Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2022

Open Access 01-12-2022 | Suicide | Case report

An unusual complex suicide involving a chainsaw and a hanging: a case report

Authors: Barbara Gualco, Amalia Angelino, Regina Rensi, Gloria Manetti, Martina Focardi

Published in: Journal of Medical Case Reports | Issue 1/2022

Login to get access

Abstract

Background

Suicides or suicidal attempts with power tools such as band or circular saws are rarely encountered in forensic medicine practice; in the forensic literature, only a few cases have been reported. We present the case of a “combined suicide” (self-injurious actions using different methods and involving various bodily sites) carried out with uncommon deadly methods: chainsaw and hanging.

Case presentation

A 58-year-old Caucasian man was found dead by his wife, hanging from the basement ceiling of the cellar in which he lived. During the investigation of the crime scene, external examination revealed a wide incised wound in the umbilical area showing the muscular and adipose tissues below. On inspection of the garden around the courtyard, the police found a chainsaw with blood spatter on both the blade and the handle. The blade appeared to be compatible with the abdominal injuries.

Conclusions

Since the corpse presented this incised wound, it was crucial to establish the manner and the causes of death, as well as to exclude any third-party involvement. In this case, the presence of multiple injuries, potentially lethal, required a differential diagnosis between suicide or homicide. A detailed post-mortem examination, in association with a precise study of the circumstantial data, led the authors to assume that they were dealing with a “complex suicide.”
Literature
1.
go back to reference Segerberg-Konttinen M. Suicide by the use of a chain saw. J Forensic Sci. 1984;29:1249–52.CrossRef Segerberg-Konttinen M. Suicide by the use of a chain saw. J Forensic Sci. 1984;29:1249–52.CrossRef
2.
go back to reference Clark SP, Delahunt B, Thomson KG, Fernando TL. Suicide by band saw. Am J Forensic Med Pathol. 1989;10:332–4.CrossRef Clark SP, Delahunt B, Thomson KG, Fernando TL. Suicide by band saw. Am J Forensic Med Pathol. 1989;10:332–4.CrossRef
3.
go back to reference Hartel V, Petkovits T, Brinkmann B. Unusual suicides with band saws. Arch Kriminol. 1989;184:168–74.PubMed Hartel V, Petkovits T, Brinkmann B. Unusual suicides with band saws. Arch Kriminol. 1989;184:168–74.PubMed
4.
go back to reference Schiwy-Bochat KH. Verletzungsmuster bei suizidial tödlicher Kettensägenverletzung. Rechtsmedizin. 1992;2:71–3. Schiwy-Bochat KH. Verletzungsmuster bei suizidial tödlicher Kettensägenverletzung. Rechtsmedizin. 1992;2:71–3.
5.
go back to reference Fernie CG, Gibson IH, Newton F. Chainsaw deaths: accident, suicide or murder? J Clin Forensic Med. 1994;1:109–12.CrossRef Fernie CG, Gibson IH, Newton F. Chainsaw deaths: accident, suicide or murder? J Clin Forensic Med. 1994;1:109–12.CrossRef
6.
go back to reference Rainov NG, Burkert WL. An unusual suicide attempt using a circular saw. Int J Legal Med. 1994;106:223–4.CrossRef Rainov NG, Burkert WL. An unusual suicide attempt using a circular saw. Int J Legal Med. 1994;106:223–4.CrossRef
7.
go back to reference Betz P, Eisenmenger W. Unusual suicides with electric saws. Forensic Sci Int. 1995;75:173–9.CrossRef Betz P, Eisenmenger W. Unusual suicides with electric saws. Forensic Sci Int. 1995;75:173–9.CrossRef
8.
go back to reference Reul J, Bratzke H. Death caused by a chain saw—homicide, suicide or accident? A case report with a literature review (with 11 illustrations. Forensic Sci Int. 1999;105:45–9.CrossRef Reul J, Bratzke H. Death caused by a chain saw—homicide, suicide or accident? A case report with a literature review (with 11 illustrations. Forensic Sci Int. 1999;105:45–9.CrossRef
9.
go back to reference Campman SC, Springer FA, Henrikson DM. The chain saw: an uncommon means of committing suicide. J Forensic Sci. 2000;45:471–3.CrossRef Campman SC, Springer FA, Henrikson DM. The chain saw: an uncommon means of committing suicide. J Forensic Sci. 2000;45:471–3.CrossRef
10.
go back to reference Judd O, Wyatt JP. Circular saw suicide. J Forensic Leg Med. 2007;14(4):235–7.CrossRef Judd O, Wyatt JP. Circular saw suicide. J Forensic Leg Med. 2007;14(4):235–7.CrossRef
11.
go back to reference Tournel G, de Douit F, Balgairies A, Houssaye C, de Angeli B, et al. Unusual suicide with a chainsaw. J Forensic Sci. 2008;53(5):1174–7.PubMed Tournel G, de Douit F, Balgairies A, Houssaye C, de Angeli B, et al. Unusual suicide with a chainsaw. J Forensic Sci. 2008;53(5):1174–7.PubMed
12.
go back to reference Gloulou F, Allouche M, Khelil B, Bekir O, Banasr A, et al. Unusual suicides with band saws: two case reports and a literature review. Forensic Sci Int. 2009;183:7–10.CrossRef Gloulou F, Allouche M, Khelil B, Bekir O, Banasr A, et al. Unusual suicides with band saws: two case reports and a literature review. Forensic Sci Int. 2009;183:7–10.CrossRef
13.
