#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Unusual mechanism of injury in a case of suicide by the jump from height


Authors: Šidlo Jozef 1,2;  Kováč Peter 3,4;  Očko Peter 1,2;  Mikuláš Ľubomír 1,2;  Šikuta Ján 1,2
Authors place of work: Ústav súdneho lekárstva, Lekárska fakulta, Univerzita Komenského v Bratislave, Bratislava, Slovenská republika 1;  Súdnolekárske pracovisko, Úrad pre dohľad nad zdravotnou starostlivosťou, Bratislava, Slovenská republika 2;  forensic. sk – Inštitút forenzných medicínskych expertíz s. r. o., Bratislava, Slovenská republika 3;  Katedra trestného práva a kriminológie, Právnická fakulta Trnavskej univerzity v Trnave, Trnava, Slovenská republika 4
Published in the journal: Soud Lék., 64, 2019, No. 1, p. 2-4
Category: Original Article

Summary

Investigation of fatal cases of falls from height as well as jumps from height in suicidal ideation makes up an integral part of forensic practice. In Slovakia, a method of suicide by jumping from height is after hanging the second most chosen method of ending life. In about one third of the cases, the influence of addictive substances is determined. The basic mechanism of injury is a sudden deceleration of body movement when hitting a solid surface. Several factors influence the nature, localization, severity, and frequency of injuries. In most cases, there occur multiple injuries to the skeleton and internal organs caused by blunt objects. The authors demonstrate the case of an unusual mechanism of injury in a 55-year-old man who committed suicide by jumping from the seventh floor of a block of flats. A stepped fall from height resulted in the through knee amputation of both legs by hitting posterior thigh area and knee joints on the railing of the terrace of the block of flats on the ground floor level. The body was found in the basement. In contact with the railing, the man’s trousers and pants were pulled off. The autopsy determined the immediate cause of death as polytrauma. Additional toxicological-chemical examination of blood and urine samples collected at autopsy revealed ethanol at the concentration within the extent of laboratory error, caffeine, and nicotine in toxicologically insignificant concentrations and traces of acetone. Motivation of man’s suicide remains unknown.

Keywords:

fall/jump from height – suicide – amputation – mechanism of injury


Zdroje

1. Byard RW, Austin A. The role of forensic pathology in suicide. Forensic Sci Med Pathol 2011; 7(1): 1-2.

2. Samovraždy a samovražedné pokusy v SR 2017, http://www.nczisk.sk/aktuality/Pages/-Samovrazdy-a-samovrazedne-pokusy-v-SR-2017.aspx

3. Hájek S, Štefan J. Příčiny, mechanismus a hodnocení poranení v lékařské praxi. Praha: Grada Publishing a.s.; 1996: 129-132.

4. Hirt M, Vorel F a kol. Soudní lékařství II. díl. Praha: Grada Publishing a.s.; 2016: 146-149.

Štítky
Anatomical pathology Forensic medical examiner Toxicology
Prihlásenie
Zabudnuté heslo

Zadajte e-mailovú adresu, s ktorou ste vytvárali účet. Budú Vám na ňu zasielané informácie k nastaveniu nového hesla.

Prihlásenie

Nemáte účet?  Registrujte sa

#ADS_BOTTOM_SCRIPTS#