Al-Sabaileh Shrouq, Abusamak Mohammad, Al-Buqour Ali K, Mehaisen Lama, Sabayleh Radwan Shaher, Abusamak Talal M
Department of Forensic Medicine, Al-Balqa Applied University, As-Salt, JOR.
Department of Special Surgery, Al-Balqa Applied University, As-Salt, JOR.
Cureus. 2024 Jun 22;16(6):e62883. doi: 10.7759/cureus.62883. eCollection 2024 Jun.
Background There is a global increase in the number of deaths caused by violent neck asphyxia, which includes both suicides and homicides. This research presents autopsy-based findings and analytical demographic data that are pertinent to significant medicolegal cases. Methods A retrospective examination of 113 autopsy reports of non-accidental violent neck asphyxia reported to the forensic pathology department of Al-Balqa Governorate in Jordan within the period from January 2010 to March 2023. Age, gender, and autopsy results were documented, along with medicolegal records that included toxicology reports. Conversely, information on the manner of death was derived from police inquest records. For the purpose of this research, all the cases of throttling and ligature strangulation have been determined to be homicidal, and all cases of hanging were classified as suicide. Results Males were predominant in hanging (72%), while females were predominant in ligature strangulation (82%). The mean age group in hanging was 21-35 years (51%), while the range for throttling was 36-50 years, and that in strangulation was 2-20 years. Most hanging and throttling cases showed typical external neck findings. Seventy-two percent of hanging cases (n = 68) did not exhibit any internal neck findings, while all throttling cases yielded positive results. Both hanging and strangulation by ligature cases exhibited an absence of thyroid cartilage fracture (83%). Eighty-nine cases (95%) of hanging did not exhibit any injuries to the rest of the body. However, all cases of throttling and ligature strangulation had an almost positive external body injury. In all cases of throttling and ligature strangulation, ocular petechial hemorrhage was present, whereas one-third of the hanging cases had it. Conclusion The forensic doctor must observe the pattern of ligature marks and other signs of physical assault found on the neck, meticulously examine the rest of the body, rule out other causes of death, and cooperate with the legal authorities regarding the collection of the history and death scene findings to accurately determine the manner and mechanism of death in cases of violent neck asphyxia.
背景 因暴力性颈部窒息导致的死亡人数在全球呈上升趋势，其中包括自杀和他杀。本研究展示了基于尸检的结果以及与重大法医学案例相关的分析性人口统计学数据。方法 对2010年1月至2023年3月期间向约旦拜勒加省法医病理科报告的113例非意外暴力性颈部窒息尸检报告进行回顾性检查。记录年龄、性别和尸检结果，以及包括毒理学报告在内的法医学记录。相反，死亡方式的信息来自警方调查记录。为了本研究的目的，所有勒颈和绞勒案件均被判定为他杀，所有缢死案件均被归类为自杀。结果 在缢死案件中男性占主导（72%），而在绞勒案件中女性占主导（82%）。缢死的平均年龄组为21 - 35岁（51%），勒颈的年龄范围为36 - 50岁，绞勒的年龄范围为2 - 20岁。大多数缢死和勒颈案件显示出典型的颈部外部表现。72%的缢死案件（n = 68）未表现出任何颈部内部表现，而所有勒颈案件均有阳性结果。缢死和绞勒案件均未出现甲状软骨骨折（83%）。89例（95%）缢死案件身体其他部位未出现任何损伤。然而，所有勒颈和绞勒案件身体外部几乎均有损伤。在所有勒颈和绞勒案件中均存在眼部点状出血，而三分之一的缢死案件有此现象。结论 法医必须观察颈部发现的勒痕模式和其他身体攻击迹象，仔细检查身体其他部位，排除其他死因，并就病史和死亡现场发现的收集与法律当局合作，以准确确定暴力性颈部窒息案件的死亡方式和机制。
