Accidental insulin overdose

Exogenous insulin has been used for many years to treat diabetes mellitus. Due to the complex nature of insulin therapy, there have been numerous accidental overdoses by these patients. Unfortunately, in other instances, insulin has been used as an agent for suicide and homicide in diabetics as well as nondiabetics. Presented here is a fatal case of accidental insulin overdose in a nondiabetic. Following the case presentation, we review insulin pharmacology and the methods of diagnosing insulin overdose postmortem. In any case of insulin overdose, a comprehensive scene investigation to document the amount and type of insulin used, along with information revealing the source of the insulin is critical. In addition, a complete autopsy, including appropriate laboratory studies, is needed to make a diagnosis in these cases. Proper attention should be given to collection and storage of blood samples, as these specimens often yield the strongest evidence of insulin overdose.     

Homicide by insulin administration

This report describes a case of homicide by insulin administration and a study of the effects of storage conditions on insulin in serum. The study revealed insulin to be remarkably stable at refrigerator temperatures. Therefore, for forensic science purposes, insulin immunoassay data are interpretable even when serum is not stored by the standard laboratory method of freezing.     

苏州7例杀婴案法医学分析

目的探讨和总结杀婴案的主要特征、法医学检验重点和命案现场分析要点。方法收集2008—2013年苏州市发生的7例已破杀婴案的有关资料。分析并归纳其特点。结果杀婴案嫌疑人均为受害人母亲,年龄较轻,多为未婚先孕;均为分娩后杀婴,分娩现场与杀人现场为同一地点;死亡新生儿多为机械性窒息,尸体多无衣着包裹,脐带非医源性离断,胎盘未与死亡新生儿连接。结论杀婴案法医学检验的规范化、标准化和程序化有助于案件的分析和侦破工作。     

Newborn kidnapping by cesarean section

A study of 30 cases of violence from a total sample of 199 cases of infant abductions between the years 1983 and 2000 included a subsample of six (or 20%) where the kidnapping was by cesarean section. The six cases are classified by type of crime. Four cases were classified as personal cause homicide, subtype cesarean section homicide; one case classified as personal cause, subtype domestic homicide, and one case classified as a criminal enterprise homicide. The behavioral profiles of the abductors included a confidence style approach to the victim mother, deception, and planning of the cesarean section. The forensic psychodynamics suggest a dual motive to cement a failing partner relationship and to fulfill a childbearing and delivery fantasy. Cesarean section murder suggests a new category of personal cause homicide.     

Spousal Homicide in Russia Versus the United States: Preliminary Findings and Implications

Increased research on spousal homicide warrants a cross-cultural comparison that Russia and the United States could provide. As a first step, official statistics and scholarly reports are summarized in terms of spousal homicide rates, sex-ratios of spousal homicide, and circumstances of these homicides and inclusion of attempted homicides in Russia. The statistics are adjusted to compensate for several methodological limitations in establishing homicide data, such as misclassifications of homicides. Adjusted homicide data suggest that Russia has a higher spousal homicide rate, more female victims, and fewer shootings than the United States. Women in Russia may be two and one-half times more likely to be killed by their spouses or lovers than their counterparts in the United States. The break-up of the Soviet Union and contradictory status of women in Russia may contribute to these findings. Future research might include homicide case reviews and perpetrator assessments to substantiate and refine these preliminary findings.     

A METHODOLOGICAL ADDITION TO THE CROSS‐NATIONAL EMPIRICAL LITERATURE ON SOCIAL STRUCTURE AND HOMICIDE: A FIRST TEST OF THE POVERTY‐HOMICIDE THESIS*

Dozens of cross‐national studies of homicide have been published in the last three decades. Although nearly all these studies test for an association between inequality and homicide, no studies test for a poverty—homicide association. This absence is disconcerting given that poverty is one of the most consistent predictors of area homicide rates in the abundant empirical literature on social structure and homicide in the United States. Using a sample that coincides closely with similar recent studies, applying a proxy for poverty (infant mortality) that is commonly employed in noncriminological cross‐national research, and controlling for several common covariates (including inequality), this study provides the first test of the poverty—homicide hypothesis at the cross‐national level. The results reveal a positive and significant association between a nation's level of poverty and its homicide rate. The findings also suggest that we may need to reassess the strong conclusions about an inequality—homicide association drawn from prior studies, as this relationship disappears when poverty is included in the model.     

