Article Dans Une Revue Legal medicine Année : 2018

Death by self-mutilation after oral cannabis consumption

Clemence Delteil
  • Fonction : Auteur
Caroline Sastre
  • Fonction : Auteur
Marie-Dominique Piercecchi
  • Fonction : Auteur
Catherine Faget-Agius
  • Fonction : Auteur
Marc Deveaux
  • Fonction : Auteur
Marc-Antoine Devooght
  • Fonction : Auteur
George Leonetti
  • Fonction : Auteur
Christophe Bartoli
  • Fonction : Auteur
Anne-Laure Pélissier-Alicot
  • Fonction : Auteur

Résumé

Major self-mutilation (amputation, castration, self-inflicted eye injuries) is frequently associated with psychiatric disorders and/or substance abuse. A 35-year-old man presented with behavioral disturbances of sudden onset after oral cannabis consumption and major self-mutilation (attempted amputation of the right arm, self-enucleation of both eyes and impalement) which resulted in death. During the enquiry, four fragments of a substance resembling cannabis resin were seized at the victim's home. Autopsy confirmed that death was related to hemorrhage following the mutilations. Toxicological findings showed cannabinoids in femoral blood (tetrahydrocannabinol (THC) 13.5 ng/mL, 11-hydroxy-tetrahydrocannabinol (11-OH-THC) 4.1 ng/mL, 11-nor-9-carboxy-THC (THC-COOH) 14.7 ng/mL, cannabidiol (CBD) 1.3 ng/mL, cannabinol (CBN) 0.7 ng/mL). Cannabinoid concentrations in hair (1.5 cm brown hair strand/1 segment) were consistent with concentrations measured in chronic users (THC 137 pg/mg, 11-OH-THC 1 pg/mg, CBD 9 pg/mg, CBN 94 pg/mg). Analysis of the fragments seized confirmed that this was cannabis resin with high levels of THC (31-35%). We discuss the implications of oral consumption of cannabis with a very high THC content.

Domaines

Fichier non déposé

Dates et versions

hal-03623954 , version 1 (29-03-2022)

Identifiants

Citer

Clemence Delteil, Caroline Sastre, Marie-Dominique Piercecchi, Catherine Faget-Agius, Marc Deveaux, et al.. Death by self-mutilation after oral cannabis consumption. Legal medicine, 2018, 30, pp.5-9. ⟨10.1016/j.legalmed.2017.10.010⟩. ⟨hal-03623954⟩
32 Consultations
0 Téléchargements

Altmetric

Partager

  • More