RESUMO
A prospective study of 161 victims of falls from height is reported. The aim was to determine the interest of systematic qualitative and quantitative toxicological analysis in such fatalities. The primary cause of death was suicide (84.5%), followed by accidents (7%) and homicide (1%). In the remaining 7.5%, cause of death was undetermined. In the suicides, there was evidence of psychotropic medicines in 57% of the observations, with a much higher proportion of benzodiazepines and antidepressants in women than in men. Quantitative toxicologic analysis showed overdosing on medication in 16 suicide victims, with toxic levels in 11 of these. Systematic qualitative and quantitative toxicologic analysis made a significant contribution to the diagnosis of suicide by revealing either an unknown psychiatric treatment or a toxic level.
Assuntos
Acidentes por Quedas/mortalidade , Depressores do Sistema Nervoso Central/sangue , Etanol/sangue , Homicídio/estatística & dados numéricos , Psicotrópicos/sangue , Suicídio/estatística & dados numéricos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Cannabis , Causas de Morte , Criança , Overdose de Drogas , Feminino , Toxicologia Forense , França/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Preparações Farmacêuticas/sangue , Estudos Prospectivos , Detecção do Abuso de SubstânciasRESUMO
Interpreting the lesions of victims of sexual violence is one of the most difficult and most controversial areas of forensic medicine. The case we report involves the care of a victim of sado-masochism. It identifies the difficulties of both the forensic and legal management of sexual violence in an unusual context.
RESUMO
A 16-year-old girl was admitted to the emergency department for sexual assault. The forensic examination revealed genital lesions of an age that were incompatible with her statements. She also presented extragenital lesions that resembled self-inflicted lesions. The reports of false rape allegations in the literature have all dealt with the motivations of the false victims. This case report is a reminder that an allegation of rape can be considered only on the basis of proof and not on speculation.
