COMBINED HOMICIDE
Abstract
Introduction: Combined homicide is a combination of two or more different modes of killing. These homicides occur when multiple perpetrators have different mode of killing, to hide the true manner of death, or when an initially unsuccessful attack with one weapon is abandoned and changed by another mode which is more successful, or due to availability of weapons at the scene of homicide, or unexpected appearance of possible eyewitness, or else.
Case report: This case report is about 65-year old woman who was found in her residence on the floor next to the bed lying on her back with two kitchen knives in her neck. Autopsy revealed an abrasion on the frontal part of the neck and a bruise of the soft tissues of the neck with a double fracture of both greater horns of the hyoid bone and a fracture of both superior horns of the thyroid cartilage. The cause of death was exsanguination into right half of the thoracic cavity from the left subclavian artery which was cut, on the spot of stab wound in the neck.
Conclusion: Hemorrhage in the soft tissue near broken hyoid bone and thyroid cartilage indicate that the victim was first strangulated and then stabbed with kitchen knives. Combined homicides are caused by one or more killers in order to accelerate the killing, or to be sure to provide the fatal outcome. This case is also interesting because the killer left weapon in the victim’s neck.
References
Milovanović M. Sudska medicina. Medicinska knjiga, Beograd-Zagreb; 1985: 379-89.
Mohanty MK, Kumar TS, Mohanram A, Palimar V. Victims of homicidal deaths – an analysis of variables. Journal of Clinical Forensic Medicine. 2005; 12(6): 302-4.
Kamaluddin M, Shariff NS, Nurfarliza S, Othman A, Ismail KH, Mat Saat GA. Pshychological traits underlying different killing methods among Malaysian male murderers. Malaysian J Pathol. 2014; 36(1):41-50
MoarJJ. Homicide by dual modality.A case report. S Afr Med J. 1984; 65(4): 137-8.
Kamaluddin M, Syariani N, Mat Saat GA. Epide-miological Profiles of Murders and Murder Victims in Peninsular Malaysia from 2007 to 2011 as Reported by a Newspaper.Journal of Humanities and social sciences2014; 19(7, Ver. IV): 73-81.
Kamaluddin M, Shariff NS, Othman A, Ismail KH, Mat Saat GA. Socio-demographic and Mechanical Profiles of Malaysian Male Murderers: a Descriptive Study.International Journal of Biomedical Research 2014; 5(2).
Henderson JP, Morgan SE, Patel F, Tiplady ME. Patterns of non-firearm homicide.Journal of Clinical Forensic Medicine.2005; 12(3): 128-32.
Kumar V, Li AK, Zanial AZ, Lee DA, Salleh SA. A study of homicidial deaths in medico-legal autopsies at UMMC, Kuala Lumpur.Journal of Clinical Forensic Medicine. 2005; 12(5): 254-7.
Kposowa AJ, Singh GK, Breault KD. The Effects of Marital Status and Social Isolation on Adult Male Homicides in the United States: Evidence from the National Longitudinal Mortality Study. Journal of Quantitative Criminology 1994; 10(3): 277-89.
Pramanik P. Elder homicide by unique combination of different mechanisms of asphyxia. International Journal of Applied Basic Medical Research 2015; 5(1): 61-4.
Coelho L, Ribeiro T, Dias R, Santos A, Magalhaes T. Elder homicide in the north of Portugal. Journal of Forensic and Legal Medicine 2010; 17(7): 383-7.
Hugar BS, Chandra YG, Harish S, Jayanth SH. Pattern of Homicidal Deaths. Journal of Indian Academy Forensic Medicine 2010; 32(3): 194-8.
Bhupinder S, Kumara TK, Syed AM. Pattern of homicidal deaths autopsied at Penang Hospital, Malaysia, 2007-2009: a preliminary study. Malaysian J Pathol 2010; 32(2): 81-6.
GarudadhriGV, Raghavendra R, Devadass PK. Fatal Stab at an Unusual Site: A Case Report. J Indian Acad Forensic Med 2013; 35(3): 285-7.
Payne-James J. Encyclopedia of Forensic and Legal Medicine. Elsevier Academic Press; 2005. p. 151.
Karlsson T. Sharp force homicides in the Stockholm area, 1983-1992.Forensic Science International. 1998; 8; 94(1-2): 129-39.
Gutierrez G, Reines HD, Wulf-Gutierrez ME. Clinical review: Hemorrhagic shock. Critical Care. 2004; 8(5): 373-81.
Burša F, Pleva L, Máca J, Sklienka P, Ševčík P. Tissue ischemia microdialysis assessments following severe traumatic haemorrhagic shock: lactate/pyruvate ratio as a new resuscitation end point? BMCAnesthesiol 2014; 14: 118.
Dettmeyer R, Verhoff MA, Schutz HF. Forensic Medicine, Fundamentals and Perspectives. Springer-Verlag Berlin Heidelberg; 2013.p. 172.
Lupasu C, Lupasu C, Beldiman D. Mechanical asphyxia by three different mechanisms. Legal Medicine [Tokyo] 2003;5(2): 110-1.
Block R, Block CR. Homicide Syndromes and Vulnerability: Violence in Chicago’s Community Areas over 25 years. Studies on Crime and Crime Prevention. 1992; 1(1): 61-87.
HazelwoodRR, Douglas JE. Lust murderer.FBI Law Enforcement Bulletin. 1980; 49(4):18-22.
Ressler RK, Burgess AW. Crime Scene and Profile Characteristics of Organized and Disorganized Murders. FBI Law Enforcement Bulletin 1985; 54(8): 18-25.