title: [Vehicle-assisted suicide with a nylon rope causing complete decapitation].
abstract: The present case deals with the unusual suicide method of a 36-year-old man who fastened one end of a nylon rope to a tree, guided the other end into a van through the open tailgate and placed the loop round his neck. Then he stepped on the accelerator. Before, he had marked the point on the ground where the rope would tighten. As the rope tightened complete decapitation occurred at a speed of about 35 km/h. Autopsy showed a nearly circular abrasion zone around the site of transection slightly ascending towards the nape, a fracture of the cervical spine between the 3rd and 4th vertebra and a fracture of the thoracic spine between the 7th and 8th vertebra. The test for air embolism of the heart was positive. Macroscopically, no evidence of blood aspiration was found. Histological investigation showed general anaemia and minor blood aspiration in the lungs. Wound morphology was largely in line with the injury patterns described after decapitation in the literature. However, our results differed in that blood aspiration was discernible only under the microscope and there was a second fracture of the spine. Decapitation as a suicide method is an expression of enormous autoaggression and is categorized as a "hard" suicide method. It is used predominantly by men and its occurrence in the spectrum of suicidal actions is rare. Police investigations revealed that the man had led a sort of double life with a sexually motivated background and had suffered from depressive episodes.
authors.affiliation: Institut für Rechtsmedizin der Universität Würzburg.
authors.forename: Katharina
authors.initials: K
authors.lastname: Blässer
authors.affiliation: Institut für Rechtsmedizin der Universität Würzburg.
authors.forename: Thomas
authors.initials: T
authors.lastname: Tatschner
authors.affiliation: Institut für Rechtsmedizin der Universität Würzburg.
authors.forename: Michael
authors.initials: M
authors.lastname: Bohnert
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D049248:Decapitation / Q000175:diagnosis*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005554:Forensic Medicine / Q000295:instrumentation*; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis*; D016103:Spinal Fractures / Q000175:diagnosis*; D013405:Suicide