracious Simon, Natasha Kalebic, Andrew Forrester

引用次数: 0

Parricide and homicide NGRI offenders: How do they differ? 弒親和殺人的 NGRI 罪犯：他们有何不同？

IF 1.5 4区医学

Medicine, Science and the Law Pub Date : 2024-10-03 DOI: 10.1177/00258024241286743

Maria Markopoulou, Fotios Chatzinikolaou, Athanasios Avramidis, Maria-Valeria Karakasi, Konstantinos Tasios, Christina Vlachvei, Pavlos Pavlidis, Athanasios Douzenis

{"title":"Parricide and homicide NGRI offenders: How do they differ?","authors":"Maria Markopoulou, Fotios Chatzinikolaou, Athanasios Avramidis, Maria-Valeria Karakasi, Konstantinos Tasios, Christina Vlachvei, Pavlos Pavlidis, Athanasios Douzenis","doi":"10.1177/00258024241286743","DOIUrl":"10.1177/00258024241286743","url":null,"abstract":"The aim of the present study was to provide a forensic psychiatric characterization of perpetrators of parricide who were found not guilty by reason of insanity (NGRI). We conducted a study involving 52 NGRI patients who had committed homicide or attempted homicide within the Department of Forensic Psychiatry in Thessaloniki, Greece, between January 2015 and 2020. Subjects were categorized into two groups: parricide (n = 21) and a control group (n = 31). Our findings revealed that in the parricide group, the majority of patients were unmarried males in their thirties, with a history of prior contact with mental health services and nonadherence to treatment. Additionally, they had a background of substance abuse and exhibited violent behavior before the index crime. A notable trend observed among parricide offenders was the tendency to seek hospitalization, possibly as a means of distancing themselves from stressful family environments, based on information obtained in the interviews conducted as a part of this research. All instances of parricide involved the use of sharp weapons, and the crimes were consistently committed in private settings. Symptomatology among parricide patients was assessed as moderate to severe, with a significant long-term risk observed following the crime. The primary differences identified between the two groups were the higher pre-crime voluntary admissions and the elevated estimated postcrime risk observed in the parricide group. Early intervention, comprehensive assessment of risk factors, family support, and assistance in resolving conflicts and reintegrating patients into society are emphasized as critical interventions that can potentially prevent future tragedies.","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"258024241286743"},"PeriodicalIF":1.5,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

The impact of COVID-19 on clinical forensic medicine and forensic psychiatry: A literature review. COVID-19 对临床法医学和法医精神病学的影响：文献综述。

IF 1.5 4区医学

Medicine, Science and the Law Pub Date : 2024-10-01 Epub Date: 2024-02-12 DOI: 10.1177/00258024241229830

Yangqi Xu, Jo Ann Parkin, Nicola Cunningham

{"title":"The impact of COVID-19 on clinical forensic medicine and forensic psychiatry: A literature review.","authors":"Yangqi Xu, Jo Ann Parkin, Nicola Cunningham","doi":"10.1177/00258024241229830","DOIUrl":"10.1177/00258024241229830","url":null,"abstract":"Purpose:The COVID-19 pandemic prompted significant challenges in clinical forensic medicine and forensic psychiatry and emphasised the need for sustainable service delivery. Both fields faced difficulties in maintaining services due to COVID-19 precautions and limited referrals. This review examined the changes in forensic practices, aiming to understand their impact and learn from them to inform future strategies. Methods: A search was conducted across Ovid Medline, Ovid Embase, Ovid Emcare and PubMed, and webpages of governments and other organisations. Studies were included if they assessed any change that occurred in clinical forensic medicine or forensic psychiatry during the pandemic. A narrative review with a systematic approach was undertaken. Results: A total of 27 articles were included. There was a notable decrease in the volume of forensic assessments in early 2020. The numbers gradually rebounded with the easing of restrictions yet have not fully returned to pre COVID-19 levels. Telemedicine and COVID-19 precautions were widely incorporated into forensic services, which were seen to disrupt the patient-doctor dynamics, restrict the setting of examinations and complicate work processes and sample handling steps. Conclusion: This is the first review that describes the pandemic-driven changes in clinical forensic medicine and forensic psychiatry in respect of case trends and incorporation of COVID-19 precautions. The pandemic emphasised the need for adaptability and adoption of new assessment approaches in forensic services. Technology, like telemedicine, emerged as a valuable tool, enhancing accessibility for individuals in remote or high-risk areas. It is necessary to review the changes and re-evaluate their impacts in the post COVID-19 era.","PeriodicalId":18484,"journal":{"name":"Medicine, Science and the Law","volume":" ","pages":"319-328"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139723278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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