Mixed planned and unplanned complex suicide by cut-throat and poisoning in a hemiplegic person - case report

Cutthroat cases are considered rare, especially suicidal cutthroat which is scarce. This case study presents a mix between planned and unplanned complex suicidal cutthroat that complicated the decision of the manner of death. A 60 year old male with a left sided hemiplegia was found dead with deep cutthroat and had incised wounds on both wrists with a bucket filled with blood next to him, the toxicology test revealed the presence of permethrin insecticide in the stomach. This paper shows the difficulty in deciding whether the case is a planned or unplanned complex suicide and some cases might mix between the two. However, both planned and unplanned complex suicide may point to homicidal act, which is why it is recommended to record these cases especially since complex suicide is rare and there are different methods used that are unfamiliar to us. The bizarre factors that raise suspicion in our case are the hemiplegia, the age, the use of pesticides, the cut of both wrists, and the fatal cut-throat. We didn't find any reported cases of complex suicide by poisoning with pesticides or successful cutthroat.