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Forensic Science, Medicine and Pathology

, Volume 14, Issue 3, pp 402–405 | Cite as

“Defense” type wounds in suicide

  • Siobhan O’Donovan
  • Neil E. I. Langlois
  • Roger W. Byard
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Abstract

“Defense” type wounds are sustained when a victim is attempting to ward off an attacker, or a weapon. A 39-year-old woman is reported who was found deceased with incised wounds to the dorsa of both hands that resembled defense wounds. Examination of the flexor surfaces of both wrists, however, revealed horizontal incised wounds typical of self-infliction. Perfusion of the subclavian arteries produced leakage of water from peripheral veins within wounds on both hands and the right wrist. Death was due to exsanguination from incised wounds of the hands and right wrist; manner suicide. This case demonstrates the difficulties that may arise in differentiating self-inflicted from assaultive wounds. On occasion suicidal sharp force injuries may be multiple and in atypical locations. In these circumstances a high index of suspicion for homicide must be maintained.

Keywords

Sharp force Suicide Defense-type Incised Homicide 

References

  1. 1.
    Byard RW, Langlois NEI. Arterial perfusion – a useful technique for evaluating incised wounds. J Forensic Sci. 2017;  https://doi.org/10.1111/1556-4029.13682.
  2. 2.
    Prahlow J, Byard RW. Sharp force injury deaths. In: Prahlow J, Byard RW, editors. An atlas of forensic pathology. New York: Springer Publishers; 2012. p. 573–632.CrossRefGoogle Scholar
  3. 3.
    Brunel CC, Fermanian C, Durigon M, de la Grandmaison GL. Homicidal and suicidal sharp force fatalities: autopsy parameters in relation to the manner of death. Forensic Sci Int. 2010;198:150–4.CrossRefPubMedGoogle Scholar
  4. 4.
    Mazzolo GM, Desinan L. Sharp force fatalities: suicide, homicide or accident? A series of 21 cases. Forensic Sci Int. 2005;147S:S33–5.CrossRefGoogle Scholar
  5. 5.
    Schmidt U. Sharp force injuries in "clinical" forensic medicine. Forensic Sci Int. 2010;195:1–5.CrossRefPubMedGoogle Scholar
  6. 6.
    Vassalini MA, Verzeletti A, De Ferrari F. Sharp force injury fatalities: a retrospective study (1982-2012) in Brescia (Italy). J Forensic Sci. 2014;59:1568–74.CrossRefPubMedGoogle Scholar
  7. 7.
    Racette SC, Kremer A, Desjarlais A, Sauvageau A. Suicidal and homicidal sharp force injury: a 5-year retrospective comparative study of hesitation marks and defense wounds. Forensic Sci Med Pathol. 2008;4:221–7.CrossRefPubMedGoogle Scholar
  8. 8.
    Byard RW, Heath KJ, Tsokos M. The symmetry of self mutilation and the chess board pattern. Forensic Sci Med Pathol. 2013;9:106–7.CrossRefPubMedGoogle Scholar
  9. 9.
    Karlsson T. Homicidal and suicidal sharp force fatalities in Stockholm, Sweden. Orientation of entrance wounds in stabs gives information in the classification. Forensic Sci Int. 1998;93:21–32.CrossRefPubMedGoogle Scholar
  10. 10.
    Karakasi MV, Nastoulis E, Kapetanakis S, Vasilikos E, Kyropoulos G, Pavlidis P. Hesitation wounds and sharp force injuries in forensic pathology and psychiatry: multidisciplinary review of the literature and study of two cases. J Forensic Sci. 2016;61:1515–23.CrossRefPubMedGoogle Scholar
  11. 11.
    Byard RW, Klitte Å, Gilbert JD, James RA. Clinicopathologic features of fatal self-inflicted incised and stab wounds. A 20 year study. Am J Forensic Med Pathol. 2002;23:15–8.CrossRefPubMedGoogle Scholar
  12. 12.
    De-Giorgio F, Lodise M, Quaranta G, Spagnolo AG, d'Aloja E, Pascali VL, et al. Suicidal or homicidal sharp force injuries? A review and critical analysis of the heterogeneity in the forensic literature. J Forensic Sci. 2015;60(Suppl 1):S97–S107.CrossRefPubMedGoogle Scholar
  13. 13.
    Austin A, Guddat S, Tsokos M, Gilbert JD, Byard RW. Multiple injuries in suicide simulating homicide. J Forensic Legal Med. 2013;20:601–4.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Siobhan O’Donovan
    • 1
    • 2
  • Neil E. I. Langlois
    • 1
    • 2
  • Roger W. Byard
    • 1
    • 2
  1. 1.Adelaide Medical SchoolThe University of AdelaideAdelaideAustralia
  2. 2.Forensic Science SAAdelaideAustralia

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