In deaths by hanging, it may sometimes be difficult to differentiate between autoerotic accident and suicide. Our report deals with a 30-year-old man who was found hanged in the living room of his flat. The deceased was wearing headphones connected to a PC. Within the deceased's view was a computer screen showing the last picture of a video file downloaded from the Internet with the head of an unclothed, allegedly hanged female. The deceased's left hand was inside his trousers in the genital region. The autopsy did not only show findings typical for hanging, but also advanced sarcoidosis, which was known to the victim. Although this basic illness could have been a possible motive for suicide, the circumstances in the presented case pointed more in the direction of an accidental autoerotic death. As far as we know, this is the first description of a death during autoerotic activity in which sexual stimulation was achieved by watching a video file downloaded from the Internet.
Autoerotic accident Lethal paraphiliac syndrome Suicide Hanging Internet
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Alao AO, Yolles JC, Armenta W (1999) Cybersuicide: the internet and suicide. Am J Psychiatr 156:1836–1837PubMedGoogle Scholar
Behrendt N, Modvig J (1995) The lethal paraphiliac syndrome. Accidental autoerotic deaths in Denmark 1933–1990. Am J Forensic Med Pathol 16:232–237PubMedCrossRefGoogle Scholar
Breitmeier D, Passie T, Mansouri F, Albrecht K, Kleemann WJ (2002) Autoerotic accident associated with self-applied ketamine. Int J Leg Med 116:113–116CrossRefGoogle Scholar
Bohnert M, Faller-Marquardt M, Lutz S, Amberg R, Weisser HJ, Pollak S (2001) Transfer of biological traces in cases of hanging and ligature strangulation. Forensic Sci Int 116:107–115CrossRefPubMedGoogle Scholar
Henry RC (1971) “Sex” hangings in females. Med-Leg Bull 20:1–5Google Scholar
Karger B, Vennemann B (2001) Suicide by more than 90 stab wounds including perforation of the skull. Int J Leg Med 115:167–169CrossRefGoogle Scholar
Karger B, Billeb E, Koops E, Brinkmann B (2002) Autopsy features relevant for the discrimination between suicidal and homicidal gunshot injuries. Int J Leg Med 116:273–278Google Scholar
Madea B, Henßge C, Roth H (1987) Vortäuschung eines Suizides unter dem Bild eines autoerotischen Unfalls zur Verdeckung eines Tötungsdeliktes. Arch Kriminol 179:149–153PubMedGoogle Scholar
Naeve W (1974) Selbstmorde und Tötungsdelikte unter Vortäuschung eines autoerotischen Unfalls. Arch Kriminol 154:145–149PubMedGoogle Scholar
Rothschild MA, Schneider V (1997) Über zwei autoerotische Unfälle: Tödliche Lachgasnarkose und Thoraxkompression. Arch Kriminol 200:65–72PubMedGoogle Scholar
Schmidt U, Faller-Marquardt M, Tatschner T, Walter K, Pollak S (2004) Cuts to the offenders's own hand—unintentional self-infliction in the course of knife attacks. Int J Leg Med 118:348–354CrossRefGoogle Scholar
Seidl S (2004) Accidental autoerotic death. A review on the lethal paraphiliac syndrome. Forensic Pathol Rev 1:235–262Google Scholar
Wehner F, Gawatz O (2003) Suizidale Eibenintoxikation—von Caesar bis heute—oder: Suizidanleitung im Internet. Arch Kriminol 211:19–26PubMedGoogle Scholar