Psychiatria Danubina, Vol. 21 No. 2, 2009.
Stručni rad
ACCIDENTAL DEATH DUE TO COMPLETE AUTOEROTIC ASPHYXIA ASSOCIATED WITH TRANSVESTIC FETISHISM AND ANAL SELF-STIMULATION - CASE REPORT
Tatjana Atanasijević
; Institut forenzičke medicine, Medicinska škola, Beograd, Srbija
Aleksandar A. Jovanović
; Institut za psihijatriju, Klinički centar Srbije, Beograd, Srbija
Slobodan Nikolić
; Institut forenzičke medicine, Medicinska škola, Beograd, Srbija
Vesna Popović
; Institut forenzičke medicine, Medicinska škola, Beograd, Srbija
Miroslava Jašović-Gašić
; Institut za psihijatriju, Klinički centar Srbije, Beograd, Srbija
Sažetak
A case is reported of a 36-year-old male, found dead in his locked room, lying on a bed, dressed in his mother's clothes, with a plastic bag over his head, hands tied and with a barrel wooden cork in his rectum. Two pornographic magazines were found on a chair near the bed, so that the deceased could see them well. Asphyxia was controlled with a complex apparatus which consisted of two elastic luggage rack straps, the first surrounding his waist, perineum, and buttocks, and the second the back of his body, and neck. According to the psychological autopsy based on a structured interview (SCID-I, SCID-II) with his father, the deceased was single, unemployed and with a part college education. He had grown up in a poor family
with a reserved father and dominant mother, and was indicative of fulfilling DSM-IV diagnostic criteria for alcohol dependence, paraphilia involving hypoxyphilia with transvestic fetishism and anal masturbation and a borderline personality disorder. There was no evidence of previous psychiatric treatment. The Circumstances subscale of Beck’s Suicidal Intent Scale (SIS-CS) pointed at the lack of final acts (thoughts or plans) in anticipation of death, and absence of a suicide note or overt communication of suicidal intent before death. Integration of the crime scene data with those of the forensic medicine and psychological autopsy enabled identification of the event as an accidental death, caused by neck strangulation, suffocation by a plastic bag, and vagal stimulation due to a foreign body in the rectum.
Ključne riječi
forensic science; autoerotic asphyxia; anal self-stimulation; forensic autopsy; psychological autopsy
Hrčak ID:
39900
URI
Datum izdavanja:
21.3.2009.
Posjeta: 4.821 *