Sathish Ayyappan Senior Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
Nirmal Kumar E.S. Assistant Professor, Department of Forensic Medicine and Toxicology, Madha Medical College, Chennai, Tamil Nadu, India
Mohammed Akbar N.J. Senior Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India
Address for correspondence: Sathish Ayyappan, Senior Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India E-mail: jipmersathish@gmail.com
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Sathish Ayyappan, Nirmal Kumar E.S., Mohammed Akbar N.J. Planned Complex Suicide involving Phenyl ingestion and Hanging: A Medico-Legal Autopsy Report. J Forensic Chemistry Toxicol. 2025; 11(2): 115–120.
Timeline
Received : July 30, 2025
Accepted : September 27, 2025
Published : December 25, 2025
Abstract
Complex suicide is the use of more than one suicidal method to commit suicide. They are primary and secondary complex suicides depending on the utilization of multiple suicidal methods in a simultaneous or one-after-another manner. We are reporting a case of a planned complex suicide of a 47-year-old male who ingested a floor cleansing agent (phenyl) and simultaneously hanged himself. There was no suicide note at the scene of the incident. History of previous suicidal attempts and depression present. During the autopsy, a pressure abrasion was seen running obliquely above the thyroid prominence, sparing the nape of the neck. The neck structures underneath the ligature mark were intact. All the visceral organs were congested. Petechial hemorrhages were present over both lungs and the heart. The stomach contains 700 ml of pink-colored fluid with a pungent odor, and the mucosa is congested. The toxicology screening of the blood and stomach contents was positive for phenyl. This case report discusses the forensic implications associated with complex suicides by differentiating them from homicide.
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This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.
Description: Pink-coloured floor cleaners that are frequently used in India
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Description: Scene of the incident showing the ligature material (Green arrow) tied to the ceiling beam with a chair placed beneath it (Yellow arrow showing the height of the ceiling beam from the floor- 8.5 feet)
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Description: A & B - Pressure abrasion runs above the thyroid prominence from below upwards from the right to
the left side of the neck; C - No significant findings noted in the neck structures after removing platysma and
sternocleidomastoid muscles; D - No significant findings noted in the neck structures after removing strap muscles
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Description: A - Pink-coloured stomach content with a pungent odor; B - Stomach shows congested mucosa
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Description: Comparing the possibilities of complex suicide
and homicide
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Description: Comparing the possibilities of complex suicide and homicide