Signs of self-inflicted wounds; how accurate they are

Summary

Keywords:
self-inflicted wounds – forensic – signs

Dear Editor:

Differentiating the intentionally self-inflected wounds from the real ones is an important point in the clinical field of forensic medicine. As described in one of the most famous forensic textbooks- Knight’s Forensic Pathology- the most important clinical signs of these intentionally self-inflicted wounds include left-side injuries in the right-handed patients (especially in the areas available to the patient), regular, superficial, and parallel wounds avoiding vital and sensitive areas, and irrelevant garment cuts not matching the injuries in position and direction (1). Seeing a horizontal tear on the garment and a vertical wound beneath, a forensic specialist generally thinks of an intentional self-inflicted wound. I, however, present a case of real injury with all these features.

The patient was actually a close relative of mine who hurt himself while handling a 1x1.5 meter, 8-mm thick glass leaning to the wall. Wile trying to remove the glass, it slid, fell on the patient’s left arm and then dropped, tore the left sleeve of his shirt horizontally and made two parallel vertical superficial wounds on his arm. I would like to tell that even such famous signs that are considered as signs of intentional self-inflicted injuries, taught by famous forensic textbooks worldwide, and considered in the management of those referring to the forensic organizations for examination, are not a hundred percent correct and may all be present in a case of real injury. A specialist in Forensic Medicine should, therefore, always keep such possibilities in his/her mind while confronting a patient with possible self-inflicted wounds.

Reviewer’s comment:

The necessity to consider all circumstances in the case of suspicion on self-inflicted injury is not discuss.

Correspondence address:

Nasim Zamani, MD

Department of Clinical Toxicology

Logman Hakin Hospital, Shahid

Beheshti University of Medical Sciences, Teheran, Iran

tel.: 00989122059290

e-mail: nasim.zamani@gmail.com