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Your search keyword '"CRUDELE, G."' showing total 2 results
Start Over Author "CRUDELE, G." Journal international journal of legal medicine
2 results on '"CRUDELE, G."'

1. Suicide drowning in the non-coastal territory of Milan

Author

Enrico Muccino, Riccardo Zoja, Matteo Marchesi, Guendalina Gentile, Graziano Domenico Luigi Crudele, Alessandra Rancati, Muccino, E, Crudele, G, Gentile, G, Marchesi, M, Rancati, A, and Zoja, R

Subjects
Adult, Male, Poison control, Suicide prevention, Occupational safety and health, Pathology and Forensic Medicine, Forensic pathology, Young Adult, Age Distribution, Homicide, Retrospective Studie, Injury prevention, medicine, Humans, Sex Distribution, health care economics and organizations, Aged, Retrospective Studies, Aged, 80 and over, Diatoms, Drowning, MED/43 - MEDICINA LEGALE, business.industry, Mental Disorders, Human factors and ergonomics, Morgue, Diatom, social sciences, Middle Aged, medicine.disease, Suicide, Italy, Accidental, Mental Disorder, Female, Medical emergency, Autopsy, business, Demography, Human
Abstract

Introduction: A cadaver in water sets a relevant issue for the forensic pathologist, concerning the differential diagnosis between homicide, suicide, accidental event, and natural death in water. In the present study, the drowning suicides in a non-coastal territory are analyzed, discussing the main diagnostic difficulties, the preventive intervention, and the strategies for outlining the profile of a “mean victim” that is at risk of committing suicide by drowning. Methods: The cases of drowning suicide were extrapolated by the database of the 21,472 autopsies performed at the Civic Morgue of Milan, in the period between 1993 and 2013. Results: Drowning represents the fifth cause of suicide registered in Milan for the study period, with 139 cases (3.8% of all suicides). Victims were mainly elderly males (61–80years old) with a history of psychiatric diseases in pharmacological therapy; they committed suicide mainly during summer, in the rivers. The diatoms test was positive in 82 cases (59%) and highlighted typical taxa of fresh water. Alcohol and illicit drugs were not noticed, at high levels. Conclusion: Drowning suicide occurs even in a non-coastal territory, far from the sea, if there is an easy access to the water: specifically, many natural and artificial waterways in the Milan district represent a high-risk factor predisposing the drowning suicide.

Published
2014

2. Are autopsies on minors a taboo?: The experience of Milan in a 19-year retrospective study.

Author

Tambuzzi S, Crudele G, Maggioni L, Collini F, Tunesi S, Decarli A, Russo AG, and Cattaneo C

Subjects
Child, Male, Adolescent, Female, Humans, Infant, Newborn, Infant, Retrospective Studies, Asphyxia, Taboo, Cause of Death, Autopsy, Homicide, Suicide, Wounds, Gunshot, Wounds, Nonpenetrating
Abstract

Forensic autopsy is an important tool for the proper management of non-natural deaths in minors. However, it seems that autopsy in minors is a practice which may not be performed routinely. In this framework, we conducted a study analyzing autopsies of minors (under 18 years of age in Italy) performed at the Institute of Forensic Medicine in Milan in the period 2001-2019. For the period 2015-2019, we extrapolated all deaths due to non-natural causes in minors to investigate how many and which of these deaths were not subjected to forensic autopsy. Of the total, 344 minors (235 males and 109 females) underwent autopsies, with an overall downward trend of about 80% since 2004. Most autopsies occurred between the ages of 0 and 1 year, and the fewest between the ages of 5 and 9 years. The place of death was home in most cases, and accidental death was most common, followed by natural death, suicide, and homicide, with prevalence varying by age group. Blunt force trauma predominated among accidental death in all age groups, followed by asphyxia. Similar findings were observed for suicides, although there was a more differentiated pattern for suicides between the ages of 15 and 17 years. Among homicides, blunt force trauma, asphyxia, and gunshot wounds were fairly evenly distributed across all age groups. Between 2015 and 2019, a total of 86 minors died of a non-natural cause, and a forensic autopsy was performed in only 33 cases (38%). Our data shows that fewer and fewer autopsies are being performed over the last years, which indicates a dangerous lack of forensic investigation of children and adolescent deaths, with enormous implications for prevention of child abuse., (© 2023. The Author(s).)

Published
2024
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