A Case Report of Complex Suicide in a Pregnant Female

Authors

  • Jaideep Department of Forensic Medicine and Toxicology, Rajendra Institute of Medical Sciences, Ranchi.
  • Prerna Department of Community Medicine, Medini Rai Medical College, Palamu

DOI:

https://doi.org/10.37506/fy5kqm04

Keywords:

Suicide, hanging, poisoning

Abstract

Planned complex suicide constitutes a very rare mode of suicide. They are highly likely to be mistaken for murder. We report a case of a 22-year-old female that was brought dead to RIMS mortuary after being reported dead at her home, An Autopsy conducted showed a ligature mark which was suggestive of hanging. Greenish-colored fluid in the stomach with wall congestion at places with erosions and bleeding suggestive of Copper Sulphate poisoning (paint ingestion). An in-utero dead fetus was also found when the enlarged uterus was thoroughly examined. Suicides and suicide attempts are a big public health problem that have progressed in the last two decades and are ever increasing since then. Planned complex suicides, therefore indicate the mental dropout of individuals and social failure. Role of depression hovering around people nowadays cannot be denied. When people die committing such suicide, surviving family is left with shock, anger, grief, symptoms of depression and anxiety and may even experience thoughts of suicide themselves.

References

Marcinkowski, T., Pukacka-Sokolowska, L., & Wojciechowski, T. Planned complex suicide. Forensic Science. 1974; 3: 95–100. doi:10.1016/0300-9432(74)90013-2

Hösükler, E., Hösükler, B., Çoban, İ. et al. Complex suicides: 21 cases and a review of the literature. Egypt J Forensic Sci 12. 2022; 10. https://doi.org/10.1186/s41935-022-00269-3

Cingolani, Mariano M.D.; Tsakri, Dimitra M.D. Planned Complex Suicide: Report of Three Cases. The American Journal of Forensic Medicine and Pathology. 2000; 21(3):255-260.

Kugbey N, Ayanore M, Doegah P, Chirwa M, Bartels SA, Davison CM, et al. Prevalence and Correlates of Prenatal Depression, Anxiety and Suicidal Behaviours in the Volta Region of Ghana. Int J Environ Res Public Health. 2021;18(11).

Levey EJ, Rondon MB, Sanchez S, Zhong QY, Williams MA, Gelaye B. Suicide risk assessment: examining transitions in suicidal behaviors among pregnant women in Perú. Arch Womens Ment Health. 2019;22(1):65–73.

Lindahl V, Pearson JL, Colpe L. Prevalence of suicidality during pregnancy and the postpartum. Arch Womens Ment Health. 2005;8(2):77–87

Lommerse K, Knight M, Nair M, Deneux-Tharaux C, van den Akker T. The impact of reclassifying suicides in pregnancy and in the postnatal period on maternal mortality ratios. BJOG: an international journal of obstetrics and gynaecology. 2019;126(9):1088–92.

Mota NP, Chartier M, Ekuma O, Nie Y, Hensel JM, MacWilliam L, et al. Mental Disorders and Suicide Attempts in the Pregnancy and Postpartum Periods Compared with Non-Pregnancy: A Population-Based Study. Can J Psychiatry. 2019;64(7):482–91.

Zipursky JS, Yaphe H, Hudson H, Wong A, Thompson M. Acute poisoning in pregnancy: a province-wide perspective from a poison center. Clin Toxicol (Phila). 2020;58(7):736–41.

Petković, S., Maletin, M. and Đurendić-Brenesel, M. Complex Suicide: An Unusual Case with Six Methods Applied. Journal of Forensic Sciences. 2011; 56: 1368-1372.

Downloads

Published

2024-07-10

How to Cite

A Case Report of Complex Suicide in a Pregnant Female. (2024). Indian Journal of Forensic Medicine & Toxicology, 18(3), 7-9. https://doi.org/10.37506/fy5kqm04