Department of Medical and Surgical Sciences, Unit of Legal Medicine, University of Bologna, Via Irnerio 49, 40126, Bologna, Italy.
Leg Med (Tokyo). 2024 Feb;66:102357. doi: 10.1016/j.legalmed.2023.102357. Epub 2023 Nov 14.
Distinguishing between homicides, suicides, and accidental deaths remains a challenging task. The examination of actual cases, which involve a multitude of variables, significantly contributes to our understanding of these matters. In this context, we present three distinct cases that required the involvement of various specialists to conduct a thorough analysis of the manner of death. In the first case, the integration of on-site inspection, autopsy, radiological, and kinematic data enabled the identification of a homicidal death. In the second case, the combination of circumstantial evidence, autopsy findings, toxicological analysis, and meteorological data revealed an atypical accidental death resulting from an attempted suicide. In the third case, radiological findings, supplemented with criteria from forensic science, indicated an accidental manner of death. In all reported cases, a multidisciplinary approach played a pivotal role in the differential diagnosis of the manner of death.
区分凶杀、自杀和意外死亡仍然是一项具有挑战性的任务。对涉及多种变量的实际案例的研究,极大地增进了我们对这些问题的理解。在这方面,我们呈现了三个不同的案例,这些案例需要涉及各种专家来对死亡方式进行全面分析。在第一个案例中,现场勘查、尸检、影像学和运动学数据的综合运用,使得凶杀死亡的鉴定成为可能。在第二个案例中,结合间接证据、尸检结果、毒理学分析和气象数据,揭示了一起因自杀未遂而导致的非典型意外死亡。在第三个案例中,影像学发现结合法医学标准,表明了意外的死亡方式。在所有报告的案例中,多学科方法在死亡方式的鉴别诊断中发挥了关键作用。