1st. If the person had for some time laboured under melancholia; had met
with losses, disappointments, or had suffered any acute chagrin.[74]
2nd. If any of his family, associates, or connexions, had any interest
in his death. 3rd. The season of the year should be taken into
consideration; for we have observed, without being able to assign the
reason, that suicide is more frequent during the solstices and the
equinoxes. 4th. If the patient, instead of complaining, remains quiet,
seeks for solitude, and refuses medical aid. And 5th. If there be any
writing (as those who destroy themselves ordinarily express their last
opinions or will) it will be one of the most satisfactory proofs that
they have made away with themselves. Remains of poison found in their
pockets, or in the apartment, are but an equivocal proof, and one which
may attend upon homicide as well as on suicide.[75]
In the course of judicial investigations, medical men are frequently
called upon to decide in cases of suspicious death whether wounds
discovered on the bodies of the deceased were self-inflicted. Before
deciding questions of this character, the medical witness ought to take
into consideration the following points:—1st, The situation of the
wound; 2nd, its nature and extent; 3rd, the direction of the wound; and
4th, the moral circumstances connected with the case.
Generally speaking, those who commit suicide do not wound themselves on
the posterior parts of the body; therefore injuries detected in such
situations naturally excite suspicions as to the mode of death. The
throat and chest are commonly selected when cutting instruments are
used. When death has resulted from the discharge of a weapon introduced
into the mouth, Dr. Smith says it may be taken for granted that the
case is one of suicide. It is, however, possible, even under such
circumstances, for a person to be assassinated in this way. When death
has been caused by firearms, the fingers and hands of the deceased
should be carefully examined, in order to detect the presence of
discoloration. In several instances, a murder has been discovered by a
careful examination of the wadding. In two cases on record, the wadding
being examined, it was discovered to have been torn from paper found in
the possession of the parties on whom suspicion had rested.
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