The last jump: epidemiology of suicides at the Tour Eiffel (Paris) between 1950 and 1989
AbstractThe Eiffel Tower (Paris, France) has been attracting many candidates for suicide over the years. The aim of this study was to determine the patterns of people who committed suicide by jumping. Permission to access the unpublished records of the Paris Police Prefecture made it possible to compile press articles related to suicides from April 1950 to March 1989. 155 articles corresponding to 79 cases were kept for analysis. There were significantly more males (66%), as compared with an expected theoretical distribution of 1/2 for each sex (p = 0.002). Median age was 38.0 years old. Suicide peak was reached durin...
Source: Forensic Science, Medicine, and Pathology - December 12, 2023 Category: Forensic Medicine Source Type: research

More on: ‘the role of restraint in fatal excited delirium syndrome’
(Source: Forensic Science, Medicine, and Pathology)
Source: Forensic Science, Medicine, and Pathology - December 12, 2023 Category: Forensic Medicine Source Type: research

Fatal coronary perforation during percutaneous coronary intervention: The medico-legal interest in establishing the correlation between in vivo imaging and post-mortem histopathology
AbstractA 64-year-old man diagnosed with chronic coronary syndrome (CCS) underwent elective percutaneous coronary intervention (PCI) to place a stent in a branch of the first diagonal artery. Fifteen minutes after the procedure, the patient suffered a cardiac arrest, which was subsequently determined to be caused by cardiac tamponade identified through ultrasound examination. Despite an hour of cardiopulmonary resuscitation, the patient died and a forensic investigation was requested by the public prosecutor. On review of the coronary angiography images, an extravasation of contrast was noted, which was classified as a typ...
Source: Forensic Science, Medicine, and Pathology - December 10, 2023 Category: Forensic Medicine Source Type: research

Uncommon variant of total anomalous pulmonary venous drainage in an infant with sudden death: a case report and review of the literature
We present a 4-week-old boy with a hitherto unreported variant of TAPVD who died suddenly soon after presentation to our emergency department. At autopsy, we found both pulmonary veins draining abnormally into the pulmonary artery and an atrial septal defect. We wish to emphasize that examination of the major vessels and their connections should be done in situ in all autopsies of unexpected deaths in infants and children, even if there were no symptoms and signs in the ante-mortem period and despite the clinical picture not being suggestive of TAPVD. (Source: Forensic Science, Medicine, and Pathology)
Source: Forensic Science, Medicine, and Pathology - December 1, 2023 Category: Forensic Medicine Source Type: research

Letter regarding Ledinek et al. ’s “Death from exsanguination due to power drill injuries in a complex suicide”
(Source: Forensic Science, Medicine, and Pathology)
Source: Forensic Science, Medicine, and Pathology - December 1, 2023 Category: Forensic Medicine Source Type: research

Premature burial
AbstractThe fear of being buried alive or taphophobia remains a significant concern for a number of individuals. In previous centuries however, reports of live burials were frequently promulgated in the media fostering an industry focused around the manufacturing and selling of security coffins which either facilitated egress or enabled the recently buried to alert those on the surface to their plight. Holding mortuaries with resuscitation facilities were also established mainly in Continental Europe to permit close observation of the recently deceased until definitive signs of putrefaction had developed. Underpinning much...
Source: Forensic Science, Medicine, and Pathology - December 1, 2023 Category: Forensic Medicine Source Type: research

Women ’s sexual abuse: forensic-gynecologic expertise experiences
ConclusionIn conclusion, it should be mentioned that the mentioned medical problems can be solved by constant education of all professional medical participants, permanent court experts with experience, coordination and subordination of expert gynecological and forensic societies in cooperation with the state attorney's office, courts and police, and social service. (Source: Forensic Science, Medicine, and Pathology)
Source: Forensic Science, Medicine, and Pathology - December 1, 2023 Category: Forensic Medicine Source Type: research

Injury distribution and severity in suicidal versus accidental fall from heights: need for a multifactorial consideration
(Source: Forensic Science, Medicine, and Pathology)
Source: Forensic Science, Medicine, and Pathology - December 1, 2023 Category: Forensic Medicine Source Type: research

Uncommon variant of total anomalous pulmonary venous drainage in an infant with sudden death: a case report and review of the literature
We present a 4-week-old boy with a hitherto unreported variant of TAPVD who died suddenly soon after presentation to our emergency department. At autopsy, we found both pulmonary veins draining abnormally into the pulmonary artery and an atrial septal defect. We wish to emphasize that examination of the major vessels and their connections should be done in situ in all autopsies of unexpected deaths in infants and children, even if there were no symptoms and signs in the ante-mortem period and despite the clinical picture not being suggestive of TAPVD. (Source: Forensic Science, Medicine, and Pathology)
Source: Forensic Science, Medicine, and Pathology - December 1, 2023 Category: Forensic Medicine Source Type: research

Two case reports of fatal injuries sustained from tear gas guns loaded with pebbles as missiles
AbstractThese two case reports are of fatal injuries from less-lethal weapons (tear gas guns) using pebbles as an unconventional ammunition. Reported here are the fatal outcomes of two 19-year-old males, one with head trauma and the other with abdominal trauma. They were admitted to the ED and subjected to immediate exploratory operations, but they passed away. On autopsy, the first case demonstrated a right frontal bone fracture with subdural hemorrhage and a 3  × 2.5 cm pebble retained in the skull. The second case showed severe liver laceration in close vicinity to a cubical pebble (3.2 × 3 cm). The mechanic...
Source: Forensic Science, Medicine, and Pathology - November 30, 2023 Category: Forensic Medicine Source Type: research

Comparison of all completed suicides in Frankfurt am Main (Hessen) before and during the early COVID-19 pandemic
AbstractTo research the effect of the COVID-19 pandemic on mental health, the prevalence and characteristics of all completed suicides in the city of Frankfurt am Main were compared for a 10-month period before the pandemic (March 2019 –December 2019) with one during the early pandemic (March 2020–December 2020). Medicolegal data collected in the context of the FraPPE suicide prevention project were evaluated using descriptive statistical methods. In total, there were 81 suicides during the early pandemic period, as opposed to 86 in the pre-pandemic period. Though statistically not significant, the proportion of male s...
Source: Forensic Science, Medicine, and Pathology - November 29, 2023 Category: Forensic Medicine Source Type: research

The effect of photography training on the accurate representation of gunshot and stab wounds in autopsies: a comparative study
This study investigates the influence of photography training on the precision of autopsy photographs in depicting these findings. In cases of fatal gunshot and stab wounds, photographs were concurrently taken by individuals without photography training (Group A) and a trained medical photographer (Group B). Two sets of photos were then anonymously presented to forensic medicine specialists, who had no prior knowledge of the associated autopsies, along with relevant survey questions. Responses were assessed according to the autopsy findings. 63.5% of the questions were correctly answered using Group A photographs, while Gr...
Source: Forensic Science, Medicine, and Pathology - November 24, 2023 Category: Forensic Medicine Source Type: research