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It is not always possible to discover the dynamics leading to the death especially when suicide is suspected. Often, the typical signs of asphyxia \u2013 petechial haemorrhages, facial congestion, oedema and cyanosis \u2013 are not there. The authors present two cases of plastic bag suffocation, where a multi-disciplinary approach was applied. This study reviews international literature on plastic bag suffocation, analysing the frequency of suicides, homicides and accidental deaths associated with plastic suffocation.<\/jats:p>","DOI":"10.1177\/0025817219861277","type":"journal-article","created":{"date-parts":[[2019,9,28]],"date-time":"2019-09-28T13:32:56Z","timestamp":1569677576000},"page":"214-220","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["The forensic approach to plastic bag suffocation: Case reports and review of the literature"],"prefix":"10.1177","volume":"87","author":[{"given":"Paola","family":"Santoro","sequence":"first","affiliation":[{"name":"Department of Anatomy, Histology, Forensic Medicine and Orthopaedics, \u201cSapienza\u201d University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaele","family":"La Russa","sequence":"additional","affiliation":[{"name":"IRCSS Neuromed Mediterranean Neurological Institute, Pozzilli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Livia","family":"Besi","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Forensic Medicine and Orthopaedics, \u201cSapienza\u201d University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianpietro","family":"Volonnino","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Forensic Medicine and Orthopaedics, \u201cSapienza\u201d University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimiliano","family":"dell\u2019Aquila","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Forensic Medicine and Orthopaedics, \u201cSapienza\u201d University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"De Matties","sequence":"additional","affiliation":[{"name":"Department of Anatomy, Histology, Forensic Medicine and Orthopaedics, \u201cSapienza\u201d University of Rome, Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aniello","family":"Maiese","sequence":"additional","affiliation":[{"name":"IRCSS Neuromed Mediterranean Neurological Institute, Pozzilli, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,9,28]]},"reference":[{"key":"bibr1-0025817219861277","doi-asserted-by":"publisher","DOI":"10.1542\/peds.103.5.e59"},{"key":"bibr2-0025817219861277","doi-asserted-by":"publisher","DOI":"10.1097\/00000433-200012000-00021"},{"key":"bibr3-0025817219861277","doi-asserted-by":"publisher","DOI":"10.1520\/JFS14736J"},{"key":"bibr4-0025817219861277","doi-asserted-by":"publisher","DOI":"10.1097\/00000433-199612000-00006"},{"key":"bibr5-0025817219861277","doi-asserted-by":"publisher","DOI":"10.1097\/00000433-200209000-00005"},{"key":"bibr6-0025817219861277","first-page":"e59","volume":"103","author":"Avis SP","year":"1994","journal-title":"J Forensic Sci"},{"key":"bibr7-0025817219861277","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.5214.1714"},{"key":"bibr8-0025817219861277","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.5275.378"},{"key":"bibr9-0025817219861277","unstructured":"Polson CJ. 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