An Unusual Case of Multiple‐Gunshot Suicide of an Alcohol‐Intoxicated Cancer Sufferer with Prolonged Physical Activity

Multishot firearm suicides are relatively rare and suggest the possibility of homicide. Physical activity following gunshots to the head, the neck, and the thorax does occur, and immediate incapacitation does not occur in every fatal gunshot wound that penetrates the head or perforates the heart. Cancer patients appear to be at increased suicide risk, but alcohol intoxication is less common in such cases. We present—to the best of our knowledge for the first time—a case of a 54‐year old, male, liver cancer sufferer, who under the influence of alcohol, discharged his revolver three times, suffered, among other wounds, a heart‐perforating wound, and died after c. 1.5 h, being able to talk until just before he died. Our case underlines the importance of keeping an open critical mind when dealing with multiple‐gunshot fatalities, especially when posttraumatic physical activity might be crucial in differentiating homicide from suicide.     

Two simultaneous suicidal gunshots to the head with robbed police guns

The suicidal infliction of two gunshot wounds to the head represents a critical issue for medicolegal investigation. In principle, simultaneous infliction with two firearms or third parties' involvement, i.e. two consecutive gunshots, have to be considered. We report for the first time on a case of suicidal infliction of two simultaneous gunshots to the head (oral, temporal) with Action 4 expanding ammunition. A male had robbed two service guns and committed suicide thereafter under the influence of high-dose alcohol and cocaine. Interestingly, Action 4 ammunition had been used, leading to an uncommon gunshot wound morphology and extensive backspatter. At the scene, these findings caused confusion; moreover, the number of gunshot wounds was unclear, until autopsy revealed two gunshot wounds to the head, which had obviously been inflicted simultaneously. Expanding ammunition like QD-PEP and Action 4, used by several German federal state police forces, can cause an atypical gunshot wound morphology, most probably due to its peculiar deformation behaviour. Investigators should be careful when interpreting gunshot wound morphology at the scene after usage of such expanding ammunition. With regard to reconstruction in cases of two gunshot wounds to the head and two guns at the scene, two simultaneous gunshots should be taken into consideration.     

Complex suicide by two gunshots to the chest and consecutive hanging: circumstances and aspects of reconstruction

In cases of suicidal gunshots, the capacity to act may be preserved for a certain period of time, so that the suicide may be completed with another method. In the presented case a 74-year-old man was found hanged on the first floor of his house with two gunshot wounds in the chest. Both on the ground and the upper floor traces of suicidal acts were detected. As shots to the precordial region suggest rapid incapacitation, a suicide extending over two floors seemed almost impossible without knowledge of the cause of death and evaluation of the ability to act. The autopsy findings confirmed vital signs of hanging. Moreover, a through-and-through gunshot wound of the chest and abdomen affecting the spleen and a shot lodged in the body without injuring the lung were found. The injury findings thus sufficiently explained the preserved ability to act. The presented case shows characteristics of a complex suicide not yet described so far, but could be clearly classified as suicide in congruity with the pertinent literature.     

Homicide-suicide by a single gunshot to the head

Apart from typical suicides, there are sometimes unusual deaths from gunshots to the head. The presented case is a double death from the autopsy material of the Institute of Legal Medicine in Berlin. The report deals with a murder-suicide of a man, who killed himself and his 2-year-old daughter by a single gunshot. After having administered a tranquilizer to the child, he held her head to his own and fired a contact shot to his right temple so that the bullet passed through both heads.     

Free radical production from controlled low-energy fires: toxicity considerations

Most fire departments respond within the first 5 min of notification of a fire. If fire victims are found at that stage by the firefighters, then incapacitation or death has occurred during the initial low-energy phase where smoke is being produced. Studies have shown that during this initial low-energy phase of the fire, gases commonly thought responsible for incapacitation or death are frequently not present in concentrations adequate to cause this result. In the current study free radicals, measured by electron spin resonance spectroscopy, were trapped in concentrations that we consider incapacitating, thus providing an explanation for "incapacitation without cause." This finding points the way to the design of more efficient temporary protective equipment for those who are in a high fire hazard environment, such as airline passengers, and suggests the idea of establishing a thermodynamic marker for the relative toxicity of building materials.     

