The importance of medical evidence—The questions which medical men have to consider in these cases—Signs of death from strangulation—Singular positions in which the bodies of those who have committed suicide have been found—The particulars of the Prince de CondÉ’s case—On the possibility of voluntary strangulation—General Pichegru’s singular case—The melancholy history of Marc Antonie Calas—How to discover whether a person was dead before thrown into water—Singular cases—Admiral Caracciolo—Drowning in a bath—The points to keep in view in cases of suspicious death—Was Sellis murdered?—Death from wounds—The case of the Earl of Essex. Medical men are frequently called upon in our courts of law to give evidence in cases where it is doubtful whether persons found dead were murdered or committed suicide. The questions involved in these judicial inquiries are of great public importance, and it is the sacred duty of medical men, for the sake of their own characters, and for a much higher consideration—for the ends of justice, to make themselves thoroughly conversant with all the evidence which can be brought to bear in the elucidation of such important questions. Our criminal annals are replete with illustrations in which individuals accused of the atrocious crime of murder have been saved from a dreadful and ignominious death by medical evidence. Cases also are recorded in which death has been ascribed to suicide, but which after investigation have been proved to have been In the cases of persons found hanging, two questions naturally suggest themselves to the mind:—1. Whether the individual was suspended before or after death. 2. Whether it was an act of suicide or murder. It is possible, and such cases have occurred, that a person may have been hanged up after having been murdered, or may have endeavoured to destroy himself by firearms, or by cutting his throat, and suspend himself afterwards, not being able to effect his purpose in any other way. In the first case we might mistake murder for suicide; and in the second, suicide for assassination. The following are the signs of death from strangulation:—The countenance is livid and distorted; the eyes protrude, and are often suffused with blood; the tongue projects and is wounded by the teeth. If the rope be placed below the cricoid cartilage, the tongue will protrude; but if it presses above the thyroid cartilage, the tongue will not be seen in the position described. It was formerly the generally received opinion that persons who were hanged died of apoplexy; but the experiments of Sir B. Brodie and other physiologists clearly prove that death is owing to suffocation. The livid or depressed circle which the rope is said to make round the neck is pronounced by M. Klein to be an uncertain sign; he saw fifteen cases of suicide in which it was not discovered. Remer, of Breslaw, who has recently directed his mind to the consideration of this important point, found, out of one hundred cases of persons who died from strangulation, eighty-nine with sugillation on the neck in an evident manner. In addition to the signs mentioned, others have been enumerated. The fingers are said to be found bent, the nails blue, hands nearly closed, with swelling of the chest, shoulders, arms, and hands. If the body be not suspended, but touches, more or less, the ground or floor, while the cord is not tight enough for the pur Persons have both wounded and hung themselves. This may be effected by placing the cord in a wrong position, which would protract the person’s sufferings, and compel him to struggle and make violent efforts to kill himself. Ballard relates, that a young priest, having first cut his throat to a certain extent, hung himself with his robe. In a memoir published in a French journal, A patient in La CharitÉ was found one morning hanging by the rope which was attached to the head of his bed. He had fastened this by a loop round his neck, but his body was so retained, that when discovered he was on his knees by the side of his bed. In 1832, at the west end of the town, a man was found hanging in his room, with his knees bent forwards and his feet resting upon the floor. He had evidently been dead for some time, since cadaverous rigidity had already commenced. The manner in which this man had committed suicide was as follows:—He had made a slip knot with one end of his apron, (he was a working mechanic,) and having placed his neck in this, he threw the other end of the apron over the top of the door, and shutting the door behind him, he had succeeded in wedging it in firmly. At the same moment he had probably raised himself on tip-toe, and then allowed himself to fall; in this way he died. The weight of his body had apparently sufficed to drag down a part of the apron, for it seemed as if it had been very much stretched. In October, 1833, a gentleman who was employed as an There have been few medico-legal investigations of late years which have excited greater interest than the case of the Duke de Bourbon, in France. On the 27th August, 1830, the duke was found suspended in his bed-room, in the chateau of St. Leu. An inquest was held the same morning on the body, and from the evidence of the witnesses, as well as from the reports of the physicians and surgeons who examined it, a verdict was returned to the effect that the duke had committed suicide in a fit of temporary insanity. This event did not excite much notice until the contents of his will were made public. The deceased, it appears, had made his will in favour of the Baroness de FeuchÉres, a female who had lived with him for some years, bequeathing to her the whole of his immense estates, and leaving the Duke d’Aumale, the youngest son of the king of the French, residuary legatee. The Princes de Rohan, heirs by collateral descent to the deceased, thus finding themselves deprived of an expected inheritance, attempted to set aside the will, alleging that undue influence had been exercised over him. The cause came on