Multishot firearm suicide. Examination of 58 cases.

Suicide by firearm is a frequent mode of death and the most common mode of suicide in the United States. So typically is there but one bullet entrance would in the suicide victim, and so often are there multiple wounds with homicide that some investigators and the public are unaware or forget that the person intending suicide may discharge his gun into himself more than once. The frequency, incidence, and other characteristics of the phenomenon deserve more recognition. The data presented are from medical examiner reports and related material from 7,895 gunshot deaths, including 3,522 suicides by firearm, that occurred in North Carolina in the 7-year period 1972-1978. The 58 multishot firearm suicides represent 0.7% of all firearm deaths (one in 136) and 1.6% of forearm suicides (one in 61). Characteristics of the individual entrance wounds such as body regions involved and muzzle distance were the same as those of single shot cases. Long gun use was not rare, but 0.22 caliber handguns predominated. Other characteristics of weapon, victim, wounds, and situations are presented. Each of the cases was assessed by forensic pathologists as it was reported and was reviewed again for the study. The type of data presented is one advantage of a structured, centrally guided, statewide medical examiner system.