Archiv für Kriminologie
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Archiv für Kriminologie · Mar 2017
Deaths in Hamburg prisons 1996-2012 - Recommendations on suicide prevention in prison custody.
130 cases of prisoner deaths in Hamburg were examined in a doctoral thesis providing the basis for this study (P e t ers en 2016). Compared with previous assessments, prisoners live longer and are slightly more likely to die of natural causes, the most common cause of death being heart attack. Also, medical care in prisons has significantly improved - some prisoners in fact receive better treatment while incarcerated as compared to outside of prison. ⋯ Overall, the rate of prison suicides is slightly decreasing. Prisoners today live longer and mostly die of lifestyle diseases, particularly heart attacks. However, they are still significantly more likely to take their own life than individuals living in freedom.
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Archiv für Kriminologie · Nov 2016
Case ReportsUnusual planned complex suicide committed with a muzzle-loading pistol in combination with subsequent hanging.
In Germany, suicides by firearms are not very common in contrast to deaths by hanging and intoxications. The use of historical muzzle-loading firearms in the context of suicides is a rarity. Contact shots from muzzle loaders cause an unusual wound morphology with extensive soot soiling. ⋯ The gunshot injury showed strong explosive effects in the oral cavity with fractures of the facial bones and the skull associated with cerebral evisceration (so-called Krönlein shot). Due to the special constellation of the case with hanging immediately after the shot, external bleeding from the head injuries was only moderate. Therefore, the head injuries could be assessed and partially reconstructed already at the scene.
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Archiv für Kriminologie · Jul 2015
Review[Pre- and perimortem bone trauma vs. postmortem damages-- Principles of differentiation].
In medicolegal practice, evidence of trauma or damage on human skeletons or single bones raises the question whether this was inflicted in an antemortem, perimortem, or postmortem time frame. Trauma that occurred around the time of death, i. e., perimortem trauma, is of special forensic interest, as it can yield clues about the manner and cause of death. Perimortem traumas thus need to be carefully distinguished both from antemortem injuries that were evidently survived (these can still be useful for identification purposes) and from postmortem damage, as may occur during retrieval of remains. ⋯ The difficulty of distinguishing antemortem trauma and postmortem damage from perimortem trauma rises sharply the closer in time they were inflicted to the time of the death event. Additional postmortem changes due to exposure of the bones to the surrounding deposition conditions may also occur after the relevant postmortem damage or antemortem trauma was inflicted and further complicate the problem. In this context, the "perimortem interval" and the "Fracture Freshness Index" (FFI) are discussed as means to classify the time frame of traumas.
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Archiv für Kriminologie · May 2015
Case Reports[Wrong statement of manner of death after insufficient post-mortem examination].
When death certificates already completed are submitted during forensic post-mortem examinations or autopsies, blatant errors are often found, especially with regard to the classification of the manner of death. This is partly attributable to insufficient knowledge of the classification criteria, but also to the fact that the post-mortem examination was not properly performed and even clear signs of unnatural death (e.g. a strangulation mark or sharp force injuries) are overlooked. To avoid such misinterpretations, a thorough reformation of the post-mortem examination system and a regular continuing specialized training of the physicians performing post-mortems seem necessary.
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Archiv für Kriminologie · Nov 2014
Case Reports[Alleged assault in a forest: An unusual case of self-inflicted blunt injury].
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. ⋯ 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.