for hearing before the First Chamber of the Civil Tribunal of Paris, in December, 1831, and The facts of the case, collected from the procÉs verbaux, are as follows:—The deceased had naturally partaken of the alarm which had diffused itself throughout France in consequence of the events of the revolution of 1830. Some of his most intimate friends declared that, for some time previously to his death, his mind had been filled with the most gloomy forebodings as to what this new order of things would bring about. On the morning of the 27th, his servant went, as usual, to his bed-room door about eight o’clock; but receiving no answer on knocking, he became alarmed. Madame de FeuchÉres then accompanied the valet to the door of the room, which was fastened on the inside; and receiving no reply after calling to the duke in a loud voice, she ordered it to be broken open. On entering the apartment, the body of the deceased was found suspended from the fastening at the top of the window-sash by means of a linen handkerchief, attached to another which completely encircled the neck. The head was inclined a little to the chest; the tongue protruded from the mouth; the face was discoloured; a mucous discharge issued from the mouth and nostrils; the arms hung down; the fists were clenched. The extremities of both feet touched the carpet of the room, the point of suspension being about six feet and a half from the floor; the heels were elevated, and the knees half bent. The deceased was partly undressed; the legs were uncovered, and had some marks of injury on them. Among other points of circumstantial evidence, it was remarked that a chair stood near the window to which the deceased was suspended, and the bed looked as if it had been lain on. The medical witnesses, who examined the body soon after its discovery, stated that they found it cold, and the extremi General evidence was given to shew that the duke had meditated self-destruction, and had conversed about it with some of the witnesses. On the morning of the 28th, some fragments of paper, which had been written on, were taken from the grate of his chamber; these were carefully put together by one of the legal inspectors; and among a few disjointed sentences, indicating despair and a dread of impending danger, were the following:—“It is only left for me to die in wishing prosperity to the French people and my country. Adieu for ever!” Here followed his signature, and a request to be interred at Vincennes, near the body of his son, the Duke d’Enghien. It is necessary to observe, that no noise or disturbance was heard in the bedroom on the night of the deceased’s death. On the other side it was contended that the duke was not unusually melancholy before his death; that the supposition of suicide was inadmissible in a moral point of view, and indeed was physically impossible, from the circumstances. One person argued that he could not have made the knots seen in the handkerchiefs; another, that he could not have To combat the medical evidence, it was assumed that the deceased was strangled or suffocated, and was afterwards hanged, by assassins. Several schemes were devised by the medical witnesses on this side of the question, to account for the manner in which the supposed murder was committed. According to some, a handkerchief might have been tightened round the deceased’s neck by one assassin, while another forcibly held his legs under the bed-clothes, by which the lesions already described would have been produced; or instead of being strangled by a handkerchief, he might have been suffocated by a pillow placed over his mouth. The body might then have been dragged across the room to be suspended; and if during this time the hand of one of the assassins had been rudely thrust between the cravat and the neck, the excoriation and mark seen on the skin might be easily accounted for. The counsel for the appellants remarked, that the want of a line in writing, to withdraw from all suspicion his attendants, and even Madame de FeuchÉres, was remarkable, as this latter precaution had suggested itself to almost every suicide. He condemned those engaged in the anatomical examination of the body, as having been guilty of culpable mismanagement. He ridiculed the idea that the duke, as Conflicting as the evidence was in this case, we think no impartial mind, after maturely considering all the physical facts and moral circumstances connected with the Prince de CondÉ’s death, can entertain any other opinion than that he sacrificed his own life. The case is one of great interest; and the minute particulars detailed in the French journal are worthy of the perusal of every medical man. It has been doubted whether voluntary strangulation was possible, but we have too many cases on record to allow us to question the probability of such an occurrence. An individual was found strangled in a hay-loft by a handkerchief which had been tightened by a stick. A Malay, who, on board of a man-of-war in the East Indies, had made repeated attempts to commit suicide, at last effected his purpose in the following manner:—He tied a handkerchief round his neck, and with a small stick twisted it several times, and then secured it behind his ear, to prevent its untwisting. Jealousy was the cause assigned for the suicide. General Pichegru was found strangled in prison during the consulate of Buonaparte. The case gave rise to various suspicions. The body was found lying in bed on the left side, in an easy attitude, with the knees bent, and the arms lying down by the side, with a black silk handkerchief twisted tightly round the neck, by means of a stick passed under it. The cheek was torn by the ends of the stick in its rotations. It was established that he had been guilty of suicide. A very important lesson is to be learned from the history of the following case, which Dr. Beck has published in his “Medical Jurisprudence.” This is but one of many cases in which the innocent have been accused, and have suffered