Cywka Tomasz, Milaszkiewicz Anna, Teresiński Grzegorz
Katedra i Zakład Medycyny Sądowej, Uniwersytet Medyczny w Lublinie, Polska.
Arch Med Sadowej Kryminol. 2019;69(3):100-107. doi: 10.5114/amsik.2019.94227.
One of the main problems encountered in medico-legal assessment of injuries suffered as a result of falling from a height is the discrimination between the effects of accidental and suicidal falls. The aim of the study was to verify the prevalence of injuries involving different regions of the osteoarticular system in groups of victims of attempted suicide and fatal accidents according to the method proposed by Teh et al. The study material consisted of the findings of extended post-mortem examinations of 114 victims of falls from a height, which were conducted in the Department of Forensic Medicine in Lublin. The post-mortem results were compared with the data found in corresponding prosecutorial case files. The results of the study indicate a higher prevalence of osteoarticular injuries within the pelvis and lower limbs in the group of suicide victims, which correlates with the results reported by Teh et al. An analysis of injuries in different body regions in accordance with the reported method can be useful in determining the circumstances of falling from a height.
在对高处坠落所致损伤进行法医学评估时遇到的主要问题之一,是区分意外坠落和自杀性坠落的影响。本研究的目的是根据Teh等人提出的方法,核实自杀未遂和致命事故受害者群体中涉及骨-关节系统不同区域损伤的发生率。研究材料包括在卢布林法医学系对114名高处坠落受害者进行的详细尸检结果。将尸检结果与相应检察案件档案中的数据进行比较。研究结果表明,自杀受害者组中骨盆和下肢骨-关节损伤的发生率较高,这与Teh等人报告的结果相关。按照所报告的方法对不同身体区域的损伤进行分析,有助于确定高处坠落的情况。