Suicide Theory, Practice and Investigation

Suicide is an ageless concern that has been with us as long as man has existed. Forbidden by all religions, suicide has nonetheless become such a practical problem that it is now an everyday concern, resulting in more annual deaths than homicide. Suicide must be seen as a societal and personal problem—it is a complex act with no simple explanation. The motivation is multifaceted, often not understood by the family or by other survivors.   

Suicide: Theory, Practice and Investigation is the only text available in paperback form that offers an accessible overview of suicide in the United States. Written by Ronald M. Holmes and Stephen T. Holmes, two of the foremost authors of murder and violent crime books in the world, this book examines the social problem and criminal justice concerns of suicide from unique perspectives. The authors discuss the various forms of...

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Murder-Suicide of the Jealous Paranoia Type: A Multicenter Statistical Pilot Study

Abstract

The authors present a pilot statistical study of murder-suicide comprising 32 cases from the years 1990-1992, collected from the offices of the medical examiners of seven counties in five of the United States. The study includes brief reviews of previous statistical surveys of murder, murder-suicide, and suicide. This present study's conclusions parallel the findings of previous research on the demographic characteristics of the perpetrators of murder-suicide, the relationship between killers and victims, the types of weapon used, locations of the incidents, and the time intervals between the murder and suicide. It also highlights the similarities between the characteristics of the perpetrator of murder-suicide and those of persons who commit only suicide, supporting the thesis that murder-suicide is an extended suicide. Suggestions for prevention of such a type of crime are offered.

From the Department of Psychiatry and Neurology, Medical College of Wisconsin, Department of Criminology, Marquette...

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Characterization Of Lesions In Hanging Deaths.

Abstract

Hanging is a common method of committing suicide and a routine task in medico-legal autopsies. The hanging mark is the most relevant external sign and its characteristics are well known, but, for unknown reasons, there are major differences in reports on internal findings. We retrospectively studied 228 consecutive cases of hanging deaths. A complete standard autopsy was performed for every case. We investigated the association between the characteristics of the hanging mark and the frequency of bone, cartilage, soft tissue, and vascular injuries with the mode of suspension. Most cases (75.3%) presented some kind of bone or cartilage fracture, but these were unrelated to any of the variables studied. Vascular lesions are clearly more infrequent: intimal injuries were found in the carotid artery (9.1%), the jugular vein (2.2%), and ruptures of the carotid adventitial layer (21.7%). These could be partially associated with the use of a hard fixed noose and body weight....

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Periligature Injuries In Hanging.

Abstract

Hanging is a common mode of suicide while ligature strangulation is a common way of homicide. Ligature marks (patterned abrasion caused by ligature material) can be of great significance to the forensic pathologist in determining the cause and manner of death. Ligature material usually produces a prominent mark over the bight area, which is opposite to the knot and an inverted 'V' pattern at the site of the knot. Apart from ligature mark, sometimes findings such as rope burns & nail marks may be seen around the ligature mark and can be termed as 'periligature injuries'. Nail marks over the neck are usually suggestive of throttling. But they can also be self inflicted by the victim while trying to extricate himself/herself from the strangling grip of hanging or ligature strangulation. Such injuries, when present may mislead the forensic pathologist in drawing conclusion as to whether it is due to...

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Transfer Of Biological Traces In Cases Of Hanging And Ligature Strangulation.

Abstract

In hanging and ligature strangulation, the noose mostly causes a mark or groove which is formed partly by compression of the skin and partly by abrasion with loss of the upper epidermal layers. The horny scales abraded from the neck may be transferred to the strangulation device or to the interposed textiles where they are sometimes visible at stereomicroscopic examination or even to the naked eye as silver-grey particles. The morphologic features of the epidermal transfer due to hanging and ligature strangulation is demonstrated by 14 case examples. The biological traces may be sufficient for comparative DNA typing by means of PCR-based methods. In 9 out of the 14 cases, genomic DNA typing was successful. Analysis of mtDNA succeeded in another two cases, although genomic DNA could not be detected. Beside the accumulation of solid epidermic particles the paper describes deposition of serous and fatty tissue fluid at the ligature (mainly adjacent to skin ridges)....

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Suicide by Proxy: The Unintended Consequences of Public Executions in Eighteenth-Century Germany

Abstract

On May 24, 1704, at about ten in the morning, Agnes Catherina Schickin, a thirty-year-old serving woman from the town of Schorndorf in Württemberg arrived at the village of Krumhard. After asking for and receiving a glass of milk from a local peasant woman, Agnes was on her way out of the village when she saw four, in her words, “beautiful little boys” playing together by the roadside. She approached the children and asked for directions to Schorndorf. When one of the boys, Hans Michael Furch, the seven-year-old son of the local cowherder, said he knew the way, she offered him a gift and asked him to walk with her. The three other boys wanted to come along, too, but she dissuaded them. Agnes and the seven-year-old walked off into the forest alone.

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Suicide And Psychiatric Diagnosis: A Worldwide Perspective

The World Health Organization (WHO) compiles and disseminates data on mortality and morbidity reported by its Member States, according to one of its mandates. Since the WHO's inception in 1948, the number of Member States has grown continually and so has the WHO mortality data bank. From 11 countries reporting data on mortality in 1950, the number of countries involved increased to 74 in the year 1985. More than 100 Member States reported on mortality at some point in time.

Data from developed countries (mostly in the North of Europe and of America, and a few countries of the Western Pacific Region) are received on a mostly regular basis. Most developing countries (in Latin America, Asia and in the Eastern Mediterranean Region) report on an irregular basis; very few countries in Africa regularly report on mortality to WHO.

Deaths associated with suicide are an integral part of the WHO mortality data bank...

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The Self and the Psychology of Domestic Homicide-Suicide

Abstract

Men commit the vast majority of domestic homicide-suicides (H-Ss) wherein a person kills their intimate partner (and/or other family members) before taking their own life. Studies of men who commit H-S have looked at the act from psychopathology and evolutionary psychology viewpoints. To complement those approaches, this article presents additional views of domestic H-S. Applications of theories from social (escape from self), developmental (evolution of self and continuity of self), gender role (power and the male role), and family violence psychology (abusive personality and proximal antecedents of abuse) are outlined. These conceptualizations are offered because they pertain to instability and deconstruction of the self amidst the life changes and intimate distress that precede many cases of domestic H-S....

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Relationship Themes in Suicide Notes

Years ago I worked in a psychiatric emergency room in a large metropolitan hospital. My job consisted of evaluating a steady stream of patients to determine whether they should be hospitalized or sent elsewhere.

I saw people in the throes of mania, psychosis and suicidal depression. I still remember the man who asked if I was a witch who would place a spell on him. And the woman who came barreling at me down the hallway, warning, “You best get out of my way, or I’m going to go Ninja Turtle on your ass!” I remember the man who swallowed six bedsprings in a suicide attempt. And countless others with bandaged wrists, bruised necks, and broken souls. I learned a lot about the breadth and depth of human suffering.

One day I was waxing philosophical about suicide with one of the charge...

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