title: Multiple severe stab wounds to chest with cuts to the ribs. Suicide or homicide?
abstract: This paper presents the case of a 36-year-old man found dead in a forest near his home with multiple stab wounds on the chest and abdomen, while the chest wounds penetrated deep into the left pleural cavity and the lung parenchyma, completely cutting through the bone sections of four ribs along the channels of the wounds. In addition, a kitchen knife dug into the ground was found in the immediate vicinity of the corpse. The deceased was wearing a T-shirt with numerous clearly visible holes in places corresponding to the wounds and quite a large tear at the bottom. The post-mortem revealed 19 distinct wounds of the chest as well as a dozen or so superficial marks of cuts or pricks with a pointed tool on the torso. The findings of the police investigation suggested that shortly before death the man was in a bad mood and he had been telling his friends to prepare for his funeral, which was supposed to point to suicidal tendencies. Could, however, such numerous and heavy bodily injuries have been self-inflicted and would such a wounded person still be able to dig a knife into hard forest bed? If yes, in this case we are most probably dealing with aggressive self-destruction, a type of behavior sometimes observed in people suffering from serious mental disorders.
authors.affiliation: Department of Forensic Medicine, Medical University of Gdańsk, ul. Dębowa 23, 80-204 Gdańsk, Poland. michalkal@gumed.edu.pl
authors.forename: Michał
authors.initials: M
authors.lastname: Kaliszan
mesh_terms: D000009:Abdominal Muscles / Q000293:injuries / Q000473:pathology; D000328:Adult; D003863:Depression / Q000523:psychology; D003964:Diaphragm / Q000293:injuries / Q000473:pathology; D058734:Exsanguination; D006708:Homicide; D006801:Humans; D008297:Male; D012272:Ribs / Q000293:injuries* / Q000473:pathology; D013405:Suicide; D013898:Thoracic Injuries / Q000473:pathology*; D014951:Wounds, Stab / Q000473:pathology*