汽车内勒死和/或上吊自杀:综合评述。

IF 1.5 4区 医学 Q2 MEDICINE, LEGAL
Forensic Science, Medicine and Pathology Pub Date : 2025-03-01 Epub Date: 2024-05-18 DOI:10.1007/s12024-024-00828-1
Carlo Pietro Campobasso, Mariavictoria De Simone, Antonietta Porzio, Edoardo Mazzini, Anna Carfora, Alessandro Feola
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引用次数: 0

摘要

车内勒死/上吊自杀并不常见,文献中仅有极少数案例报道。本研究旨在对已报道的勒死/车内上吊自杀病例进行全面回顾,分析死亡现场、勒死和车内上吊的特征、尸检结果和死亡原因。这项综合研究遵循 PRISMA 指南,使用了最常用的科学数据库。根据纳入标准,共审查了 20 例车辆辅助勒死/绞死病例:其中 13 例被评估为结扎勒死,导致 7 人完全断头,另外 7 例被评估为绞死。除一名 48 岁女性外,所有受害者均为青年或成年男性。除了一例可能是意外的自虐致死外,所有病例的死亡都被评估为自杀。据报告,有8例死者曾患有抑郁症或其他精神疾病。毒理学分析结果呈阳性的有 7 例。大多数病例都使用了坚硬的结扎材料(尼龙、钢、塑料、麻绳),但只有 13 例病例有界限分明的沟槽。在 2 个病例中,没有发现窒息的内部发现。本研究还介绍了另一例机动车熄火内的结扎勒死病例,在该病例中,除了一条宽阔的苍白犁沟和单侧结膜瘀斑外,尸检未发现任何窒息迹象。本研究强调了对机动车内自杀性上吊和勒死进行分类所面临的挑战。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Suicide by ligature strangulation and/or hanging inside a motor vehicle: a comprehensive review.

Suicide by ligature strangulation/hanging inside vehicles is uncommon, and only few cases have been reported in the literature. This study aimed to conduct a comprehensive review of reported cases of suicide by ligature strangulation/hanging inside vehicles, analyzing the features of the death scene, of the ligature and furrow, autopsy findings, and causes of death. The comprehensive review was performed following the PRISMA guidelines by using the most common scientific databases. According to inclusion criteria, a total of 20 cases of vehicle-assisted strangulation/hanging were reviewed: 13 cases were assessed as ligature strangulation resulting in 7 complete decapitations and 7 other cases as hanging. All victims were young or adult males, except for one 48-year-old female. Death was assessed as suicide in all cases, except for a possible accidental autoerotic death. In 8 cases, a history of depression or other psychiatric disorders was reported. Toxicological analysis were positive in 7 cases. Hard ligature materials (nylon, steel, plastic, hemp ropes) were used in most cases, but only 13 cases had a well-demarcated furrow. In 2 cases, no internal findings of asphyxia were found. An additional case of ligature strangulation inside a motor vehicle off is also presented, where no autopsy findings of asphyxia were observed, except for a broad pale furrow and monolateral conjunctival petechiae. This study highlights the challenges in classifying suicidal hanging and ligature strangulation in motor vehicles.

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来源期刊
Forensic Science, Medicine and Pathology
Forensic Science, Medicine and Pathology MEDICINE, LEGAL-PATHOLOGY
CiteScore
3.90
自引率
5.60%
发文量
114
审稿时长
6-12 weeks
期刊介绍: Forensic Science, Medicine and Pathology encompasses all aspects of modern day forensics, equally applying to children or adults, either living or the deceased. This includes forensic science, medicine, nursing, and pathology, as well as toxicology, human identification, mass disasters/mass war graves, profiling, imaging, policing, wound assessment, sexual assault, anthropology, archeology, forensic search, entomology, botany, biology, veterinary pathology, and DNA. Forensic Science, Medicine, and Pathology presents a balance of forensic research and reviews from around the world to reflect modern advances through peer-reviewed papers, short communications, meeting proceedings and case reports.
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