The 'break enter and die' syndrome may involve significant injury to major neck vessels

Death from incised wounds of major vessels may occur during illegal entry of premises. Wounds are often relatively unimpressive having been caused by thin shards of glass. Alcohol and/or drugs have often been taken that have impaired coordination and contributed to a failure to take appropriate action. A 37-year-old man slipped and fell while attempting to enter a house through a window that he had just broken. He was found dead surrounded by a large amount of blood. At autopsy, a single horizontal, deeply incised wound of the anterior neck was present with transection of the internal jugular veins bilaterally and the right common carotid artery. Toxicological studies were negative for alcohol and common drugs. Death was due to exsanguination and air embolism. This case demonstrates that the injuries sustained during such activities may be quite extensive and involve major neck vessels. Alcohol and drug intoxication are not necessarily involved.     

Fetal gunshot wound characteristics

Firearm injury in pregnant women is reported in the literature; however, no articles to date address the forensic analysis of the wounds sustained by the fetus. This is a report of a 40 weeks gestational age fetus who died following multiple perforating gunshot wounds, while his mother survived. The fetal wounds were atypical, consisting of irregular perforations with radiating linear lacerations and adjacent abrasions. The unusual wound pattern may have been due to the presence of interposed targets, the shoring of the fetus against itself and the uterine corpus, and the intrinsic character of fetal skin.     

Death from minor head trauma and alcohol

Sudden death in association with minor or otherwise insignificant head injury is increasingly being recognised in the forensic medical literature. While the exact mechanism of the cardiorespiratory arrest that appears to occur in these cases is unclear, a number of mechanisms have been postulated. Animal studies have provided evidence that alcohol can be associated with an increased period of apnoea following minor physical brain injury and cardiac changes have also been identified. The limited information in the community about the risk of alcohol in association with minor head injury causing death may be relevant in homicide cases where this issue is raised.     

Breaking point? An analysis of fatal stab wounds to the torso in Ireland between 2011 and 2018, examining the extent of rib fractures

This study examines the pattern of rib injuries occurring in cases of fatal torso stab wounds in Ireland between 2011 and 2018. It has been suggested by previous studies that rib fractures are not commonly sustained in stab wounds to the torso. We wanted to ascertain whether this was the case, as our data suggested that rib fractures were frequent, and where a rib is fractured there is a higher chance of organ injury and death, making this an important area of study. One hundred and forty seven cases of fatal stab wounds from an eight-year period were retrospectively reviewed. Fatal stab wounds to other body areas, were excluded; leaving a total of 104 cases with stab wounds to the torso. We found that 69.2% of cases had rib injuries, a figure significantly higher than previously reported. Our data suggests that stab wounds to the torso often fracture ribs, putting the underlying organs at increased risk of injury and perhaps contributing to fatality. The amount of force needed to cause a rib fracture can be difficult to quantify and indeed from the high percentage of rib fractures sustained in our data it appears that the ribs may be fractured regardless of the amount of force used; this is borne out by the finding that self-inflicted injuries also caused rib fractures. Our study shows that other factors, such as anatomical positioning and wound depth may have a greater bearing than force in terms of whether a rib fracture is sustained.     

Evaluation of atypical stab and incision wounds in a case of combined suicidal injuries

A fatal case of stabbing and cutting is reported which involved a 37-year-old male who suffered from depressive disorder and had already attempted suicide in the past. The postmortem examination revealed 12 lacerations of the scalp, 5 deep incised wounds on the flexor surface of the right forearm, 3 stab wounds of the back of the head, 12 stab wounds of the chest (with cutting of ribs but no injury of heart and lungs), 35 stab wounds of the abdomen and deep incised wounds of both sides of the neck with hesitation marks and incision of the left internal jugular vein. The significance of criteria to properly establish the manner of death like localization, axis and pattern of the wounds, hesitation marks, defense wounds, pulling aside the clothing to expose the target area, sustained capacity of physical activity and potential lethal effects of the single injuries as well as conclusions from the scene of death are discussed.     

Alcohol use among fatally injured drivers in Spain

Blood from 285 fatally injured drivers in Northern Spain was collected and tested for the presence of alcohol and drugs. Alcohol was detected in 50.5% of all fatalities. Alcohol alone was detected in 44.2% of all samples and in the remaining 6.3% another substance was found together with alcohol. Blood alcohol concentration was classified in different levels. It has been observed that in 35.4% of the cases the blood alcohol level was > or = 0.8 g/l, the legal limit in Spain for car drivers. Alcohol together with other substances was encountered in 18 cases, with medication in 22.2% (4 out of 18), alcohol with illegal drugs in 66.6% of the cases (12 out of 18), and alcohol with medicines and illegal drugs in 11.1% (2 out of 18). Cocaine was the most commonly detected drug. The study shows how widespread the incidence of a high level of alcohol concentration among drivers involved in fatal accidents in Spain.     

