Evisceration and intestine damage as a rare form of suicide in forensic and psychiatric practice – description of two cases

Rafał Skowronek; Christian Jabłoński; Anna Warzecha; Aldona Świętojańska-Leśniańska; Aleksandra Stolarska; Piotr Warzecha; Czesław Chowaniec

doi:10.5114/amsik.2017.75057

eISSN: 1689-1716
ISSN: 0324-8267

Archiwum Medycyny Sądowej i Kryminologii/Archives of Forensic Medicine and Criminology

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4/2017
vol. 67

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abstract:

Case report

Evisceration and intestine damage as a rare form of suicide in forensic and psychiatric practice – description of two cases

Rafał Skowronek

¹

,

Christian Jabłoński

¹

,

Anna Warzecha

²

,

Aldona Świętojańska-Leśniańska

²

,

Aleksandra Stolarska

³

,

Piotr Warzecha

⁴

,

Czesław Chowaniec

¹

Chair and Department of Forensic Medicine and Forensic Toxicology, School of Medicine in Katowice, Medical University of Silesia in Katowice, Poland
Psychiatric Ward, Poviat Hospital in Chrzanów, Poland
Daily Psychiatric Ward, Poviat Hospital in Chrzanów, Poland
General Surgery Ward, Poviat Hospital in Chrzanów, Poland

Arch Med Sadowej Kryminol 2017; 67 (4): 264–274

DOI: https://doi.org/10.5114/amsik.2017.75057

Online publish date: 2018/04/16

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AMA

Skowronek R, Jabłoński C, Warzecha A, et al. Evisceration and intestine damage as a rare form of suicide in forensic and psychiatric practice – description of two cases. Archiwum Medycyny Sądowej i  Kryminologii/Archives of Forensic Medicine and Criminology. 2017:264-274. doi:10.5114/amsik.2017.75057.

APA

Skowronek, R., Jabłoński, C., Warzecha, A., Świętojańska-Leśniańska, A., Stolarska, A.,  & Warzecha, P. et al. (2017). Evisceration and intestine damage as a rare form of suicide in forensic and psychiatric practice – description of two cases. Archiwum Medycyny Sądowej i  Kryminologii/Archives of Forensic Medicine and Criminology, 264-274. https://doi.org/10.5114/amsik.2017.75057

Chicago

Skowronek, Rafał, Christian Jabłoński, Anna Warzecha, Aldona Świętojańska-Leśniańska, Aleksandra Stolarska, Piotr Warzecha,  and Czesław Chowaniec. 2017. "Evisceration and intestine damage as a rare form of suicide in forensic and psychiatric practice – description of two cases". Archiwum Medycyny Sądowej i  Kryminologii/Archives of Forensic Medicine and Criminology: 264-274. doi:10.5114/amsik.2017.75057.

Harvard

Skowronek, R., Jabłoński, C., Warzecha, A., Świętojańska-Leśniańska, A., Stolarska, A., Warzecha, P.,  and Chowaniec, C. (2017). Evisceration and intestine damage as a rare form of suicide in forensic and psychiatric practice – description of two cases. Archiwum Medycyny Sądowej i  Kryminologii/Archives of Forensic Medicine and Criminology, pp.264-274. https://doi.org/10.5114/amsik.2017.75057

MLA

Skowronek, Rafał et al. "Evisceration and intestine damage as a rare form of suicide in forensic and psychiatric practice – description of two cases." Archiwum Medycyny Sądowej i  Kryminologii/Archives of Forensic Medicine and Criminology, 2017, pp. 264-274. doi:10.5114/amsik.2017.75057.

Vancouver

Skowronek R, Jabłoński C, Warzecha A, Świętojańska-Leśniańska A, Stolarska A, Warzecha P et al. Evisceration and intestine damage as a rare form of suicide in forensic and psychiatric practice – description of two cases. Archiwum Medycyny Sądowej i  Kryminologii/Archives of Forensic Medicine and Criminology. 2017:264-274. doi:10.5114/amsik.2017.75057.

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Suicide is a major public health problem around the world. Case reports include extreme suicidal self-inflicted injuries, in which extensive damage to the abdominal wall associated with injury or even excision of fragments of the intestine and its fragmentation are present. These cases usually give rise to doubts of investigators as to the course of the incident, the circumstances of death and the possibility of participation of other people. At the same time they are interesting from the medico-legal and psychiatric perspective. The aim of this study is the presentation of two extremely rare cases of suicides through evisceration and intestinal injury from the clinical and opinioning practice of the authors, one of which ended with survival and the second one with death. Regardless of the final result of the suicide attempt (death or survival), good practice of the investigative teams in such cases should include a detailed examination of the place of the suicide attempt, obtaining opinion of an expert in the field of forensic medicine with full post-mortem diagnosis, and in-depth forensic psychological and psychiatric analysis of, among others, lifeline, mental state and suicidal motivation (so-called psychological autopsy).

keywords:

Evisceration and intestine damage as a rare form of suicide in forensic and psychiatric practice – description of two cases

Rafał Skowronek 1 , Christian Jabłoński 1 , Anna Warzecha 2 , Aldona Świętojańska-Leśniańska 2 , Aleksandra Stolarska 3 , Piotr Warzecha 4 , Czesław Chowaniec 1

pain threshold, autoagression, self-mutilation, self-inflicted injuries, self-made laparotomy

Rafał Skowronek

¹

,

Christian Jabłoński

¹

,

Anna Warzecha

²

,

Aldona Świętojańska-Leśniańska

²

,

Aleksandra Stolarska

³

,

Piotr Warzecha

⁴

,

Czesław Chowaniec

¹