Abstract：
BACKGROUND: Self-inflicting injury is a recognised psychiatric disorder. Such cases are regularly seen in the emergency department, with a false history of assault. Most of these are easily detected by a forensic medicine expert as they present as described in literature but are difficult to explain if altered by professionals for nefarious reasons.
METHODS: This was a prospective study carried out at a tertiary centre. The data was collected and analysed from the office records of medico-legal reports prepared at our institute between 25 February 2022 and 25 February 2023.
RESULTS: 21 cases were recorded, that met with our criteria. Most involved males (90.5%). Minimum age was 27 years and maximum age 66 years with a mean of 48.6 years and a standard deviation of ±11 years. Most offenders were unemployed (38.1%). Most fractured bone was tibia (47.6%). Left-sided fractures were more common (61.9%). Injuries corresponded with the findings on clothes in three cases (14.3%).
CONCLUSIONS: Fabricated wounds will reflect the intentions of the fabricator and may range from superficial wounds to grievous injury. Only a critical analysis of all medico-legal cases will identify them, and they will have similarities of presentation.
CONCLUSIONS: Such findings have rarely been reported in other parts of India. A diligently prepared medico-legal report and profiling of all cases can help establish patterns of such injuries.
METHODS: This was a prospective study carried out at a tertiary centre. The data was collected and analysed from the office records of medico-legal reports prepared at our institute between 25 February 2022 and 25 February 2023.
RESULTS: 21 cases were recorded, that met with our criteria. Most involved males (90.5%). Minimum age was 27 years and maximum age 66 years with a mean of 48.6 years and a standard deviation of ±11 years. Most offenders were unemployed (38.1%). Most fractured bone was tibia (47.6%). Left-sided fractures were more common (61.9%). Injuries corresponded with the findings on clothes in three cases (14.3%).
CONCLUSIONS: Fabricated wounds will reflect the intentions of the fabricator and may range from superficial wounds to grievous injury. Only a critical analysis of all medico-legal cases will identify them, and they will have similarities of presentation.
CONCLUSIONS: Such findings have rarely been reported in other parts of India. A diligently prepared medico-legal report and profiling of all cases can help establish patterns of such injuries.
摘要：
背景：自我伤害是一种公认的精神疾病。这种情况经常在急诊室看到，有虚假的袭击史。大多数这些都很容易被法医学专家发现，因为它们如文献中所述，但是如果由于恶意原因被专业人员更改，则很难解释。
方法：这是一项在三级中心进行的前瞻性研究。数据是从2022年2月25日至2023年2月25日在我们研究所编制的医学法律报告的办公室记录中收集和分析的。
结果：记录21例，符合我们的标准.大多数涉及男性（90.5%）。最小年龄为27岁，最大年龄为66岁，平均为48.6岁，标准偏差为±11岁。大多数罪犯失业（38.1%）。骨折最多的是胫骨(47.6%)。左侧骨折更为常见（61.9%）。在三种情况下（14.3％），受伤与衣服上的发现相符。
结论：制造的伤口将反映制造商的意图，可能从表面伤口到严重损伤。只有对所有医学法律案件进行批判性分析才能识别出它们，他们会有相似的表现。
结论：这样的发现在印度其他地区很少有报道。一份精心准备的医学法律报告和对所有病例的分析可以帮助建立这种伤害的模式。
方法：这是一项在三级中心进行的前瞻性研究。数据是从2022年2月25日至2023年2月25日在我们研究所编制的医学法律报告的办公室记录中收集和分析的。
结果：记录21例，符合我们的标准.大多数涉及男性（90.5%）。最小年龄为27岁，最大年龄为66岁，平均为48.6岁，标准偏差为±11岁。大多数罪犯失业（38.1%）。骨折最多的是胫骨(47.6%)。左侧骨折更为常见（61.9%）。在三种情况下（14.3％），受伤与衣服上的发现相符。
结论：制造的伤口将反映制造商的意图，可能从表面伤口到严重损伤。只有对所有医学法律案件进行批判性分析才能识别出它们，他们会有相似的表现。
结论：这样的发现在印度其他地区很少有报道。一份精心准备的医学法律报告和对所有病例的分析可以帮助建立这种伤害的模式。
