Abstract：
UNASSIGNED: \"Complex suicide\" refers to suicides in which more than one suicide method is applied. The victim can either plan different and simultaneous ways of death, to prevent any failures, or change the method because the first one fails or turns out to be too painful.
UNASSIGNED: A Middle-age-man was found dead inside a car, in a field, near the seaside. Clothes were intact, wet, and smeared with mud and gravel. His shirt had dried whitish biological material on the thoracic area, referable to oedema fluid, his trousers were down to his ankles exposing external genitalia. Inside the car, a kitchen-serrated blade knife and scissors were found, both smeared with dried blood material. Cadaveric inspection showed: multiple superficial stab/cut injuries; nasal cavities leaking aqueous-like fluid; triangular and linear stab lesions all over the body; hesitation marks on both latero-cervical regions and both wrists; no defensive injuries referrable to third parties; maceration over both palmar and plantar surfaces. Autopsy showed: hemorrhagic infiltration for thoracic muscles; expanded and heavily congested lungs.
UNASSIGNED: This is the first Italian case, and one of the few cases reported in major literature (third case worldwide), of unplanned complex suicide achieved through stabbing and drowning by a man with no psychiatric or substances abuse history. Therefore, analyzing any evidence to distinguish this kind of sudden/unnatural death from accidental or homicidal ones is mandatory. Such cases require a flawless approach to judicial inspection, autopsy, and toxicological exams. Moreover, a multidisciplinary perspective including psychiatric criminological investigation is needed.
UNASSIGNED: A Middle-age-man was found dead inside a car, in a field, near the seaside. Clothes were intact, wet, and smeared with mud and gravel. His shirt had dried whitish biological material on the thoracic area, referable to oedema fluid, his trousers were down to his ankles exposing external genitalia. Inside the car, a kitchen-serrated blade knife and scissors were found, both smeared with dried blood material. Cadaveric inspection showed: multiple superficial stab/cut injuries; nasal cavities leaking aqueous-like fluid; triangular and linear stab lesions all over the body; hesitation marks on both latero-cervical regions and both wrists; no defensive injuries referrable to third parties; maceration over both palmar and plantar surfaces. Autopsy showed: hemorrhagic infiltration for thoracic muscles; expanded and heavily congested lungs.
UNASSIGNED: This is the first Italian case, and one of the few cases reported in major literature (third case worldwide), of unplanned complex suicide achieved through stabbing and drowning by a man with no psychiatric or substances abuse history. Therefore, analyzing any evidence to distinguish this kind of sudden/unnatural death from accidental or homicidal ones is mandatory. Such cases require a flawless approach to judicial inspection, autopsy, and toxicological exams. Moreover, a multidisciplinary perspective including psychiatric criminological investigation is needed.
摘要：
■\“复杂自杀”是指应用了一种以上自杀方法的自杀。受害者可以计划不同的同时死亡方式，为了防止任何故障，或者改变方法，因为第一个失败或结果太痛苦。
■一名中年男子被发现死在车内,在一个领域，在海边附近.衣服完好无损,湿,用泥土和砾石涂抹。他的衬衫上有干燥的白色生物材料，指水肿液，他的裤子长到脚踝露出外生殖器。在车里,发现了一把厨房锯齿状的刀子和剪刀，都涂有干血。尸体检查显示：多处浅表刺伤/割伤；鼻腔泄漏水样液体；全身三角形和线性刺伤；颈外侧区域和手腕上的犹豫痕迹；没有可推荐给第三方的防御性伤害；手掌和足底表面均浸渍。尸检显示：胸腔肌肉出血性浸润；肺部扩张且严重充血。
■这是第一个意大利案例,也是主要文献报道的少数病例之一（全球第三例），通过一名没有精神病或药物滥用史的男子刺伤和溺水而实现的计划外复杂自杀。因此,分析任何证据来区分这种突然/不自然的死亡和意外或杀人的是强制性的。这类案件需要采取完美无瑕的司法检查方法,尸检,和毒理学检查。此外，需要包括精神病犯罪学调查在内的多学科视角。
■一名中年男子被发现死在车内,在一个领域，在海边附近.衣服完好无损,湿,用泥土和砾石涂抹。他的衬衫上有干燥的白色生物材料，指水肿液，他的裤子长到脚踝露出外生殖器。在车里,发现了一把厨房锯齿状的刀子和剪刀，都涂有干血。尸体检查显示：多处浅表刺伤/割伤；鼻腔泄漏水样液体；全身三角形和线性刺伤；颈外侧区域和手腕上的犹豫痕迹；没有可推荐给第三方的防御性伤害；手掌和足底表面均浸渍。尸检显示：胸腔肌肉出血性浸润；肺部扩张且严重充血。
■这是第一个意大利案例,也是主要文献报道的少数病例之一（全球第三例），通过一名没有精神病或药物滥用史的男子刺伤和溺水而实现的计划外复杂自杀。因此,分析任何证据来区分这种突然/不自然的死亡和意外或杀人的是强制性的。这类案件需要采取完美无瑕的司法检查方法,尸检,和毒理学检查。此外，需要包括精神病犯罪学调查在内的多学科视角。
