Doberentz Elke, Hagemeier Lars, Madea Burkhard
Institut für Rechtsmedizin der Rheinischen Friedrich-Wilhelms-Universität Bonn.
Arch Kriminol. 2013 Jul-Aug;232(1-2):34-42.
Hanging is still the most common suicide method among men and women, even in high age groups. There are many variations of hanging. As compared to the body weight, only a relatively small force is necessary to obstruct the carotid arteries. In this way hanging in a sitting, kneeling or even lying position is possible. Such an exceptional case is presented here. A 99-year-old, multi-morbid man (47 kg, 159 cm) was found lying strangled in his hospital bed. The ligature used was a stiff spiral cable for remote control of the bed, which was directly attached to the wall behind its head end. The position allowed compression of the neck vessels, which resulted in marked congestion of the head, numerous petechial and confluent haemorrhages in the facial skin as well as blood loss from both ear canals. In the cervical soft tissue above the ligature, bleeding into the muscles and connective tissue as well as multiple haemorrhages in the tongue were found. Reconstruction at scene showed that suicide was possible. In such unusual cases, extensive police investigations, forensic autopsy and reconstruction of the course of events to prove feasibility are essential.
即使在高龄人群中，上吊仍是男性和女性最常见的自杀方式。上吊有多种形式。与体重相比，只需相对较小的力量就能压迫颈动脉。这样一来，坐着、跪着甚至躺着上吊都是可能的。本文介绍了这样一个特殊案例。一名99岁、患有多种疾病的男性（体重47千克，身高159厘米）被发现勒死在医院病床上。所用的勒绳是一根用于控制病床的硬螺旋电缆，直接系在床头后方的墙上。这种姿势能够压迫颈部血管，导致头部明显充血，面部皮肤出现大量瘀点和融合性出血，双侧耳道也有失血。在勒绳上方的颈部软组织中，发现肌肉和结缔组织出血以及舌头多处出血。现场重建表明存在自杀的可能性。在这种不寻常的案例中，警方进行广泛调查、法医尸检以及对事件过程进行重建以证明可行性至关重要。
