Sharp Force Injury Fatalities: A Retrospective Study (1982–2012) in Brescia (Italy)

A retrospective study was carried out on postmortem examination data of 131 sharp force‐related casualties recorded by the Brescia Institute of Forensic Medicine between 1982 and 2012. The objective was to identify relevant parameters that may be used to distinguish the manner of deaths between homicide, suicide, and accident. The following variables were considered: manner of death; demographic data; scene; type of sharp object; location and numbers of wounds; the presence of hesitation marks/defense wounds; toxicological findings; psychiatric history. There were 92 homicides, 28 suicides, and 11 accidents. Most victims were male, with an average age of 43. Injuries in isolation were present in 9.8% of homicides, in 35.7% of suicides, and in 54.5% of accidents. Most injuries involved the left anterior chest in homicides and the forearms in suicides. This study underlines the importance of a meticulous postmortem examination of injuries on the body and their relationship with other results from the death scene investigation.

[1]  Peter Mygind Leth,et al.  Sharp force injury , 2014 .

[2]  S. Harish,et al.  Study of defence injuries in homicidal deaths - An autopsy study. , 2012, Journal of forensic and legal medicine.

[3]  S. Beh,et al.  Injury patterns of sharp instrument homicides in Hong Kong. , 2011, Forensic science international.

[4]  M. Bohnert,et al.  Stab or throw? Biomechanical studies on the injuring potential of glass fragments. , 2010, Forensic science international.

[5]  C. Fermanian,et al.  Homicidal and suicidal sharp force fatalities: autopsy parameters in relation to the manner of death. , 2010, Forensic science international.

[6]  W. Grellner,et al.  Unusual suicides of young women with tentative cuts and fatal neck injuries by chain saw and circular saw. , 2009, Forensic science international.

[7]  T. Fracasso,et al.  A glass fragment for a dagger--never mind your own hand. , 2009, Forensic science international.

[8]  T. Magalhães,et al.  Suicide by sharp force injuries--a study in Oporto. , 2009, Legal medicine.

[9]  H. Nushida,et al.  Suicide by a circular saw. , 2008, Forensic science international.

[10]  M. Bohnert,et al.  Injuring potential of drinking glasses. , 2008, Forensic science international.

[11]  S. Racette,et al.  Suicidal and homicidal sharp force injury: a 5-year retrospective comparative study of hesitation marks and defense wounds , 2008, Forensic science, medicine, and pathology.

[12]  T. Kondo,et al.  Retrospective study on suicidal cases by sharp force injuries. , 2008, Journal of forensic and legal medicine.

[13]  M. Mohanty,et al.  Self-defense injuries in homicidal deaths. , 2007, Journal of forensic and legal medicine.

[14]  S. Pollak,et al.  Sharp force injuries in clinical forensic medicine--findings in victims and perpetrators. , 2006, Forensic science international.

[15]  Vipul Namdeorao Ambade,et al.  Comparison of wound patterns in homicide by sharp and blunt force. , 2006, Forensic science international.

[16]  F. Patel,et al.  Patterns of non-firearm homicide. , 2005, Journal of Clinical Forensic Medicine.

[17]  L. Desinan,et al.  Sharp force fatalities: suicide, homicide or accident? A series of 21 cases. , 2005, Forensic science international.

[18]  N. Telmon,et al.  Homicide-Suicide by Stabbing Study Over 10 Years in the Toulouse Region , 2004, The American journal of forensic medicine and pathology.

[19]  M. Paganelli,et al.  La lesività da arma bianca nel settorato medico-legale genovese nel decennio 1994-2003 , 2004 .

[20]  A. Dettling,et al.  Criteria for homicide and suicide on victims of extended suicide due to sharp force injury. , 2003, Forensic science international.

[21]  M. Sharpe,et al.  Psychological autopsy studies of suicide: a systematic review , 2003, Psychological Medicine.

[22]  J. Gill,et al.  Sharp injury fatalities in New York City. , 2002, Journal of forensic sciences.

[23]  R. Byard,et al.  Clinicopathologic Features of Fatal Self-Inflicted Incised and Stab Wounds: A 20-Year Study , 2002, The American journal of forensic medicine and pathology.

[24]  M. Rothschild,et al.  Accidental sharp force fatalities--beware of architectural glass, not knives. , 2001, Forensic science international.

[25]  J. Prahlow,et al.  Accidental Sharp Force Injury Fatalities , 2001, The American journal of forensic medicine and pathology.

[26]  B. Karger,et al.  Suicide by more than 90 stab wounds including perforation of the skull , 2001, International Journal of Legal Medicine.

[27]  V. Schneider,et al.  Puncture wounds caused by glass mistaken for with stab wounds with a knife. , 2001, Forensic science international.

[28]  M. Dembo,et al.  Wounds Caused by Pointed and Sharp-Edged Weapons , 2001 .

[29]  H. Hougen,et al.  Homicide by sharp force in two Scandinavian capitals. , 2000, Forensic science international.

[30]  B. Karger,et al.  Suicides by sharp force: typical and atypical features , 2000, International Journal of Legal Medicine.

[31]  T. Karlsson.  Homicidal and suicidal sharp force fatalities in Stockholm, Sweden. Orientation of entrance wounds in stabs gives information in the classification. , 1998, Forensic science international.

[32]  T. Ohshima,et al.  Eight cases of suicide by self-cutting or -stabbing: consideration from medico-legal viewpoints of differentiation between suicide and homicide. , 1997, Journal of clinical forensic medicine.

[33]  B. Brinkmann,et al.  Unusual self-inflicted injuries simulating a criminal offence , 1997, Zeitschrift für Rechtsmedizin.

[34]  U. Katkıcı,et al.  An autopsy evaluation of defence wounds in 195 homicidal deaths due to stabbing. , 1994, Journal - Forensic Science Society.

[35]  D. Rouse.  Patterns of Stab Wounds: A Six Year Study , 1994, Medicine, science, and the law.

[36]  M. A. Green,et al.  Suicide by self-stabbing. , 1992, Forensic science international.

[37]  R. Cowling,et al.  Murder by stabbing. , 1991, Forensic science international.

[38]  M. A. Green,et al.  Hilts and Knives: A Survey of Ten Years of Fatal Stabbings , 1987, Medicine, science, and the law.

[39]  Russell S. Fisher,et al.  Spitz and Fisher's Medicolegal Investigation of Death: Guidelines for the Application of Pathology to Crime Investigation , 2005 .