Single gunshots with multiple entrances

Single gunshots can cause multiple entrance wounds, almost always after the bullets have first struck intermediate targets. The phenomenon is commonly seen with relatively high-velocity jacketed ammunition and consequent separation of jacket and core. We herein present two representative cases with a discussion of the mechanism of injury.     

Street justice: Some micro-moral reservations: Comment on sykes

Research on the use of incapacitation strategies to reduce crime has increased rapidly in the last decade. Estimates of the crime reduction potential are numerous and variable, reflecting different assumptions by researchers. This paper reviews and synthesizes studies of collective and selective incapacitation. Sentencing practices in the 1970s and early 1980s prevented an estimated 10 to 30 percent of potential crimes through collective incapacitation strategies. Greater use of incarceration, such as through mandatory minimum sentences, would prevent additional crimes, but prison populations would increase substantially. Selective incapacitation strategies target a small group of convicted offenders, those who are predicted to commit serious crimes at high rates, for incarceration. These high-rate serious offenders, however, are difficult to identify accurately with information currently available in official criminal history records. Preliminary research, assuming moderate accuracy, suggests that selective incapacitation may prevent some crimes, such as 5 to 10 percent of robberies by adults, but increases in prison populations would result. The future of selective incapacitation is discussed in light of current research and knowledge about serious criminal activity.     

An unusual homicide case with subsequent suicide

In the medicolegal literature reports on homicides followed by suicide, especially in elderly people, are rare. In the present case, the victim, a 79-year-old woman, showed a rather unusual injury pattern: 3 gunshots to the head (with only 2 entrance wounds and 3 intracranial projectiles) and 2 stabs from a knife. The tools used for inflicting the stab wounds (a hunting knife and a double-edged dagger) were left in the victim's body after the offense. The 89-year-old husband hanged himself with an aerial cable after killing his wife. The police investigations and the autopsy findings suggested a combined homicide-suicide. The motive for the offense could be a so-called delusion of poverty associated with symptoms of depression.     

Retrograde transthoracic venous bullet embolism. Report of a case following a single gunshot with multiple wounds in the left arm and chest

Bullet embolism of the arterial, venous and paradoxical types are well known but rare complications of penetrating missile injuries. Retrograde transthoracic venous bullet embolization is extremely rare with only four cases previously reported in the literature. Single gunshot can cause multiple wounds, mainly because the bullet passes through an intermediate target before striking the victim. We present the autopsy findings of a retrograde transthoracic bullet embolism to the right external iliac vein after a single gunshot with multiple wounds in the left arm and thorax. Problems related to medico-legal investigations of gunshots are reviewed.     

Cranial Backspatter Pattern Production Utilizing Human Cadavers

A backspatter pattern results from blood drops that travel retrograde to an applied external force. Historically, an array of animals and nonhuman objects have been used to create and study backspatter patterns. In this study, backspatter patterns captured on foam core targets that were placed 45.72 cm (18 in) behind the impact site (occipital area of the skull) were produced by cranial gunshots to human cadavers that were reinfused with fresh defibrinated bovine blood. These patterns were compared to the backspatter patterns produced by shooting blood‐soaked sponges, a typical simulant used in controlled studies of backspatter pattern production and characteristics. The backspatter pattern produced by shooting an actual human head was found to be different than those of blood‐soaked sponges in the number of stains produced, the size and size range of the stains, and the stain dispersion patterns.     

Selective incapacitation: Have we tried it? Does it work?

The selective incapacitation of individuals who pose a threat to society by their frequent criminal activity has been recently discussed widely by academicians, policy makers, and practitioners in criminal justice. Recent research has presented actuarially based scales of predictor variables that identify “career” criminals and derive predictions of the effects of their incapacitation on the overall societal crime rate.While selective incapacitation is currently viewed as a relatively new development in utilitarian criminal justice, this article points out that the prediction of recidivism and the use of actuarially based scales toward that end is a long-standing part of the U.S. federal parole process. An illustration of the selective-incapacitative effects of this process, using a large sample of federal releases, is presented.     

Does Incapacitation Reduce Crime?

