Medical men are frequently called upon in our courts of law to give
evidence in cases where it is doubtful whether persons found dead
were murdered or committed suicide. The questions involved in these
judicial inquiries are of great public importance, and it is the sacred
duty of medical men, for the sake of their own characters, and for a
much higher consideration—for the ends of justice, to make themselves
thoroughly conversant with all the evidence which can be brought to
bear in the elucidation of such important questions. Our criminal
annals are replete with illustrations in which individuals accused
of the atrocious crime of murder have been saved from a dreadful and
ignominious death by medical evidence. Cases also are recorded in which
death has been ascribed to suicide, but which after investigation have
been proved to have been effected by other hands. In doubtful cases
of this description, the evidence of the medical man is of the highest
importance; without it, in the great majority of cases, justice would
be defeated.
In the cases of persons found hanging, two questions naturally suggest
themselves to the mind:—1. Whether the individual was suspended before
or after death. 2. Whether it was an act of suicide or murder. It is
possible, and such cases have occurred, that a person may have been
hanged up after having been murdered, or may have endeavoured to
destroy himself by firearms, or by cutting his throat, and suspend
himself afterwards, not being able to effect his purpose in any other
way. In the first case we might mistake murder for suicide; and in
the second, suicide for assassination. The following are the signs
of death from strangulation:—The countenance is livid and distorted;
the eyes protrude, and are often suffused with blood; the tongue
projects and is wounded by the teeth. If the rope be placed below the
cricoid cartilage, the tongue will protrude; but if it presses above
the thyroid cartilage, the tongue will not be seen in the position
described. It was formerly the generally received opinion that persons
who were hanged died of apoplexy; but the experiments of Sir B.
Brodie and other physiologists clearly prove that death is owing to
suffocation. The livid or depressed circle which the rope is said to
make round the neck is pronounced by M. Klein to be an uncertain sign;
he saw fifteen cases of suicide in which it was not discovered. Remer,
of Breslaw, who has recently directed his mind to the consideration
of this important point, found, out of one hundred cases of persons
who died from strangulation, eighty-nine with sugillation on the neck
in an evident manner. In addition to the signs mentioned, others have
been enumerated. The fingers are said to be found bent, the nails blue,
hands nearly closed, with swelling of the chest, shoulders, arms, and
hands.
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