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Type: Journal article
Title: Clinicopathologic features of fatal self-inflicted incised and stab wounds - A 20-year study
Author: Byard, R.
Klitte, A.
Gilbert, J.
James, R.
Citation: American Journal of Forensic Medicine and Pathology, 2002; 23(1):15-18
Publisher: Lippincott Williams & Wilkins
Issue Date: 2002
ISSN: 0195-7910
Abstract: The files of the Forensic Science Center in Adelaide, South Australia, were examined for all cases listed as suicide in which death had been caused by the use of a sharp instrument during the 20-year period from January 1981 to December 2000. Fifty-one cases were identified, consisting of 35 men and 16 women. The age range was 23 to 83 years (mean 49 years) representing 1.6% of total suicides (513182). Fatal injuries included incised wounds to the arms in 51.4% of men (n = 1835) compared with 87.5% of women (n = 1416), incised and stab wounds to the neck in 40% of men (n = 1435) and 25% of women (n = 416), and stab wounds to the chest or abdomen in 28.6% of men (n = 1035) and 12.5% of women (n = 216). In 8 cases, multiple sites were involved. The use of sharp instruments in suicide was favored by older, rather than younger, individuals, with a tendency for women to incise their wrists. Hesitation marks were present in 23 cases (54%) and scarring of the wrists from previous suicide attempts in 5 cases. Although this study demonstrated a higher number of men than women committing suicide by using sharp objects, this method of suicide remains uncommon.
Keywords: Humans; Abdominal Injuries; Arm Injuries; Neck Injuries; Thoracic Injuries; Wounds, Stab; Suicide; Age Distribution; Sex Distribution; Adult; Aged; Middle Aged; South Australia; Female; Male
RMID: 0020020188
DOI: 10.1097/00000433-200203000-00003
Appears in Collections:Pathology publications

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