Victim profile and pattern of thoraco-abdominal injuries sustained in fatal road traffic accidents.

The present research aims to highlight the pattern of thoraco-abdominal injuries sustained by the victims of fatal road traffic accidents (RTA) in Manipal, South India. The study is an autopsy based observation of thoraco-abdominal injuries in victims of fatal road traffic accidents during 1999 – 2003. Road traffic accidents accounted for most of the injury related deaths (77%) during the study period. A male preponderance (86%) was observed with a male-female ratio of 6:1. Individuals in the age group of 21 to 50 years formed the most vulnerable (83%) group. External thoracic injuries were more common than internal thoracic injuries in the thoracic region. In the abdominal region, internal injuries were more common than external injuries. Lungs (61%) and kidneys (23%) were the most commonly involved organs in the thoracic and abdominal regions respectively. Majority of the victims were two wheeler occupants (35%) followed by pedestrians (23%). The study indicates the pattern of thoraco-abdominal injuries sustained along with the trend of road traffic accidents in the region.

Handedness in skeletal remains.

Identification of a highly decomposed body and skeletal remains is of paramount importance in the investigation of a crime. While general characteristics of the skeletal remains like age, sex, stature, race etc. place the subject in a specific group, determination of any special characteristic can help identify the remains further. Handedness can be an important individual skeletal characteristic and an important criterion of identification in highly decomposed bodies and skeletal remains when used in corroboration with other findings. A case report of skeletal remains examination that was suggestive of handedness presented with review of relevant literature.

Suicide - the magnitude of the problem.

Suicide is the second commonest manner of unnatural death flanked by accident and homicide. Suicide is by no means a simple issue, for it hinges on a spectrum of ethical, legal, sociological and psychological problems and it is yet to be offered an unequivocal and satisfactory answer to all the questions raised by this perplexing phenomenon. In an attempt to analyse the magnitude of the problem of suicide, this paper provides a comprehensive data encompassing the prevailing scenario of suicide, investigation of suicide as viewed by different workers and the importance of differentiation between accident, homicide and suicide The presentation is concluded by emphasizing the advantages of psychological autopsy in suicide investigation.

Para suicide: An approach to the profile of victims.

Suicide is the second commonest manner of unnatural death flanked by accident and homicide. Unlike suicide which terminates the human life forever, its counterpart, ‘Para suicide’ paralysis the human life either temporarily or permanently. Para suicide could not be taken as a lighter entity in the modern times, for it may prove as equally dangerous as suicide itself and sometimes perhaps more than that. The present study is an analysis of the spectrum of Para suicide in the terms of various sociodemographic / epidemiological features. The study presents the profile of suicide attempters, who reported / were brought to the Kasturba Hospital, Manipal, Coastal Karnataka, South India, over a span of twelve months with an alleged history of attempted suicide. The study sample comprised of 52 subjects who survived the attempt of suicide. Men (56%) considered as more vulnerable than women. Urbanites (80%) outnumbered the rural dwellers (20%). Thirty six percent of the attempters were in their third decade of life. Fifty six percent of the victims had had their education up to the Secondary School. Manual laborers (23%) were most vulnerable when compared to the skilled laborers and professionals (4% each). Ninety four percent of the subjects were the followers of Hindu religion. Married individuals (52%) and those from lower middle class sector (70%) attempted suicide more often. Presentation is concluded by the suggestion of probable preventive measures.