The risk of body packing: a case of a fatal cocaine overdose

The process of swallowing or inserting illegal packets of drugs for the purpose of evading law enforcement officers carries risks other than criminal charges. It can be fatal. Individuals engaged in such activities are called "Body Packers" or "Mules". The most frequent cause of the death among body packers is acute drug intoxication due to rupture of the package(s) within the gastrointestinal tract. We present the first documented case of a body packer that died from cocaine intoxication following the rupture of packets of cocaine in Western Pennsylvania.     

Concepts in survival from lethal handgun wounds

Autopsy cases of deaths from handgun wounds were studied. Survival times were estimated from time of the incident until the time of pronouncement on police reports. Two groups were apparent--short-term and non-short-term survivors. These groups were compared statistically with respect to age, race, sex, Spanish surname, alcohol, drugs detected at autopsy, caliber of projectile, frequency of shots, and location of injury.     

Psychological factors in the determination of suicide in self-inflicted gunshot head wounds

Self-inflicted contact gunshot wounds to the head have usually been considered presumptive of suicide. This study evaluates whether sufficient psychological data are gathered in such cases to support a manner of death determination of suicide. We suggest that law enforcement agencies and coroner's departments do not fully explore the decedent's state of mind at the time of death. We studied the first 50 consecutive deaths in 1993 in a major metropolitan county due to self-inflicted gunshot wounds to the head. The sample consists primarily of unmarried, white males, with a median age of 35 years, who displayed psychiatric disturbance, primarily depression, before their death. Younger individuals were often under the influence of alcohol and/or drugs at the time of death. Stressors, such as the loss of a loved one, are common among young and middle-aged persons, while serious health problems are found among the majority of middle-aged and elderly individuals. Many of the findings of this study are consistent with the literature regarding individuals who commit suicide. Although data on many important psychological risk factors are missing in most cases, sufficient psychological material is gathered about the decedent's mental condition at the time of death to support a suicide determination.     

Forensic anthropology and the most probable cause of death in cases of violations against international humanitarian law: an example from Bosnia and Herzegovina

This study presents the results of the analysis of at least 298 predominantly male individuals, between 15 and 75 years, who were recovered from an open cast mine in Bosnia-Herzegovina. Particular attention is paid to identifying the mechanisms of injury and determination of the most probable cause of death based on the assessment of lethal or lethal-if-untreated injuries recorded in the skeleton. It was calculated that at least 38.9% (155/398) of individuals sustained gunshot wounds (GSWs) (plus one shrapnel wound) and may have died as consequence of these injuries. Among individuals who died from GSWs, there were 142 males (91.60%), eight females (5.1%) and five cases that were (3.2%) undetermined. One male individual sustained shrapnel injuries. This study presents an example of the multidisciplinary approach to the effective forensic investigation of violation against International Humanitarian Law, as well as an example of how it is possible to obtain meaningful results to assist the needs of the prosecution in these kind of cases despite the large number of cases and technological constraints.     

The paradoxes of organized crime

The paper argues that the concept of organised crime inconsistently incorporates the following notions: a) the provision of illegal goods and services and b) a criminal organization, understood as a large-scale collectivity, primarily engaged in illegal activities with a well-defined collective identity and subdivision of work among its members. Against this superimposition, the author's contention is twofold: (1) The supply of illegal commodities mainly takes place in a `disorganized' way and, due to the constraints of product illegality, no immanent tendency towards the development of large-scale criminal enterprises within illegal markets exist. (2) Some lasting large-scale criminal organizations do exist, but they are neither exclusively involved in illegal market activities, nor is their development and internal configuration the result of illegal market dynamics.For Susan Strange: mentor and friend     

Sudden death due to delayed rupture of hepatic subcapsular hematoma following blunt abdominal trauma

Blunt abdominal trauma can cause sudden, unexpected death due to injuries to internal organs. Rupture of a hepatic subcapsular hematoma is a relatively rare cause of sudden death following minor blunt abdominal trauma. Death may be delayed several days to weeks. The autopsy is an invaluable diagnostic tool that can be utilized to uncover sudden deaths due to abdominal trauma. The case of an alcoholic who died of a ruptured hepatic subcapsular hematoma is presented. The death investigation revealed that the victim had sustained blunt abdominal trauma during a fall a few days prior to death.     

Penalization and multidimensional poverty: improving our understanding of poverty amongst offenders in Ciudad Juarez,Mexico

Using a multidimensional approach to poverty measurement, this article aims to contribute to an improved understanding on the main aspects of deprivation experienced by former participants of organized crime in Ciudad Juarez, Mexico, a city that became the epicenter of violence due to the ‘war on drugs’ declared in 2006. A sample of 180 surveys and 20 in-depth interviews were implemented to evaluate multidimensional poverty amongst young men serving a prison sentence for a series of crimes related to organized criminal activity (aged 12 to 29) in Ciudad Juarez, Chihuahua. An equal number of surveys were implemented to a group of non-offenders who had no criminal record and resided in a marginalized area of the same city. The research finds that while offenders fared worse in several non-income dimensions of poverty compared to non-offenders, qualitative evidence revealed that experiences of poverty of offenders were not homogenous, as suggested by existing studies. One of the key findings to emerge from the research is that participation in organized crime decreases income poverty; however, participation did not constitute an effective nor sustained pathway out of poverty nor did it decrease deprivation in other dimensions due to a highly skewed distribution of income in the illegal economy and the use of gains from illegal activity to fuel conspicuous consumption, findings that are similar in the established Western literature on youth gangs.     

