title: Suicide by hara-kiri: a series of four cases.
abstract: The authors describe four cases of suicide by hara-kiri. This very painful form of suicide consists of self-inflicting a wound in the abdomen using a sharp instrument. It was first reported in 988 A.D. in the East but has now become rare in both the East and West. These four cases occurred over a 40-year period in the Trieste and Bari medicolegal area. In two of our cases the victims were afflicted with mental illness, whereas the other two suffered from depression. In cases of death by hara-kiri, it is important to establish a differential diagnosis between suicide and homicide; the presence of trial wounds (inflicted by the victim as a form of practice to overcome any hesitation before stabbing the abdomen with the cutting weapon) can prove very helpful.
authors.affiliation: Department of Internal Medicine and Public Medicine, University of Bari, Italy. forem@medicinalegale.uniba.it
authors.forename: N
authors.initials: N
authors.lastname: Di Nunno
authors.forename: F
authors.initials: F
authors.lastname: Costantinides
authors.forename: P
authors.initials: P
authors.lastname: Bernasconi
authors.forename: C
authors.initials: C
authors.lastname: Di Nunno
mesh_terms: D000007:Abdominal Injuries / Q000473:pathology*; D000328:Adult; D000368:Aged; D001344:Autopsy; D003937:Diagnosis, Differential; D005260:Female; D005554:Forensic Medicine; D006708:Homicide; D006801:Humans; D008297:Male; D008875:Middle Aged; D013405:Suicide; D014951:Wounds, Stab / Q000473:pathology*