Vadysinghe Amal Nishantha, Sivasubramanium Murugaphillai
Department of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, 20400, Sri Lanka.
JMO's Office, Teaching Hospital, Kandy, Kandy, Sri Lanka.
Forensic Sci Med Pathol. 2018 Sep;14(3):381-385. doi: 10.1007/s12024-018-9974-x. Epub 2018 Apr 16.
We present a unique case of suicidal hanging. The deceased was a 31-year-old male who was found hanging from a tree in a dense thicket, with his lower limbs in contact with the ground (partial suspension). There was an apparatus similar to a facial mask placed around his nose and mouth. A strong chemical smell was emanating from the apparatus, which was identified as chloroform (Formyl trichloride/CHCl). A ligature with a soft cloth beneath it was around his neck. A ligature mark was present around the neck. The decedent's blood alcohol levels were 112 mg/dl. The blood and stomach contents were negative for chloroform. A complete death investigation, including scene investigation and complete autopsy examination, confirmed the cause of death as hanging. The manner of death was suicide. This case highlights how the deceased had used several methods whilst committing suicide to minimize pain, including the inhalation of chloroform, which would have also resulted in the inability to engage in protective actions during the act.
我们呈现了一例独特的自杀性缢吊案例。死者是一名31岁男性,被发现悬吊于一片茂密灌木丛中的树上,其下肢接触地面(部分悬空)。在他的口鼻周围有一个类似面罩的装置。该装置散发出强烈的化学气味,经鉴定为氯仿(三氯甲烷/CHCl₃)。一条下面垫有软布的绳索绕在他的脖子上。颈部有勒痕。死者的血液酒精含量为112毫克/分升。血液和胃内容物中氯仿检测呈阴性。包括现场勘查和完整尸检在内的全面死因调查证实,死因是缢吊。死亡方式为自杀。该案例凸显了死者在自杀过程中使用了多种方法来减轻痛苦,包括吸入氯仿,这也导致其在自杀行为中无法采取保护措施。