Improved medical treatment could explain a decrease in homicides with a single stab wound

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Improved medical treatment could explain a decrease in homicides with a single stab wound. / Thomsen, Asser H.; Villesen, Palle; Brink, Ole et al.

In: Forensic Science, Medicine, and Pathology, Vol. 16, No. 3, 09.2020, p. 415-422.

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Thomsen, Asser H. ; Villesen, Palle ; Brink, Ole et al. / Improved medical treatment could explain a decrease in homicides with a single stab wound. In: Forensic Science, Medicine, and Pathology. 2020 ; Vol. 16, No. 3. pp. 415-422.

Bibtex

@article{2bf706e5683e4bcf989d725c8882bbbf,
title = "Improved medical treatment could explain a decrease in homicides with a single stab wound",
abstract = "Since the 1990s, there has been a reduction in the homicide rate in Denmark and other Western countries. Our hypothesis is that part of the decrease in the sharp force homicide rate can be explained by better and faster medical treatment over time, and we explore this via stab wound homicides, the largest group of homicides in Denmark. To investigate our hypothesis we undertook an epidemiological study of 428 stab wound homicides in Denmark 1992–2016 based on autopsy reports with registration of stab wounds, quantification of injury severity, treatment intensity and survival time. During 1992–2016, there was a significant reduction in the annual number of victims with a single stab wound, but no reduction in victims with multiple stab wounds. Victims with single stab wounds reached the hospital more often, survived longer and had less severe injuries (New Injury Severity Score (NISS)) than victims with multiple stab wounds. Higher NISS correlated with shorter survival time for all the stab wound victims and for the subgroup that underwent medical treatment. During the 25-year study period, the proportion of victims who underwent surgery before dying increased threefold. The victims in the first half of the study period had shorter survival times than the victims in the last half. We concluded that better and faster medical treatment could partly be responsible for the observed decrease in the number of single stab wound homicides and thereby possibly also in the total number of stab wound homicides.",
keywords = "Forensic pathology, Homicide, Interpersonal violence, Sharp force trauma, Trauma severity, ABBREVIATED INJURY SCALE, EMERGENCY-DEPARTMENT THORACOTOMY, METAANALYSIS, TRAUMA-CENTER, TIME, RUN, SCOOP, PENETRATING TRAUMA, TOXICOLOGY",
author = "Thomsen, {Asser H.} and Palle Villesen and Ole Brink and Leth, {Peter M.} and Hougen, {Hans Petter}",
year = "2020",
month = sep,
doi = "10.1007/s12024-020-00246-z",
language = "English",
volume = "16",
pages = "415--422",
journal = "Forensic Science, Medicine, and Pathology",
issn = "1547-769X",
publisher = "Humana Press, Inc.",
number = "3",

}

RIS

TY - JOUR

T1 - Improved medical treatment could explain a decrease in homicides with a single stab wound

AU - Thomsen, Asser H.

AU - Villesen, Palle

AU - Brink, Ole

AU - Leth, Peter M.

AU - Hougen, Hans Petter

PY - 2020/9

Y1 - 2020/9

N2 - Since the 1990s, there has been a reduction in the homicide rate in Denmark and other Western countries. Our hypothesis is that part of the decrease in the sharp force homicide rate can be explained by better and faster medical treatment over time, and we explore this via stab wound homicides, the largest group of homicides in Denmark. To investigate our hypothesis we undertook an epidemiological study of 428 stab wound homicides in Denmark 1992–2016 based on autopsy reports with registration of stab wounds, quantification of injury severity, treatment intensity and survival time. During 1992–2016, there was a significant reduction in the annual number of victims with a single stab wound, but no reduction in victims with multiple stab wounds. Victims with single stab wounds reached the hospital more often, survived longer and had less severe injuries (New Injury Severity Score (NISS)) than victims with multiple stab wounds. Higher NISS correlated with shorter survival time for all the stab wound victims and for the subgroup that underwent medical treatment. During the 25-year study period, the proportion of victims who underwent surgery before dying increased threefold. The victims in the first half of the study period had shorter survival times than the victims in the last half. We concluded that better and faster medical treatment could partly be responsible for the observed decrease in the number of single stab wound homicides and thereby possibly also in the total number of stab wound homicides.

AB - Since the 1990s, there has been a reduction in the homicide rate in Denmark and other Western countries. Our hypothesis is that part of the decrease in the sharp force homicide rate can be explained by better and faster medical treatment over time, and we explore this via stab wound homicides, the largest group of homicides in Denmark. To investigate our hypothesis we undertook an epidemiological study of 428 stab wound homicides in Denmark 1992–2016 based on autopsy reports with registration of stab wounds, quantification of injury severity, treatment intensity and survival time. During 1992–2016, there was a significant reduction in the annual number of victims with a single stab wound, but no reduction in victims with multiple stab wounds. Victims with single stab wounds reached the hospital more often, survived longer and had less severe injuries (New Injury Severity Score (NISS)) than victims with multiple stab wounds. Higher NISS correlated with shorter survival time for all the stab wound victims and for the subgroup that underwent medical treatment. During the 25-year study period, the proportion of victims who underwent surgery before dying increased threefold. The victims in the first half of the study period had shorter survival times than the victims in the last half. We concluded that better and faster medical treatment could partly be responsible for the observed decrease in the number of single stab wound homicides and thereby possibly also in the total number of stab wound homicides.

KW - Forensic pathology

KW - Homicide

KW - Interpersonal violence

KW - Sharp force trauma

KW - Trauma severity

KW - ABBREVIATED INJURY SCALE

KW - EMERGENCY-DEPARTMENT THORACOTOMY

KW - METAANALYSIS

KW - TRAUMA-CENTER

KW - TIME

KW - RUN

KW - SCOOP

KW - PENETRATING TRAUMA

KW - TOXICOLOGY

UR - http://www.scopus.com/inward/record.url?scp=85085071864&partnerID=8YFLogxK

U2 - 10.1007/s12024-020-00246-z

DO - 10.1007/s12024-020-00246-z

M3 - Journal article

C2 - 32367450

AN - SCOPUS:85085071864

VL - 16

SP - 415

EP - 422

JO - Forensic Science, Medicine, and Pathology

JF - Forensic Science, Medicine, and Pathology

SN - 1547-769X

IS - 3

ER -