Nikolić Slobodan, Zivković Vladimir, Juković Fehim
Srp Arh Celok Lek. 2010 May-Jun;138(5-6):371-5. doi: 10.2298/sarh1006371n.
The term complex suicide refers to suicides in which multiple suicidal methods are utilized, as opposed to simple suicide successfully done after one attempt. In planned complex suicides two or more methods are employed simultaneously in order to make sure that death will occur after failure of previous attempt. In unplanned complex suicides, several other methods of suicide tried after the first chosen method either failed or was too painful.
We report two cases of unplanned complex suicides. The first case was a female who first tried to commit suicide by cutting the wrists, and then hanged herself. In the other case, a male first tried to commit suicide by stubbing his chest with a knife, and then jumped into a well and drowned himself. In both reported cases the second, successful suicidal method was of higher lethality score.
From the forensic point of view, the presence of several injuries of different origin strongly suggests infliction by other person. The event could be reconstructed, based on autopsy findings and traces found at the scene.
复合自杀这一术语指的是使用多种自杀方式的自杀行为,与单次尝试成功的简单自杀相对。在有计划的复合自杀中,会同时采用两种或更多种方式,以确保在先前尝试失败后死亡会发生。在无计划的复合自杀中,在首选的第一种自杀方式失败或过于痛苦后,会尝试其他几种自杀方式。
我们报告两例无计划的复合自杀病例。第一例是一名女性,她先试图割腕自杀,然后上吊自尽。另一例中,一名男性先试图用刀刺胸自杀,然后跳入井中溺亡。在这两例报告病例中,第二种成功的自杀方式致死率更高。
从法医角度来看,存在多种不同来源的损伤强烈提示系他人造成。基于尸检结果和现场发现的痕迹,可以重建事件经过。