Suicidal and homicidal deaths: a comparative and circumstantial approach.

Suicidal and homicidal deaths: a comparative and circumstantial approach.
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DOI:
10.1016/j.jcfm.2006.08.001
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发表时间:
2007-07-01
影响因子:
1.5
通讯作者:
Kukde, Hemant Ghanshyam
Kukde, Hemant Ghanshyam
中科院分区:
医学4区
文献类型:
--
作者:
Ambade, Vipul Namdeorao;Godbole, Hemant Vasant;Kukde, Hemant Ghanshyam

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包括印度在内的世界范围内,自杀和他杀的发生率正在上升。每年仅因自杀和他杀就有一百万人死亡。对自杀和他杀的结果进行了比较。那格浦尔大学 Apex 医疗中心 1998 年至 2000 年三年期间总共报告了 5773 例法医学死亡,其中只有 241 例(4.2%)是他杀死亡,而自杀死亡则有 1127 例(19.5%),每年自杀率为 23.1/100,000 人,他杀率为每年 4.9/100,000。与凶杀中的钝器伤、锐器伤、烧伤、绞杀相比,投毒、烧伤、上吊和溺水是自杀的主要方式。与自杀相比,组合方法在凶杀案中更为常见。除火烧外,所有自杀和杀人方式均以男性为主。一般来说,自杀和他杀死亡均以男性为主,自杀的高峰年龄为 21-30 岁,而他杀的高峰年龄为 31-40 岁。在11-20岁的年轻群体中,自杀的受害者人数超过了他杀的受害者人数;但在 10 岁以下和 60 岁以上的极端年龄中,凶杀比自杀相对更常见。已婚受害者在这两种类型的死亡中都占主导地位。与自杀的慢性疾病和精神疾病相比,争吵和报复是杀人的常见诱因/动机。大多数自杀案件的被告与受害者有密切的家庭关系,而凶杀案中大多数袭击者与受害者没有家庭关系。大多数凶杀案的受害者都被指控为“熟人”,而自杀案的受害者则被指控为“自己”。大多数凶杀案的受害者是在户外被杀的,而自杀案的受害者则在自己的住所内被杀。在自杀和他杀死亡中,大多数受害者都是在夏季发现的,但自杀死亡的高峰出现在四月和五月,而他杀死亡的高峰出现在十月。
The incidence of suicide and homicide is on the increase worldwide, including India. One million people die annually due to suicides and homicides alone. A comparison of the results between suicides and homicides was performed. From a total of 5773 medicolegal deaths reported at an Apex medical centre of Nagpur University over a period of three years 1998-2000, only 241 cases (4.2%) were homicidal deaths in comparison to 1127 cases (19.5%) of suicidal deaths with suicide rate of 23.1/100,000 per year and homicide rate of 4.9/100,000 per year. Poisoning, burning, hanging and drowning forms the major methods of suicide in contrast to blunt trauma, sharp trauma, burning, and strangulation in homicide. Combined methods were more common in homicide as compared to suicide. Predominance of male was present in all methods of suicide and homicide, except burning. In general, male predominance was seen in both suicidal and homicidal deaths with peak age 21-30 years in suicides in contrast to 31-40 years in homicides. At younger age 11-20 years, the victims of suicide outnumbered the victims of homicide; but at extremes of ages below 10 years and above 60 years, homicides were relatively more common than suicides. Married victims were predominant in both types of deaths. Quarrel and revenge were the common precipitating cause/motive for homicide in comparison to chronic illness and mental illness for suicide. Majority of the accused were having close family relationship with the victims of suicide in contrast to homicides in which most of the assailant were having no family relationship with the victims. 'Acquaintance' were the accused in majority of the victims of homicides in contrast to 'self' in suicides. Most of the victims of homicide were killed outdoor in contrast to victim's own domicile in suicides. In both suicidal and homicidal deaths, most of the victims were found in summer season, but the peaks were noticed in the months of April and May in suicidal deaths and October in homicidal deaths.