for crimes of which it has been subsequently proved they were innocent. Marc Antoine Calas was the son of John Calas, a merchant of Toulouse, aged seventy years, of great probity, and a Protestant. He was twenty-eight years of age, of a robust habit, but melancholy turn of mind. He was a student of law, and becoming irritated at the difficulties he experienced (in consequence of not being a Catholic) concerning his licence, he resolved to hang himself. This he executed by fastening the cord to a billet of wood placed on the folding doors which led from his father’s shop to his storeroom. Two hours after, he was found lifeless. The parents unfortunately removed the cord from the body, and never exhibited it to shew in what manner his death was accomplished. No examination was made. The people, stimulated by religious prejudice, carried the body to the town-house, where it was the next day examined by two medical men, who, without viewing the cord, or the place where the death had been consummated, declared that he had been strangled. On the strength of this, the father was condemned by the parliament of Toulouse, in 1761, to be broken on the wheel. He expired with protestations to Heaven of his innocence. Reflection, however, returned when it was too late. It was recollected that the son had been of a melancholy turn of mind; that no noise had been heard in the house while the deed was doing; that his clothes were not in the least ruffled; that a single mark only was found from the cord, and which indicated suspension by suicide; and in addition to these, that the dress proper for the dead was found lying on the counter. Voltaire espoused the cause of the injured family, and attracted the eyes of all Europe to this judicial murder. The cause was carried up to the council of state, who, on the Many cases occur in which it is impossible to decide whether the person was dead before being thrown into the water. The attention of the jurist ought to be directed to the condition of the ground in the neighbourhood of the pond, to ascertain whether any signs exist of a struggle having taken place. In the case of Mr. Taylor, who was murdered at Hornsey, in December, 1818, marks of footsteps, deep in the ground, were discovered near the New River; and on taking out the body, the hands were found clenched, and contained grass, which he had torn from the bank. The appearance of wounds on the body will often lead to, or assist in, the formation of a correct opinion, as to the cause of death. These facts are, however, very often fallacious. Instances have occurred in which persons determined upon suicide have endeavoured to kill themselves with sharp instruments, and not effecting their purpose, have subsequently thrown themselves into the water. Again, persons may, in the act of drowning themselves, receive severe injuries, by being propelled against rocks and stakes by the force of the current. A few years ago, a man, who had leaped from each of the three bridges with impunity, undertook to repeat the exploit for a wager. Having jumped from London Bridge, he sunk and was drowned. When the body was discovered, it appeared that both his arms were dislocated, in consequence of having descended with them in an horizontal instead of a perpendicular position. Persons have been discovered drowned with ligatures on their hands and feet, and the circumstance has naturally excited a suspicion as to whether they had committed suicide or had been murdered. Numerous cases A man, with his wife and child, was reduced to great distress. On a certain day, he took an affectionate leave of his family, declaring he would not return until he had procured some employment by which he should be able to buy bread for them. On the following day, he was found drowned in the New River, with his hands and legs tied. A card with his address was found in his pocket. A gentleman was found in the Seine, at Paris, having his feet, wrists, and neck, tied with a cord. His neck, limbs, and hands, were bound by means of a rope with slip-knots, in order to put it out of his power to aid himself when in the water, and thereby to render certain the execution of his suicide. In the year 1832, the body of Elizabeth Martin was found dead in the water. A man of the name of Bayley was accused of the murder. They had been quarrelling, and were seen struggling with each other at the banks of the pond. He declared that she had fallen in accidentally. Her face was found turned downwards towards the bottom of the pond, and one of her hands was found to be in her pocket. The judge properly observed, that if the woman had fallen into the water as the prisoner stated, that she would have, undoubtedly, taken her hand from her pocket for the purpose of There has been much discussion as to whether bodies sink or swim when thrown into the water after having been killed. Considerable discrepancy of opinion exists on this point. It has been maintained that strangled persons will float more readily than others, as many facts prove. Caracciolo, Admiral of the Neapolitan navy, was hanged by sentence of a court-martial. The body was committed to the deep in the usual manner; and thirteen days afterwards, while the king was walking on the deck of Lord Nelson’s ship, he suddenly exclaimed, with a yell of horror—“Viene! viene!” The admiral’s corpse, breast-high, was seen floating towards the ship. The shot which had been attached to the feet for the purpose of sinking not being sufficiently heavy. This phenomenon may have arisen from the evolution of gaseous matter, after the process of putrefaction had commenced, which notoriously renders the body specifically lighter than water. The apparitions that appeared at Portnedown Bridge, after the Irish massacre, and which excited such commotion at the time, were accounted for in a similar manner. It appears that, about twilight in the evening, a number of spirits became visible; one assumed the shape of a naked woman, waist-high, upright