The medico-legal assessment of potentially self-inflicted injuries is an important field of clinical forensic medicine. Compared with sharp force injuries, it is much more difficult to distinguish blunt injuries caused by another party from self-inflicted lesions. We present a case of a young female doctor, who was allegedly attacked by an unknown stranger during her evening walk in the woods. She claimed to have been hit repeatedly on the head and arms with a stone. During the forensic investigation, blunt injuries could be confirmed on her head and forearms. Based on the arrangement and intensity of the injuries, together with the result of a bloodstain pattern analysis of the weapon, the victim's statement could be disproved. After being confronted with the results of the investigation, the woman admitted to have inflicted the injuries herself. This case is an unusual and rare example of self-inflicted blunt injury. It shows that the criteria of self-inflicted injuries can also be applied to blunt trauma. However, due to the small number of cases, a high degree of caution is required from the forensic expert.

Download full-text PDF

Source

Publication Analysis

Top Keywords

self-inflicted blunt
8
self-inflicted injuries
8
blunt injuries
8
injuries
7
self-inflicted
5
blunt
5
[alleged assault
4
assault forest
4
forest unusual
4
unusual case
4

Similar Publications

Article Synopsis
  • Traumatic brain injury (TBI) presents global health challenges, while penetrating brain injury (PBI) is under-researched, prompting a study comparing PBI and blunt TBI outcomes using data from the Trauma Quality Improvement Program.
  • The study found that PBI patients had a significantly higher mortality rate (33.9% vs. 14.3%) and worse outcomes compared to matched blunt TBI patients, with many deaths linked to withdrawal of life-sustaining treatments occurring sooner in PBI cases.
  • Findings suggest a need to reevaluate conventional TBI classifications based on Glasgow Coma Scale scores and to focus on understanding the unique factors contributing to PBI outcomes to enhance patient care and reduce mortality rates.
View Article and Find Full Text PDF

The Role of Fingernails in Death Investigation.

Am J Forensic Med Pathol

September 2024

From the Department of Forensic Medicine and Toxicology, Lt BRKM Govt Medical College, Dimrapal, Jagdalpur, Chhattisgarh, India.

In forensic pathology, forensic onychology studies fingernails and toenails for medicolegal purposes. It mainly deals with DNA profiling from nails, toxicological analysis for detecting poisons, and the collection of trace evidence present under the nails. Injuries to fingernails and their interpretation for medicolegal purposes are the neglected areas of this study.

View Article and Find Full Text PDF

Imaging of alert patients after non-self-inflicted strangulation: MRI is superior to CT.

Eur Radiol

June 2024

Institute of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Objective: To assess the accuracy of CT and MRI reports of alert patients presenting after non-self-inflicted strangulation (NSIS) and evaluate the appropriateness of these imaging modalities in NSIS.

Material And Methods: The study was a retrospective analysis of patient characteristics and strangulation details, with a comparison of original radiology reports (ORR) to expert read-outs (EXR) of CT and MRI studies of all NSIS cases seen from 2008 to 2020 at a single centre.

Results: The study included 116 patients (71% women, p < .

View Article and Find Full Text PDF

Objectives: to analyze the epidemiological profile of aggression victims admitted at the emergency room on a trauma hospital during the COVID-19 pandemic, to compare these data in different restriction periods and with prepandemic data from the same service.

Methods: cross-sectional study with probabilistic sampling using medical records of patients who were victims of aggression admitted at the hospital between June 2020 and May 2021. In addition to the epidemiological variables, other variables collected were the current restriction level, mechanism of aggression, resulting injuries and the Revised Trauma Score (RTS).

View Article and Find Full Text PDF

Cardiac injuries are rare but potentially life-threatening, with a significant proportion of victims dying before arrival at the hospital. The in-hospital mortality among patients who arrive in-hospital alive also remains significantly high, despite major advancements in trauma care including the continuous updating of the Advanced Trauma Life Support (ATLS) program. Stab and gunshot wounds due to assault or self-inflicted injuries are the common causes of penetrating cardiac injuries, while motor vehicular accidents and fall from height are attributable causes of blunt cardiac injury.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!