{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:03:32Z","timestamp":1768262612531,"version":"3.49.0"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,7,22]],"date-time":"2021-07-22T00:00:00Z","timestamp":1626912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Forensic Sciences"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Complex planned suicide is characterized by the simultaneous use of two or more methods to ensure that death occurs even if one method fails. The authors present an original combination of two self\u2010killing methods. A 42\u2010year\u2010old cardiologist, with a major depressive syndrome and several suicide attempts, as well as cocaine addiction, was found dead at his home with a femoral catheter inserted in the right femoral artery. The autopsy concluded that death was due to major hemorrhagic process in a context of suicide. Toxicological analyses, performed in peripheral blood by gas chromatography coupled to mass spectrometry and by liquid chromatography\u2010diode array detection, revealed the presence of ethanol (0.13\u00a0g\/L), cocaine, and metabolites (cocaine: 432\u00a0\u00b5g\/L, benzoylecgonine: 3286\u00a0\u00b5g\/L, ecgonine methyl ester: 1195\u00a0\u00b5g\/L, cocaethylene: 41\u00a0\u00b5g\/L), a potentially lethal concentration of citalopram (1.03\u00a0mg\/L), toxic concentrations of hydroxyzine (0.11\u00a0mg\/L), bromazepam (2.06\u00a0mg\/L), and lidocaine (7.30\u00a0mg\/L). At the end of these analyses, the death was reclassified as planned complex suicide combining drug intoxication and catheterization of the femoral artery. The authors discuss the main aspects of this case and stress the importance of meticulous analysis of all available evidence: witness reports, victim's medical history and occupation, findings of at\u2010the\u2010scene examination, autopsy, and toxicological analyses, in order to exclude homicide and to understand the sequence of events that led to death.<\/jats:p>","DOI":"10.1111\/1556-4029.14809","type":"journal-article","created":{"date-parts":[[2021,7,22]],"date-time":"2021-07-22T08:42:20Z","timestamp":1626943340000},"page":"2527-2531","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Planned complex suicide involving combined drug intoxication and femoral catheterization"],"prefix":"10.1111","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2466-6750","authenticated-orcid":false,"given":"Anne\u2010Laure","family":"P\u00e9lissier\u2010Alicot","sequence":"first","affiliation":[{"name":"Service de M\u00e9decine L\u00e9gale CHU Timone APHM Aix Marseille Univ. Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Deveaux","sequence":"additional","affiliation":[{"name":"Laboratoire Toxlab Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Sastre","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine L\u00e9gale CHU Timone APHM Aix Marseille Univ. Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valerie","family":"Baillif\u2010Couniou","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine L\u00e9gale CHU Timone APHM Aix Marseille Univ. Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie\u2010Amandine","family":"Christia","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine L\u00e9gale CHU Timone APHM Aix Marseille Univ. Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chantal","family":"Champeaux\u2010Fesquet","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine L\u00e9gale CHU Timone APHM Aix Marseille Univ. Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georges","family":"Leonetti","sequence":"additional","affiliation":[{"name":"Service de M\u00e9decine L\u00e9gale CHU Timone APHM Aix Marseille Univ. Marseille France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,7,22]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"World Health Organization.Suicide.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/suicide. 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