Petković Stojan, Maletin Miljen, Durendić-Brenesel Maja
Institute of Forensic Medicine, Clinical Center of Vojvodina, Hajduk Veljkova 5-7, 21000 Novi Sad, Serbia.
J Forensic Sci. 2011 Sep;56(5):1368-72. doi: 10.1111/j.1556-4029.2011.01821.x. Epub 2011 Jun 3.
Complex suicides (CSs) are committed by using more than one method. They account for 1.5-5% of all suicides. We present a case of CSs of a 44-year-old man, found dead in the vicinity of his car, in a deserted frozen field. Police investigation excluded homicide, and no medical data confirmed mental illnesses. Autopsy revealed wrist cuts, neck cuts, acid burns in the GI tract, multiple stab wounds to the head by a screwdriver, and several uncertain signs of hypothermia. Toxicology analysis (gas chromatography-mass spectrometry) confirmed ingestion of insecticide. We concluded that stab wounds to the head were the cause of death, while external hemorrhage and hypothermia were contributing factors. This is the first case of CSs reviewed in the literature where six suicide methods were applied. This particular case is interesting because the victim used a screwdriver as a tool for inflicting stab wounds to the head, which is a rare suicidal method.
复合自杀（CSs）是指使用多种方法实施的自杀行为。它们占所有自杀行为的1.5%-5%。我们报告一例44岁男性的复合自杀案例，该男子被发现死于其汽车附近一片荒芜的冻土带。警方调查排除了他杀，且没有医学数据证实存在精神疾病。尸检发现手腕切割伤、颈部切割伤、胃肠道酸性灼伤、头部多处被螺丝刀刺伤以及一些不确定的低温迹象。毒理学分析（气相色谱-质谱联用）证实摄入了杀虫剂。我们得出结论，头部刺伤是死因，而外部出血和低温是促成因素。这是文献中报道的首例应用六种自杀方法的复合自杀案例。这个特殊案例很有意思，因为受害者使用螺丝刀作为刺伤头部的工具，这是一种罕见的自杀方式。
