목맴사에서 머리절단 사례보고 = A Case Report of Rare Decapitation in Suicidal Hanging Death

다국어 초록 (Multilingual Abstract)

We report a rare case of complete decapitation in suicidal hanging from a bridge railing. A 71-year-old man weighing 75 kg jumped from the bridge of 6 m in height from the ground using a 4.5 m and 0.9 cm thick nylon rope with a running noose. The lower end of the rope was hanged 2.5 m from the ground. The decapitated body was found in the ground with blood pool. The head was 1 m apart from the body. The neck had a sharply demarcated circumferential band-like ligature mark with twisted diagonal lacerated margins. He had a history of depression and left a suicidal note. From the police investigation and death scene investigation, the case was determined as a suicidal hanging although the autopsy was not done. We reviewed literatures of decapitation cases in hanging deaths and compared the calculated physical forces applied to the ligature.

참고문헌 (Reference)

• 1 Türk EE, "Vechicle-assisted suicide resulting in complete decapitation" 26 : 292-293, 2005
• 2 Zhao D, "Suicidal vehicle-assisted ligature strangulation resulting in complete decapitation: An autopsy report and a review of the literature" 10 : 310-315, 2008
• 3 Tracqui A, "Suicidal hanging resulting in complete decapitation: a case report" 112 : 55-57, 1999
• 4 Tsokos M, "Pathologic features of suicidal complete decapitations" 139 : 95-102, 2004
• 5 Töro K, "Incomplete decapitation in suicidal hanging- report of a case and review of the literature" 15 : 180-184, 2008
• 6 Rabl W, "Hanging with decapitation. Case report- biomechanics" 195 : 31-37, 1995
• 7 Raja U, "Decapitation- a rare complication in hanging" 37 : 81-83, 1997
• 8 Zhu B, "Decapitation in suicidal hanging- a case report with a review of the literature" 2 : 159-162, 2000
• 9 Pankratz H, "Decapitation by hanging" 178 : 157-161, 1986
• 10 Rothschild MA, "Decapitation as a result of suicidal hanging" 106 : 55-62, 1999
• 11 Töro K, "Complex suicide versus complicated suicide" 184 : 6-9, 2009
• 12 Byard RW, "Characteristic features of deaths due to decapitation" 25 : 129-130, 2004
• 13 Prichard PD, "A suicide by self-decapitation" 38 : 981-984, 1993