in the water, with elevated and closed hands, and looking as awful a spectre as the most superstitious person would wish to behold. Various sounds were also heard proceeding from the river, which caused no little alarm. The sounds were mere delusions, but that bodies were seen floating upright in the water there cannot be a doubt. “One day,” says Clarke, “leaning out of the cabin-window, by the side of an officer, who was employed in fishing, the corpse of a man, newly sewed up in a hammock, started half out of the water, and continued its course with the current towards the shore. Nothing could be more horrible; its head and shoulders were visible, turning first to one side, then to In October, 1829, a female, who was an in-patient of St. Luke’s Hospital, was found dead in the bath of the institution. It appears that, for some time previously, she had been permitted the privileges allowed to patients exhibiting indications of convalescence, and had obtained access to the nurse’s room, in which the key of the bath was deposited. One afternoon, she secretly possessed herself of this key, and then immediately proceeded to make arrangements for the accomplishment of her purpose. In order to deceive the vigilance of the nurse, who was accustomed to lock the patients up at bed-time, she took off her clothes and disposed them about the room, in the usual manner, as if she had undressed. She then made up a bundle to resemble the human figure, and placed it inside the bed, filling her nightcap with handkerchiefs. So accurate was the deception that the other patients, who slept in the room with the deceased, readily answered that they were all present. The lunatic, after these preparations, must have stolen cautiously down to the bath. She was found, the next morning, dead, lying stretched out with her face downwards. The water of the bath was not deep, and, indeed, it is presumed, she must have forcibly maintained the position in which her body was found, in order to have effected her purpose. The door of the bath-room was locked inside, and the key was found in the deceased’s pocket. In a small village of Warwickshire, in the year 1800, a young gentleman suddenly disappeared on the evening previous to his intended marriage. After a lapse of some days, Upon the evening of the fatal event, he was stealing potatoes from a field-garden belonging to the deceased, whom he unexpectedly saw coming over the gate to secure him, upon which he jumped over the hedge on the opposite side, and ran across the field to make his escape. The gentleman pursued him, and being an active young man, nearly overtook him; upon which he (the prisoner) attempted to leap the mill-stream, but the bank on the other side giving way, he fell back into the water. The young gentleman, instantly plunging into the water after him, strove to secure him. A desperate struggle now ensued, and the deceased had at one time got the prisoner down under him in the water, by which he was half drowned. At length he succeeded in overturning his antagonist, and, seizing him by the throat, held him fast in The judge gave it as his opinion that the case amounted only to excusable homicide, and the man was acquitted. In forming an opinion as to the cause of death in doubtful cases of suicide, the following important points ought to be carefully kept in view:— 1st. If the person had for some time laboured under melancholia; had met with losses, disappointments, or had suffered any acute chagrin. 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 Some time back, the body of a man was found lying on the high-road. The throat was severely cut, and he had evidently died from hemorrhage. A bloody knife was discovered at some distance from the body; and this, together with the circumstance of the pockets of the deceased having been rifled, led to a suspicion of murder. This idea was confirmed when the wound was examined. It was cut, not as is usual in suicide, by carrying the instrument from before backwards, but as the throats of sheep are cut. The knife had passed in deeply under and below the ear, and had been brought out by a semi-circular sweep in front, all the great vessels of the neck, with the oesophagus and trachea, having been divided from behind forwards. The nature of the wound rendered it at once improbable that it could have been self-inflicted; and it further served to detect the murderer, who was soon afterwards discovered, and executed. With reference to the extent of the wound, the celebrated Earl of Essex’s case has often been quoted. He was found dead in the Tower, in 1683, and it was the generally received opinion that he had been murdered by persons hired by the Duke of York, afterwards King James II. Upon examining the wound, it was found that the jugular vessels, trachea, and As there was much political feeling mixed up with this case, it was difficult to arrive at the truth. That many persons who have cut their throats have divided the neck to the vertebrÆ is a well-known fact. In the case of Mr. Calcraft, all the large vessels in the neck were divided, and the throat was cut through to the vertebral column. In the case of Sellis, much stress was laid by Sir E. Home on the wound being regular; he observes, “any struggle would have made it irregular.” Although there were points connected with this remarkable case which naturally tended to excite suspicion, we cannot but declare that the Duke of Cumberland most clearly vindicated himself from the foul charge which party feeling and private malevolence had endeavoured to establish against him. Many doubtful cases may be decided by taking into consideration the moral circumstances connected with them. A girl was discovered dead. Suspicion rested upon her mother, who had severely beaten the child. It was, however, clearly proved that the girl had been repeatedly heard to declare her intention to commit suicide. Persons should be examined as to the state of mind of the party found dead; whether he or |