复杂自杀——一例新病例报告及文献综述

Dina Ibrahim
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摘要

背景:自杀通常被认为是简单或复杂的,后者被定义为多种方法的组合。此外,当第一种方法没有达到预期的结果时,复杂自杀可以以一种计划外的方式进行,即连续使用几种方法。通常在选择的第一种方法失败、效果缓慢或被证明过于痛苦后,手术过程就会改变。失败的自杀行为之间的交替导致难以确定死亡的方式和方式。方法:在本研究中,我们将从医学和法律的角度讨论一些有关复杂自杀的相关研究和系统的方法来处理这类病例。此外,还将介绍2018年在科威特法医部门处理的一起不寻常的复杂自杀案件。她是一名中年女性,家政工人,被发现死在浴室里,浴室里的出水口和出水口都是安全的。她不完全上吊,颈部、胸部和腹部多处割伤,双侧手腕也有割伤。此外,在盆内还发现了带血的刀、剃须刀和刀片。结果与结论:经过完整的尸体解剖、法医病理和毒理学检查,法医和犯罪现场报告连同刑事调查一起宣布。因此,该病例被报告为复杂的自杀病例,死亡原因是肺刺伤后的出血性休克。该案件代表了一种新颖的复杂自杀,包括自刺、割腕和上吊
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Complex suicide-A novel case report and a brief review of literature
Background:Suicides are usually known to be either simple or complex, the latter which is defined as a combination of more than one method. Additionally, complex suicide can be practiced in an unplanned manner where several methods are used, consecutively, when the first method has not achieved the desired outcome. The procedure usually gets changed after the first method chosen failed, was working slowly, or proven to be overly painful. The rotation between failed suicidal acts causes difficulties in determining the manner and the mode of death. Method: In the present study, we will discuss some of the relevant previous studies regarding complex suicide and a systematic approach to managing such cases from a medicolegal perspective. Besides, an unusual case of complex suicide, which was handled in 2018 in the Kuwaiti Forensic Medicine Department, will be presented. She is a middle-aged female, domestic worker, who was found dead in the bathroom, with secured inlets and outlets from inside. She was incompletely hanged with multiple neck, chest, and abdominal cut wounds, apart from bilateral wrist cut. Furthermore, bloody knife, razor and razor-blade were found inside the basin. Result and conclusion: After a complete autopsy, forensic pathology and toxicology examination were done, the forensic and crime scene reports together with the criminal investigations were declared. Consequently, the case was reported as a complex suicide case and the cause of death was haemorrhagic shock after lung stabbing. The case represents a novel complex suicide with self-stabbing, wrist cutting and hanging
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