@article{ref1,
title="Suicide drowning in the non-coastal territory of Milan",
journal="International journal of legal medicine",
year="2014",
author="Muccino, Enrico and Crudele, Graziano Domenico Luigi and Gentile, Guendalina and Marchesi, Matteo and Rancati, Alessandra and Zoja, Riccardo",
volume="129",
number="4",
pages="777-784",
abstract="INTRODUCTION: A cadaver in water sets a relevant issue for the forensic pathologist, concerning the differential diagnosis between homicide, suicide, accidental event, and natural death in water. In the present study, the drowning suicides in a non-coastal territory are analyzed, discussing the main diagnostic difficulties, the preventive intervention, and the strategies for outlining the profile of a &quot;mean victim&quot; that is at risk of committing suicide by drowning. <br><br>METHODS: The cases of drowning suicide were extrapolated by the database of the 21,472 autopsies performed at the Civic Morgue of Milan, in the period between 1993 and 2013. <br><br>RESULTS: Drowning represents the fifth cause of suicide registered in Milan for the study period, with 139 cases (3.8 % of all suicides). Victims were mainly elderly males (61-80 years old) with a history of psychiatric diseases in pharmacological therapy; they committed suicide mainly during summer, in the rivers. The diatoms test was positive in 82 cases (59 %) and highlighted typical taxa of fresh water. Alcohol and illicit drugs were not noticed, at high levels. <br><br>CONCLUSION: Drowning suicide occurs even in a non-coastal territory, far from the sea, if there is an easy access to the water: specifically, many natural and artificial waterways in the Milan district represent a high-risk factor predisposing the drowning suicide.<p /> <p>Language: en</p>",
language="en",
issn="0937-9827",
doi="10.1007/s00414-014-1115-9",
url="http://dx.doi.org/10.1007/s00414-014-1115-9"
}