Abstract

Postmortem assessments of suicide risk factors present at the time of death were used to expose a murder masquerading as a suicide. Postmortem assessment of clinically based suicide risk factors in equivocal suicide cases should readily meet prevailing evidentiary criteria of “reasonableness.” Assessing the presence or absence of suicide risk factors can assist in clarifying the question of suicide intent at the time of death. However, discerning the motives for suicide is usually a more difficult task. Forensic opinions should avoid conclusory statements that invade the province of the fact finder in determining criminal responsibility.

References

1.
Simon
,
R I
.
Bad men do what good men dream: a forensic psychiatrist illuminates the darker side of human behavior
.
Washington, DC
,
American Psychiatric Press
,
1996
.
2.
Simon
R I
.
You only die once—but did you intend it? Psychiatric assessment of suicide intent in insurance litigation
.
Tort & Insurance Law J
1990
;
25
:
650
-
62
.
3.
Nolan
J
, editor.
The suicide case: investigation and trial of insurance claims
.
Tort and Insurance Practice Section
.
Chicago
,
American Bar Association
,
1988
.
4.
Schmidt
S
.
Starr's probe concludes Foster committed suicide
.
The Washington Post
,
16
07
1997
; Sect.
A
:
1
, 7.
5.
Fawcett
J
,
Clark
D C
,
Busch
K A
:
Assessing and treating the patient at risk for suicide
.
Psychiatric Annals
1993
;
23
:
244
-
55
.
6.
Roy
A
:
Risk factors for psychiatric patients
.
Arch Gen Psychiatry
1992
;
39
:
1084
-
95
.
7.
Spitz
W V
.
Asphyxia
. In:
Spitz
W V
, editor.
Medicolegal investigation of death: guidelines for the application of pathology to crime investigations
. 3rd ed.
Springfield
,
Thomas
,
1993
;465.
8.
Simon
R I
.
Clinical risk management of suicidal patients: assessing the unpredictable
. In:
Simon
R I
, editor.
American psychiatric press review of clinical psychiatry and the law
, Vol.
3
.
Washington, DC
,
American Psychiatric Press
,
1992
;
3
-
63
.
9.
Blumenthal
S J
.
An overview and synopsis of risk factors, assessment, and treatment of suicidal patients over the life cycle
. In:
Blumenthal
S J
,
Kupfer
D J
, editors.
Suicide over the life cycle
.
Washington, DC
,
American Psychiatric Press
,
1990
;
685
-
733
.
10.
Maris
R W
,
Berman
A L
,
Maltsberger
J T
,
Yufit
R
, et al
Assessment and prediction of suicide
.
New York
,
Guilford
,
1992
.
11.
Chiles
J H
,
Strohsall
K
.
The suicidal patient: principles of assessment, treatment and case management
.
Washington, DC
,
American Psychiatric Press
,
1995
.
12.
Tanay
E
.
Psychological autopsy: retrospective diagnosis of suicide
. In:
Cyril
H. Wecht
, editor.
Forensic Sciences; Law/Science, Civil/Criminal
. Vol.
2
, Ch. 32C,
New York
,
Matthew Bender
,
1989
.
13.
Fawcett
J
,
Scheptner
W A
,
Fogg
L
, et al
Time-related predictors of suicide in major affective disorder
.
Am J Psychiat
1990
;
147
:
1189
-
94
.
14.
Clark
D C
,
Fawcett
J
.
An empirically based model of suicidal risk assessment for patients with affective disorders
. In:
Jacobs
D
, editor.
Suicide and clinical practice
.
Washington, DC
,
American Psychiatric Press
,
1992
;
55
-
74
.
15.
Clark
D C
,
Horton-Deutsch
S
:
Assessment in absentia: the value of the psychological autopsy method for studying antecedents of suicide and predicting future suicides
. In:
Maris
R
,
Berman
A
,
Maltsberger
J
,
Yufit
R
, et al
, editors.
Assessment and prediction of suicide
.
New York
,
Guilford
,
1992
;
144
-
82
.
16.
Diagnostic and statistical manual of mental disorders
. 3rd ed., rev.
Washington, DC
,
American Psychiatric Association
,
1987
.
17.
Evans
G
,
Faberow
N L
.
The encyclopedia of suicide
.
Facts on file
,
New York
,
1988
;
212
-
3
.
18.
Biffl
E
.
Psychological autopsies: do they belong in the courtroom?
Am J Crim L
1996
;
24
:
123
-
45
.
19.
Simon
R I
.
Clinical psychiatry and the law
. 2nd ed.
Washington, DC
,
American Psychiatric Press
,
1992
;
259
-
96
.
20.
Daubert v. Merrell Dow Pharmaceuticals, Inc.
, 509 US 579 (1993).
21.
Frye v. United States
293 F. 1013 (D.C. Cir. 1923).
22.
Slovenko
R
.
Psychiatry and criminal culpability
.
New York
,
Wiley
,
1995
;
375
-
6
.
23.
126 F. 3d 679 (5th Cir. 1997).
24.
122 F. 3d 803 (9th Cir. 1997).
25.
Unites States v. St. Jean
, 45 M.J. 435 (1996).
26.
28 U.S.C.A. §§ 2071–2074.
27.
Jackson v. State
, 553 So. 2d 719 (Fla. Dist. Ct. Appl. 4th Dist. 1989).
28.
State v. Huber
, 597 N.E. 2d 570 (Ohio C.P. 1992).
29.
Jacobs
D J
,
Klein-Benheim
M E
.
The psychological autopsy: a useful tool for determining proximate causation in suicide cases
.
Bull Amer Acad Psychiat Law
,
1995
;
23
:
165
-
82
.
30.
Jobes
D A
,
Caseys
J O
,
Berman
A L
,
Wright
D G
.
Empirical criteria for the determination of suicide manner of death
.
J Forensic Sci
1991;Jan
36
(
1
):
244
-
56
.
31.
Keeton
W
,
Dobbs
D
,
Keeton
R
,
Owen
D
.
Prosser and Keeton on Torts
. Ch. 2 §8, 34 (5th ed.
1984
).
32.
Shniedman
E S
.
Deaths of man
.
New York
,
Quadrangle New York Times Book Co.
,
1973
.
33.
Id., 132.
34.
Wilkinson
A P
:
Forensic psychiatry: the making—and breaking—of expert opinion testimony
.
J Psychiat Law
1997
;
25
:
51
-
112
.
35.
American Academy of Psychiatry and the Law: Ethics guidelines for the practice of forensic psychiatry (adopted May 1987; revised October 1989, 1991 and 1995)
.
Bloomfield, CT
,
American Academy of Psychiatry and the Law
,
1995
.
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