Behrendt N, Modvig J
Institute of Forensic Medicine, University of Copenhagen, Denmark.
Am J Forensic Med Pathol. 1995 Sep;16(3):232-7.
A new definition of accidental autoerotic death (AAD) is proposed. A death is an AAD if it is solitary, accidental, and caused by a lethal paraphilia. On the basis of a series of 46 AADs, all occurring among men in the period 1933-1990 in Denmark, the definition cannot be rejected. A paraphilia is regarded as lethal if it is inherently life-threatening. The results of this study have been related to previous reports of similar autoerotic deaths in the literature. It is suggested that the present distinction between asphyxial AAD as typical and nonasphyxial ADD as atypical be replaced with lethal paraphilia with accompanying nonlethal paraphilia or props as typical AAD and lethal paraphilia with no accompanying nonlethal paraphilia or props as atypical AAD.
本文提出了意外性自淫死亡（AAD）的新定义。如果死亡是单独发生、意外且由致死性性偏好障碍导致的，那么该死亡即为意外性自淫死亡。基于1933年至1990年间丹麦发生的一系列46例意外性自淫死亡案例，且所有案例均发生在男性中，该定义无法被否定。如果一种性偏好障碍本质上危及生命，那么它就被视为致死性的。本研究结果与文献中先前关于类似自淫死亡的报告相关。建议将目前典型的窒息性意外性自淫死亡与非窒息性意外性自淫死亡的区分，替换为伴有非致死性性偏好障碍或道具的致死性性偏好障碍作为典型意外性自淫死亡，以及不伴有非致死性性偏好障碍或道具的致死性性偏好障碍作为非典型意外性自淫死亡。
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