go back to reference Asano M, Nushida H, Nagasaki Y, Ueno Y. Suicide by a circular saw. Forensic Sci Int. 2008;182:e7–9.CrossRef Asano M, Nushida H, Nagasaki Y, Ueno Y. Suicide by a circular saw. Forensic Sci Int. 2008;182:e7–9.CrossRef
14.
go back to reference Focardi M, Angelino A, Defraia B, Franchi E, Pinchi V. Fatal entrapment in a pool drainage system: a case report. Forensic Sci Med Pathol. 2019;15(4):638–41.CrossRef Focardi M, Angelino A, Defraia B, Franchi E, Pinchi V. Fatal entrapment in a pool drainage system: a case report. Forensic Sci Med Pathol. 2019;15(4):638–41.CrossRef
15.
go back to reference Focardi M, Gualco B, Norelli GA. Accidental death in autoerotic manouvres. Am J Forensic Med and Path. 2008;1:64–8.CrossRef Focardi M, Gualco B, Norelli GA. Accidental death in autoerotic manouvres. Am J Forensic Med and Path. 2008;1:64–8.CrossRef
16.
go back to reference Karakasi M, Pavlidis P, Vasilikos E, Anestakis D, Raikos N. Complex suicide involving pyrethroid ingestion (mosquito coils) and fatal self-wounding by sharp force. Soud Lek. 2017;62(4):45–50. Karakasi M, Pavlidis P, Vasilikos E, Anestakis D, Raikos N. Complex suicide involving pyrethroid ingestion (mosquito coils) and fatal self-wounding by sharp force. Soud Lek. 2017;62(4):45–50.
17.
go back to reference Focardi M, Bugelli V, Defraia B, Gualco B, Norelli GA. Accidental death in autoerotic maneuvers: case series. Rom J Leg Med. 2018;26:258–63. Focardi M, Bugelli V, Defraia B, Gualco B, Norelli GA. Accidental death in autoerotic maneuvers: case series. Rom J Leg Med. 2018;26:258–63.
18.
go back to reference Ohsima T, Kondo T. Eight cases of suicide by self-cutting or -stabbing: consideration from medico-legal viewpoints of differentiation between suicide and homicide. J Clin Forensic Med. 1997;4:127–32.CrossRef Ohsima T, Kondo T. Eight cases of suicide by self-cutting or -stabbing: consideration from medico-legal viewpoints of differentiation between suicide and homicide. J Clin Forensic Med. 1997;4:127–32.CrossRef
19.
go back to reference Karlsson T. Multivariate analysis (‘Forensiometrics’)—a new tool in forensic medicine. Differentiation between sharp force homicide and suicide. Forensic Sci Int. 1998;94:183–200.CrossRef Karlsson T. Multivariate analysis (‘Forensiometrics’)—a new tool in forensic medicine. Differentiation between sharp force homicide and suicide. Forensic Sci Int. 1998;94:183–200.CrossRef
20.
go back to reference Bugelli V, Gherardi M, Focardi M, Pinchi V, Vanin S, et al. Decomposition pattern and insect colonization in two cases of suicide by hanging. Forensic Sci Res. 2018;3(1):94–102.CrossRef Bugelli V, Gherardi M, Focardi M, Pinchi V, Vanin S, et al. Decomposition pattern and insect colonization in two cases of suicide by hanging. Forensic Sci Res. 2018;3(1):94–102.CrossRef
21.
go back to reference Arafat SMY. Psychological autopsy study in Bangladesh: an unmet need to formulate preventive strategy of suicide. Asian J Psychiatr. 2019;43:85–6.CrossRef Arafat SMY. Psychological autopsy study in Bangladesh: an unmet need to formulate preventive strategy of suicide. Asian J Psychiatr. 2019;43:85–6.CrossRef
22.
go back to reference Zhang J, Liu X, Fang L. Combined effects of depression and anxiety on suicide: a case–control psychological autopsy study in rural China. Psychiatr Res. 2019;271:370–3.CrossRef Zhang J, Liu X, Fang L. Combined effects of depression and anxiety on suicide: a case–control psychological autopsy study in rural China. Psychiatr Res. 2019;271:370–3.CrossRef
23.
go back to reference Gatti U, Fossa G, Gualco B, Caccavale F, Ceretti A, Ciliberti R, et al. Italy. In: Junger-Tas J, Marshall I, Enzamann D, Killias M, Steketee M, Gruszczynska B, editors., et al., Juvenile delinquency in Europe and beyond: results of the second international self-report delinquency study. New York: Springer; 2010. p. 227–44.CrossRef Gatti U, Fossa G, Gualco B, Caccavale F, Ceretti A, Ciliberti R, et al. Italy. In: Junger-Tas J, Marshall I, Enzamann D, Killias M, Steketee M, Gruszczynska B, editors., et al., Juvenile delinquency in Europe and beyond: results of the second international self-report delinquency study. New York: Springer; 2010. p. 227–44.CrossRef
24.
go back to reference Focardi M, Pinchi V, Defraia B, Gualco B, Varvara G, Norelli GA. Newborn screening of inherited metabolic disorders: the Italian situation. J Biol Regul Homeost Agents. 2016;30(3):909–14.PubMed Focardi M, Pinchi V, Defraia B, Gualco B, Varvara G, Norelli GA. Newborn screening of inherited metabolic disorders: the Italian situation. J Biol Regul Homeost Agents. 2016;30(3):909–14.PubMed
Metadata
Title
An unusual complex suicide involving a chainsaw and a hanging: a case report
Authors
Barbara Gualco
Amalia Angelino
Regina Rensi
Gloria Manetti
Martina Focardi
Publication date
01-12-2022
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2022
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-022-03344-4

Other articles of this Issue 1/2022

Journal of Medical Case Reports 1/2022 Go to the issue