Suicide by injecting lispro insulin with an intravenous cannula

Suicide by injecting insulin is not uncommon both in diabetic and non-diabetic people. The victim usually uses an insulin syringe or a traditional syringe attached to a needle for the injection of insulin, of either animal or synthetic origin. We report a case of suicide by a non-diabetic physician by injecting lispro insulin through an intravenous cannula. To the best of our knowledge, the use of an intravenous cannula for the injection of insulin for suicide is unusual and is rarely reported in the medico-legal literature.

[1]  M. Pompili,et al.  Suicide risk in type 1 diabetes mellitus: A systematic review. , 2014, Journal of psychosomatic research.

[2]  Don N. Reeder,et al.  Life‐Threatening Hypoglycemia Associated with Intentional Insulin Ingestion , 2013, Pharmacotherapy.

[3]  A. Altınok,et al.  Insulin glargine overdose , 2012, Journal of pharmacology & pharmacotherapeutics.

[4]  Michael Lu,et al.  Lantus insulin overdose: a case report. , 2011, The Journal of emergency medicine.

[5]  J. Leikin,et al.  Massive Insulin Overdose Managed by Monitoring Daily Insulin Levels , 2011, American journal of therapeutics.

[6]  C. Ersoy,et al.  Suicide attempt of a physician with 3600 units of insulin and rapid onset acute hepatitis , 2009, Internal medicine journal.

[7]  B. Katzung,et al.  Basic and Clinical Pharmacology, 11th Edition , 2009 .

[8]  R. Menezes,et al.  Suicide by Combined Insulin and Glipizide Overdose in a Non-Insulin Dependent Diabetes Mellitus Physician , 2006, Medicine, Science and the Law.

[9]  S. Nikolić,et al.  [A suicide by insulin injection--case report]. , 2006, Srpski arhiv za celokupno lekarstvo.

[10]  M. Bunc,et al.  Prolonged hypoglycaemia after insulin lispro overdose. , 2005, European journal of emergency medicine : official journal of the European Society for Emergency Medicine.

[11]  I. Tatsuno,et al.  Acute pulmonary edema caused by hypoglycemia due to insulin overdose. , 2004, Internal medicine.

[12]  T. Tofade,et al.  Intentional Overdose with Insulin Glargine and Insulin Aspart , 2004, Pharmacotherapy.

[13]  M. Tsokos,et al.  Suicide by insulin injection in combination with β-blocker application , 2000 .

[14]  M. Tsokos,et al.  Suicide by insulin injection in combination with beta-blocker application. , 2000, Forensic Science International.

[15]  G. C. Rodgers.  Ellenhorn's Medical Toxicology: Diagnosis and Treatment of Human Poisoning , 1997 .

[16]  Clinical practice guidelines for treatment of diabetes mellitus. Expert Committee of the Canadian Diabetes Advisory Board. , 1992, CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne.

[17]  Y. Kaminer,et al.  Attempted suicide by insulin overdose in insulin-dependent diabetic adolescents. , 1988, Pediatrics.

[18]  F. Martin,et al.  ATTEMPTED SUICIDE BY INSULIN OVERDOSE IN INSULIN‐REQUIRING DIABETICS , 1977, The Medical journal of Australia.