Questions and answers about incapacitation abound in all discussions about criminal justice policy. They are among the most pressing of all research issues, yet estimates about the incapacitation effect on crime vary considerably, and most are based on very old and incomplete estimates of the longitudinal pattern of criminal careers. This paper provides an overview of the incapacitation issue, highlights information on recent estimates of criminal careers that are useful to the incapacitation model, and outlines an ambitious research agenda for continued and expanded work on incapacitation and crime that centers on developing better estimates of the characteristics of criminal careers and their relevance to policy choices.

BEHAVIORAL PREDICTION AND THE PROBLEM OF INCAPACITATION*

Traditional views of incapacitation as a crime control strategy rely fundamentally on behavioral prediction. Most attempts at predicting offenders' behaviors have relied on simple dichotomous dependent variables. Recent attention to components of the “criminal career,” such as the rate of offending and the nature and potential patterning of offending behavior, could provide significant advantage to the prediction problem while informing debates about incapacitation strategies. We examine this possibility in the context of a study of some 6,000 offenders followed for more than 25 years. Little predictive advantage is realized by attention to more sophisticated behavioral outcome criteria. In agreement with other studies, we observe little support for hypotheses concerning the pattern of careers with respect to offense behaviors. The utility of incapacitation as a crime control strategy seems to be constrained by the limits imposed by predictive validity and perhaps by the nature of the criminal career.     

Gunshot injuries as a topic of medicolegal research in the German-speaking countries from the beginning of the 20th century up to the present time

The 100th anniversary of the foundation of the German Society of Legal Medicine is a good opportunity to review its contributions to forensic wound ballistics. The present article gives an overview of the scientific development in this field with special emphasis on work pioneering new developments and findings valid up to the present day, for example the presence of carboxyhemoglobin in the vicinity of the entrance wound as a sign of a contact or close-range shot [A. Paltauf, Wien. Klin. Wochenschr. 3 (1890) 984-991, 1015-1017]; the correct interpretation of the muzzle imprint [A. Werkgartner, Beitr. Gerichtl. Med. 6 (1924) 148-161] and the retrograde ballooning of the bullet entrance region in contact shots [F. Hausbrandt, Dtsch. Z. ges. Gerichtl. Med. 38 (1944) 45-76; H. Elbel, Med. Welt 20 (1958) 343-345]; wound patterns from captive-bolt livestock stunners [H. Czursiedel, Dtsch. Z. ges. Gerichtl. Med. 28 (1937) 132-133]; singeing of synthetic fiber textiles in close-range shots with nitro powder ammunition [S. Berg, Arch. Kriminol. 124 (1959) 5-8,17-22]; the wound ballistic processes on penetration of the bullet and the origin of the abrasion collar [K. Sellier, Beitr. Gerichtl. Med. 25 (1969) 265-270]. More recently medicolegal research in the German-speaking countries covered the following subjects: studies of the dynamic bullet-target interactions in experimental gunshots to simulants and composite body models; use of modern imaging techniques (CT, MRI) in the pre-autopsy diagnosis of lethal gunshot injuries; injuries from blank guns; mechanisms of incapacitation by gunshot injuries; development of improved methods for the evidence of gunshot residues on the firing hand; backspatter from close-range shots; medicolegal contributions in the discrimination of accidental, homicidal and suicidal gunshot injuries.     

High-speed documented experimental gunshot to a skull-brain model and radiologic virtual autopsy

The authors documented and evaluated experimental gunshots to a skull-brain model with high-speed photography and subsequent radiographic examination for comparison of the morphologic findings in the model. The artificial skull was a polyurethane ball constructed in layers, with a porous diploe sandwiched between a tabula externa and a tabula interna. The brain itself was simulated with gelatin 10% at 4 degrees C, a material well known in wound ballistics. Gunshots were fired at the model from a distance of 10 m and documented with high-speed photography (up to 50 million frames/sec). Subsequently, a complete examination of the artificial skull was performed, including spiral computed tomography (with two-dimensional and three-dimensional reconstructions) and classic skull autopsy. The high-speed photographs clearly showed the dynamic development of the skull fracture system from an external perspective. The subsequent radiographic examination of the entire head volume created two-dimensional reformations in any plane and three-dimensional reconstructions of the gunshot injury of the polyurethane skull-brain model, especially the wound channel and the fracture system. Thanks to the model and high-speed photographs, the dynamic development of the morphology of a gunshot wound could be documented and studied. The data from computed tomography, using two-dimensional and three-dimensional postprocessing with a perspective view, were very similar to those from classic head autopsy, but derived in a hands-off and nondestructive manner. This examination method leads the way to radiographic digital autopsy or virtual autopsy.     

