Dean Dorothy E, Kohler Lisa J, Sterbenz George C, Gillespie Patrick J, Gonzaga Niki S, Bauer Laurie J, Looman Karen, Owens O'dell
Office of the Summit County Medical Examiner, Summit County, Akron, OH 44308, USA.
J Forensic Sci. 2012 Sep;57(5):1226-30. doi: 10.1111/j.1556-4029.2012.02230.x. Epub 2012 Jul 30.
Many studies have been published regarding suicidal hanging deaths, and most forensic pathologists and coroners are very familiar with such causes of death. Forensic pathologists are challenged over their rulings regarding manner of death in part because the general public has a limited scope of knowledge. One such challenge centers on the question of whether a hanging can be a suicide if the individual is not fully suspended. The authors designed a retrospective study to review suspension in hangings and to analyze other criteria used to help in deciding manner of death. We examined 229 suicidal hanging deaths over an 11-year period (1997 through early 2009) using the data from two separate jurisdictions in Ohio. In conclusion, we found that the vast majority (83.4%) of people who hanged themselves were found partially suspended. Among other criteria analyzed, only the presence of petechial hemorrhages and acute neck injury was statistically significant.
关于自杀性缢死死亡已有许多研究发表，大多数法医病理学家和验尸官都非常熟悉此类死因。法医病理学家在死亡方式的判定上面临挑战，部分原因是普通大众的知识范围有限。其中一个挑战集中在，如果个体没有完全悬吊，缢死是否还能判定为自杀这一问题上。作者设计了一项回顾性研究，以审查缢死中的悬吊情况，并分析用于协助判定死亡方式的其他标准。我们利用俄亥俄州两个不同辖区的数据，对11年期间（1997年至2009年初）的229例自杀性缢死死亡案例进行了研究。总之，我们发现绝大多数（83.4%）自缢者被发现处于部分悬吊状态。在分析的其他标准中，只有瘀点性出血和急性颈部损伤具有统计学意义。