STRUCTURAL CONDITIONS AND RACIAL HOMICIDE PATTERNS: A LOOK AT THE MULTIPLE DISADVANTAGES IN URBAN AREAS*

This research examines the differential effects of structural conditions on race-specific victim and offender homicide rates in large U.S. cities in 1990. While structural theories of race relations and criminological explanations are reviewed, particular attention is given to those structural theories that highlight racial competition, economic and labor market opportunity, and racial segregation as essential for an examination of racially disaggregated homicide offending. The effects of these and other structural conditions are estimated for four racially distinct homicide offending models—black intraracial, white intraracial, black interracial, and white interracial homicides. The results suggest that the structural conditions that lead to race-specific victim and offender homicide rates differ significantly among the four models. Economic deprivation and local opportunity structures are found to influence significantly the rates of intraracial homicide offending, while racial inequality contributes solely to black interracial homicide rates. In addition, our findings indicate that blacks and whites face different economic and social realities related to economic deprivation and social isolation. The differential impact of these structural conditions and other labor market factors are discussed.     

HOMICIDE TRENDS IN ATLANTA

In recent years in Atlanta, homicide has been the most common cause of death in males 20–40 years of age. To study homicide trends in this city we analyzed data for 591 resident victims of criminal homicide in two time perid. 1961–1962 and 1971–1972. Large increases occurred in the homicide rates for both black and white residents. In both races, these rate increases could be accounted for almost entirely by homicides involving firearms Homicide rates for black and whites in 1971–1972 were highest in census tracts with low indices of socioeconomic status; this association was found only for homicides in which the victim and assailant were relatives or acquaintances. There was little geographic overlap between areas with high rates of homicide in the home and high numbers of homicides in public. Using population-based rates facilitates comparisons of homicide occurrence between time periods and/or places.     

Trajectories of non-intimate partner and intimate partner homicides, 1980-1999: The importance of rurality

Research had consistently shown that intimate partner homicide rates had been on a steady downward decline over the past two decades; however, a relatively recent movement in intimate partner homicide research had emphasized the need for further dissecting the aggregate trends by factors such as gender, race, victim-offender relationship, and same-sex partners. Taking this a step forward, this study utilized trajectory analysis for comparing and contrasting non-intimate partner homicide and intimate partner homicide rates over time in order to explore the importance of rurality when investigating intimate partner violence. Results of the analysis indicated that although intimate partner homicide rates had been declining over the 1980-1999 period for the majority of the 1,341 U.S. counties examined, there was evidence that rurality was significantly associated with an increased likelihood of assignment to a non-declining intimate partner homicide trajectory. In light of the findings, the authors also consider how these results can direct future research on intimate partner violence in rural areas.     

YOUNG GUNS: EXAMINING ALTERNATIVE EXPLANATIONS OF JUVENILE FIREARM HOMICIDE RATES*

In recent years, youth firearm homicide has become a topic of great public concern in the United States. However, few macrolevel studies have examined intercity variation in juvenile firearm homicide. In the current study, we address this gap in the literature by examining whether intercity variation in firearm‐related homicide rates among black and white juveniles is explained by three prominent structural factors: concentrated disadvantage, racial inequality, and the youth illicit drug market activity. Our findings suggest partial support for the concentrated disadvantage and juvenile drug market explanations of homicide. However, contrary to expectations, these relationships are only significant in models for white juveniles.     

Social support, ethnic heterogeneity, and homicide: A cross-national approach

This study examined the manner that social support theory accounts for the dynamic between social support, ethnic heterogeneity, and homicide at the cross-national level. Using five alternative measures of social support, the findings indicated that social support influences homicide, but these effects are somewhat contingent on the type or dimension of social support provided. Additionally, the analyses performed here revealed that social support and ethnic heterogeneity interact to influence rates of homicide. Taken together, these findings revealed that social support theory provides a useful foundation for exploring the factors that influence homicide at the cross-national level.     

Neuropsychological and Criminological Features of Female Homicide Offenders

Few studies have examined life history and cognitive characteristics unique to female homicide offenders. Understanding these characteristics could aid in risk assessment for extreme violence in this group of offenders. The current study utilized t‐tests or chi‐square tests to compare 27 female and 81 male homicide offenders on psychiatric, neurologic, criminal, and cognitive characteristics. Additionally, we explored the role of abuse history in female offenders through Kruskal–Wallis or Fisher's exact tests. Results indicate that in comparison with male counterparts, females are more likely to have history of mood disorder, borderline personality disorder, and abuse. Cognitively, female homicide offenders exhibit circumscribed cognitive impairment in verbal abilities and perform similarly to male homicide offenders across most cognitive tasks. Within the female offender group, history of sexual abuse is associated with higher rates of impulsive homicide and poorer verbal abilities. These findings provide preliminary evidence for distinct factors associated with homicide in women.     

