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Paternal Filicide and Chronic Child Abuse: An Autopsy Case.

Vikas P Meshram, Sathish Ayyappan, Rahul Panwar

    Academic Forensic Pathology
    |June 15, 2026
    PubMed
    Summary

    Paternal filicide, the killing of a child by the father, is a rare and complex homicide. This case involved a 4-year-old boy who died from smothering, with evidence of chronic child abuse.

    Keywords:
    AutopsyChild abuseFilicideMaltreatmentPaternal filicideSmothering

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    Area of Science:

    • Forensic Pathology
    • Child Abuse Studies
    • Criminology

    Background:

    • Paternal filicide is a rare homicide involving fathers killing their children.
    • It often involves underlying psychodynamic and socio-economic stressors.
    • Child domestic violence can be a component of paternal filicide.

    Purpose of the Study:

    • To report a case of paternal filicide by smothering.
    • To highlight the association with chronic child abuse.
    • To discuss the complexities in determining cause and manner of death in such cases.

    Main Methods:

    • Case report of a 4-year-old male child.
    • Detailed autopsy examination including external and internal findings.
    • Analysis of injuries in relation to the cause and manner of death.

    Main Results:

    • Autopsy revealed signs of physical abuse: bruising, abrasions, and internal hemorrhages.
    • Cause of death was asphyxia due to smothering.
    • Evidence of chronic child abuse was present alongside the fatal injuries.

    Conclusions:

    • Filicide cases associated with child abuse present diagnostic challenges.
    • Determining the chronology and mechanism of fatal injuries is crucial.
    • This case underscores the importance of thorough forensic investigation in suspected child abuse fatalities.