Crime Reduction and the Length of Prison Sentences

The issue discussed is whether policies of imposing increasingly lengthy prison sentences on serious criminal offenders reduce crime. The empirical evidence for the deterrence and incapacitation effects of incarceration is first examined and found to be of limited help in answering the question whether lengthy prison sentences reduce crime. Conceptual and normative analysis of deterrence and incapacitation suggest that we have little reason to believe that the general use of lengthy prison terms produces more good than harm for society, especially if the burdens of and alternatives to such prison terms are taken into account.     

Prolonged Electro-muscular Incapacitation in a Porcine Model Causes Spinal Injury

Conducted electrical weapons are designed to cause temporary electro-muscular incapacitation (EMI) without significant injury. The objective of this study was to assess the risk and cause of spinal injury due to exposure to a benchtop EMI device. Porcine subjects were exposed to 19 and 40 Hz electrical stimuli for a prolonged duration of 30 sec. X-ray imaging, necropsy, and accelerometry found that lumbosacral spinal fractures occurred in at least 89% of all subjects, regardless of the stimulus group, and were likely caused by musculoskeletal fatigue-related stress in the lumbosacral spine. Spinal fractures occurred in the porcine model at an unusually high rate compared to human. This may be due to both the prolonged duration of electrical stimulation and significant musculoskeletal differences between humans and pigs, which suggests that the porcine model is not a good model of EMI-induced spinal fracture in humans.     

该当与危险:新型刑罚目的对量刑的影响

立基于再犯危险性预测的剥夺犯罪能力是由犯罪学派首先提出的刑罚理论,并广泛应用于保安处分之中,但是新近作为刑罚目的在量刑中的适用却引起了极大的争论。无论是类型化剥夺犯罪能力还是选择性剥夺犯罪能力,在一种有序列的、并合主义的量刑理论中,都可以找到立足之地,并发挥更加重要的作用,将有限的司法资源集中到最需要控制的危险犯罪类型和犯罪人之上,不但为"宽严相济的刑事政策"填补具体内容提供路径与方法,同时能够最大限度地为刑法赢得道德信誉。     

REVISITING JUVENILE WAIVER: INTEGRATING THE INCAPACITATION EXPERIENCE*

More than 20 years after an expansion of juvenile transfer policies, questions remain regarding the specific deterrent effect of juvenile waiver given the singular focus on the court of jurisdiction and neglect of other critical aspects of the provision, such as the incapacitation experience. Prior research has also not been focused on identifying the mediating mechanisms that produce criminogenic, null, or deterrent effects. We use data from the Pathways to Desistance Study, propensity score methodology, and mediational analyses to examine how and why the waiver‐incapacitation experience is related to recidivism rates during emerging adulthood. We find that the prior focus on a binary “waiver effect” is potentially misleading as it masks meaningful variation. Furthermore, we find that the path to increased recidivism in emerging adulthood is indirect and we identify stymied educational attainment as a mediator. Our discussion is focused on the criminogenic effects of incapacitation for juveniles and its implications for juvenile transfer research. The discussion also calls for future research to explore treatment heterogeneity further.     

Survival time, capacity of action and radiological diagnosis after gunshot wounds of the cranium (author's transl)]

Three cases of suicidal temporal gunshots. Different circumstances in the clinical course and in the ability of action.--In one case there was a bullet tract in the lower temporal region with considerable destruction of the base of the skull, followed by immediate inability of action and early death. Another case with a transtemporal gunshot without radiological signs of a laceration of the base of skull showed severe disturbance of cerebral functions for some days and remaining blindness. In the third case there was a pistol shot in the temporal region with retained missile, full ability of acting and undisturbed consciousness. Causative for the differences in the effect of the gunshots are differences of weapons and amunition and the anatomical position of the wound track in the temporal region. Discussion about the role of concussion of the brain by different rate of transgression of energy from the missile to the skull. Reference to the importance of X-ray analysis and to a radiographic documentation of the findings in such cases.