Wyler D, Zollinger U
Institut für Rechtsmedizin der Universität Bern.
Arch Kriminol. 1997 Nov-Dec;200(5-6):154-8.
The best known but apparently rare method to commit suicide by the intake of drugs is the 'golden shot'. As a result of a criminalistic scrutiny in combination with an exploration of the medical history, the findings of the autopsy and the toxicological analysis it is often not possible to discriminate between an accidental and a suicidal intoxication. The manner of death is therefore in most cases undeterminable. The presented unusual suicide by a letal opiate intoxication do to sniffing the drug would not have been clarified, neither with a complete examination of the history, an entirely performed autopsy, the determination of the way of ingestion of the drug nor with a complete toxicological analysis. The diagnosis is based primarily on the availability of a farewell letter. This case demonstrates that it is very difficult to determine the manner of death. Examining drug addicts it is exceedingly important to perform an overall examination by visiting the scene, by inspecting there the corps and the environment and by performing a complete autopsy with toxilogical examinations.
最广为人知但显然罕见的通过摄入药物自杀的方法是“金三角注射”。由于刑事调查结合病史探究、尸检结果和毒理学分析,往往无法区分意外中毒和自杀中毒。因此,在大多数情况下,死亡方式无法确定。所呈现的因吸食毒品导致致命阿片类药物中毒的异常自杀案例,即便进行全面的病史检查、完整的尸检、确定药物摄入方式以及完整的毒理学分析,也无法厘清。诊断主要基于是否有遗书。该案例表明确定死亡方式非常困难。对吸毒者进行检查时,通过走访现场、检查尸体及其周围环境并进行完整的尸检和毒理学检查来进行全面检查极为重要。