RESISTING CRIME: THE EFFECTS OF VICTIM ACTION ON THE OUTCOMES OF CRIMES

This study assessed the impact of sixteen types of victim self protection (SP) actions on three types of outcomes of criminal incidents: first, whether the incident resulted in property loss, second, whether it resulted in injury to the victim, and, third, whether it resulted in serious injury. Data on 27, 595 personal contact crime incidents recorded in the National Crime Victimization Survey for the 1992 to 2001 decade were used to estimate multivariate models of crime outcomes with logistic regression. Results indicated that self-protection in general, both forceful and nonforceful, reduced the likelihood of property loss and injury, compared to nonresistance. A variety of mostly forceful tactics, including resistance with a gun, appeared to have the strongest effects in reducing the risk of injury, though some of the findings were unstable due to the small numbers of sample cases. The appearance, in past research, of resistance contributing to injury was found to be largely attributable to confusion concerning the sequence of SP actions and injury. In crimes where both occurred, injury followed SP in only 10 percent of the incidents. Combined with the fact that injuries following resistance are almost always relatively minor, victim resistance appears to be generally a wise course of action.     

Death of an 89-year-old man during autosexual activity

Autoerotic fatalities are accidental deaths occurring as a direct result of autosexual activities, mostly involving men in the 2nd to 8th decade of life. Death most often occurs in the domestic environment due to strangulation or asphyxia. However, fatalities related to autosexual activity in a wider sense may also be caused by an accident or sudden death from an internal cause. We report the case of an aged man who died while engaged in outdoor autosexual activities due to a combination of a pre-existing internal disease and an accident (drowning).     

Drugged drivers in Norway with benzodiazepine detections

Norwegian drugged drivers with benzodiazepine (BZD) detections have been studied with regard to drug use pattern and rearrest rate. During 1995, 3343 drivers were apprehended by the police in Norway due to the suspicion of influence by drugs. Blood samples from all drivers were sent to the National Institute of Forensic Toxicology (NIFT). The samples were analysed using a standard program covering the most commonly abused drugs on the marked in Norway. BZDs, representing some of the most frequently detected drugs, were found in approximately 30% (n = 1051) of the cases, represented by 14% (n = 150) female and 86% (n = 901) male drivers. In 8% of the cases, one BZD only was detected, half of these cases with one BZD could reflect therapeutic use. One or more BZDs were combined with illegal drug(s) (73%), other prescribed drugs (10%), and/or alcohol (24%). 62% of the drivers with BZD detections, had earlier been arrested for the same offence, or six cases per rearrested driver. The frequency of earlier arrests were lower for female (34%) than for male (67%) drivers. Alcohol was most frequently found for those arrested for the first time before 1992, while BZD or illegal drugs were most frequently found for those with their first arrest during 1992-1995. Our study shows that apprehended drivers using BZD are mainly represented by drug abusers due to frequent multi-drug use, blood concentrations representing doses above therapeutic levels and high rearrest rate for the same offence. A treatment program or other reactions, are thus necessary in addition to fines, prison penalty and suspension of driving licence.     

Substance abuse and crime: A local jail assessment

Conclusion The clear picture of multiple arrests and conviction patterns emerged from the study which might indicate long term problems, perhaps with subcultural motivation. Many inmates indicated informally that the pressures to use drugs and alcohol “on the streets” are quite strong, and will be difficult to resist after release. Several of the older inmates who had been heavily addicted before their arrests volunteered to serve as counselors to explain the hazards of drug and alcohol abuse to younger inmates. Unfortunately, a significant number of these inmates also stated that they would probably continue to use drugs upon It would appear that we may expect these relationships to continue in the future, unless some dramatic efforts are made in the enforcement of drug laws, prevention of the gross availability of illegal drugs and legal alcohol, and in the effective rehabilitation of substance abusing offenders. Of particular importance (and difficulty) will be isolating and curbing those social forces which motivate persons to continue using drugs and alcohol in seemingly irrational quantities and combinations, even after arrest and incarceration for substance abuse related behavior.     

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.     

ILLEGAL ENTERPRISE: A THEORETICAL AND HISTORICAL INTERPRETATION *

Illegal enterprise—defined as the sale of illegal goods and services to customers who know that the goods or services are illegal—has long been a central part of the American underworld, but it has received little attention as a separate criminological category. Although such activities are often relatively short term and small scale when compared with legal businesses, three major factors explain the cooperation that sometimes emerges among illegal entrepreneurs. The first factor is systematic corruption, which often permits police or politicians to bring order to illegal activities within a political subdivision. A second factor is overlapping partnerships by which entrepreneurs often launch and maintain illegal businesses. A third factor is the internal economic characteristics of illegal businesses, which shape the manner in which they operate. The paper explores the implications of each factor through historical examples and suggests hypotheses concerning the changing structure of illegal enterprises in American cities.     

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.