Abstract
A 42-year-old male was found dead inside his small trunk lying on the right back seat in a pool of blood by his father. A large single-edged utility knife was discovered on right hand of the back car seat nearby. On his neck, there were four sharp hesitate incisional cuts and two hesitate incisional cuts on his left forearm. The forensic bloodstain pattern compatible with possible to hypothesize a carotid artery injury of high-pressure blood exiting from a severed artery. One of four hesitated incisions on hist neck was deep enough to sever right common carotid artery and internal jugular vein. Death was attributed to hemorrhagic shock following right carotid artery severed injury on the neck. A suicide note was found at home by his father and disclosed a combined couple and financial relationship issue. From an evidence-based forensic pathological viewpoint, at first, a clean, detailed visual observation of the cut wounds on his neck and right forearm was a key feature of differential diagnosis of cause of death. Local inspection of incised depth and damaged great blood vessels on his neck, associated with other self-inflicted wounds on his accessible parts of left forearm. The blood spatter marks analysis could determine the dynamic mechanism of bleeding to death. Based on combined circumstantial evidence, terminal individual behavior and police and legal investigation of motivation and personality, the manner of death whether in nature of suicide or homicide or not would be determined. Furthermore, a complete, integrated medicolegal investigation was the milestone of evidence-based forensic pathology to elucidate the fact of death in modern forensics. For understand the individual's background disease for tendency of suicide and/or influenced of alcohol or abuse drug could be confirmed by performed autopsy findings and toxicological analysis.
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