SOCIAL SUPPORT,INEQUALITY, AND HOMICIDE: A CROSS‐NATIONAL TEST OF AN INTEGRATED THEORETICAL MODEL*

Social support, institutional anomie, and macrolevel general strain perspectives have emerged as potentially important explanations of aggregate levels of crime. Drawing on insights from each of these perspectives in a cross‐national context, the analyses show that 1) our measure of social support is inversely related to homicide rates, 2) economic inequality also maintains a direct relationship with homicide rates, and 3) social support significantly interacts with economic inequality to influence homicide rates. The implications of the analysis for ongoing discourse concerning the integration of these criminological theories and the implications for the development of effective crime control policies are discussed.     

Biology, childhood trauma, and murder: rethinking justice

This article reviews recent findings in the developmental neurophysiology of children subjected to psychological trauma. Studies link extreme neglect and abuse with long-term changes in the nervous and endocrine systems. A growing body of research literature indicates that individuals with severe trauma histories are at higher risk of behaving violently than those without such histories. This article links these two research areas by discussing how severe and protracted child abuse and/or neglect can lead to biological changes, putting these individuals at greater risk for committing homicide and other forms of violence than those without child maltreatment histories. The implications of these biological findings for forensic evaluations are discussed. Based on new understanding of the effects of child maltreatment, the authors invite law and mental health professionals to rethink their notions of justice and offender accountability, and they challenge policymakers to allocate funds for research into effective treatment and for service delivery.     

Social support and homicide in transitional Russia

Like the United States, Russia is a large industrialized nation with high violence rates. Although its overall homicide rate is among the highest in the world, however, local rates of crime vary widely. Similarly, the level of social support provided by the state varies throughout Russia due to former Soviet policies, the differential pace of political and economic change, and the level of development. Relying upon recent criminological literature on social support theory, this study tested the hypotheses that areas with higher levels of social support will have lower homicide rates and that the effects of negative socioeconomic change on homicide rates will be moderated by levels of social support. Utilizing data from Russian regions (n = 78) and controlling for other structural covariates, negative binomial regression was employed to estimate the effects of social support on regional homicide rates. As expected, negative socioeconomic change was associated with higher homicide rates, but the results provided no support for direct or conditioning effects of social support on homicide. The findings are discussed in the context of Russia-specific conditions and of the meaning of these findings for recent research on social support and crime.     

The Cohort-Size Sample-Size Conundrum: An Empirical Analysis and Assessment Using Homicide Arrest Data from 1960 to 1999

A number of studies use the Age-Period-Cohort Characteristic (APCC) model to address the impact of cohort related factors on the age distribution of homicide offending. Several of these studies treat birth cohorts as spanning several years, an operationalization that most closely matches tenets of cohort theory, yet sharply reduces the number of observations available for analysis. Other studies define birth cohorts as those born within a single year, an operationalization that is theoretically problematic, but provides many more observations for analysis. We address the sample size problem by applying a time-series-cross-section model (panel model) with age-period-specific homicide arrest data from the United States for each year from 1960 to 1999, while operationalizing cohorts as five-year birth cohorts. Our panel model produces results that are very similar to those obtained from traditional multiyear APCC models. Substantively, the results provide a replication of work showing the importance of relative cohort size and cohort variations in family structure for explaining variations in age-period-specific homicide rates. The additional observations provided by our approach allow us to examine these relationships over time, and we find substantively important changes. The year-by-year estimates of the age distribution of homicide offending help us to examine the model during the epidemic of youth homicide.     

The social ecology of homicide: A modified lifestyle/routine activities perspective

Recent research on criminal victimization suggests that lifestyle may offer important insights into the unequal distribution of crime. The lifestyle approach is used here to explore variations in homicide rates for Dade County, Florida. The application of this approach to the analysis of cross-sectional variations in homicide rates requires (1) elaboration of the assumptions that connect the likelihood of victimization for individuals to variations in the rate of victimization by location as well as (2) justification of the selection of specific variables as indicators of variation in exposure to the risk of homicide. In sum, four individual characteristics and six residential characteristics are said to be implicated in the explanation of variations in homicide rates among census tracts. Census tract data derived from 1980 Bureau of Census files are used to explore these variations. Findings suggest that future researchers should consider the relative importance of individual attributes, especially marital status, in increasing the risk of homicide victimization.     

THE VIOLENT WEST REEXAMINED: A RESEARCH NOTE ON REGIONAL HOMICIDE RATES*

Studies by O'Carroll and Mercy and by Kowalski and Petee challenge the long-held view that the South leads the nation in homicide rates. Specifically, O'Carroll and Mercy find that when killings by state are disaggregated by race, the West has the highest levels of homicide for whites, blacks, and other races. Kowalski and Petee conclude that homicide rates in the South and the West have converged. We extend their research by examining the effect, on levels of killing, of metropolitan concentration of black and white populations within states and of the percentage of the white population of Hispanic origin within SMSAs. Results of these analyses show that the homicide rate for non-Hispanic whites remains highest in the South; no clear regional pattern exists for blacks.