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Autoerotic Deaths

Practical Forensic and Investigative Perspectives

By Anny Sauvageau, Vernon J. Geberth

CRC Press – 2013 – 180 pages

Series: Practical Aspects of Criminal and Forensic Investigations

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  • Add to CartHardback: $89.95
    978-1-43-983712-2
    April 9th 2013

Description

Autoerotic Deaths: Practical Forensic and Investigative Perspectives is a collaboration between two internationally known experts who combine their extensive experience to present a scientific, modern view of autoerotic death—complete with a wide variety of exquisite case histories, photographs, and investigator tips.

Chief Medical Examiner Anny Sauvageau of Alberta, Canada and retired NYPD Lieutenant Commander Vernon J. Geberth bring considerable insight to this volume, providing practical and conventional information based on scientific research and case experience from the field. Enhanced with more than 100 color photos, the book explores:

  • The evolution of the concept of sexual asphyxia and autoerotic death
  • The definition and epidemiology of autoerotic death, pitfalls involved in the application of the term autoerotic, and best practices for approaching these death scenes
  • Death scene characteristics and the importance of recognizing clues to the autoerotic nature of a death
  • Methods of autoerotic death, including hanging, plastic bags, chemical substances, and other less-common scenarios
  • Atypical victims of autoerotic deaths

Using a case history format, the book presents a complete analysis of all aspects of this unusual and unfortunate type of death. The combination of theory and practice, along with up-to-date science, makes this book an unparalleled resource for all those involved in the investigation of these peculiar incidents.

Reviews

"There has never been such a thorough examination of autoerotic deaths, nor one as meticulously helpful to investigators as Sauvageau & Geberth’s text. Autoerotic Deaths provides a comprehensive reference that will clearly become a classic in the field."

—Katherine Ramsland in Psychology Today

"This is an extremely well written and elegantly illustrated book that applies the principles of Commander Geberth’s Practical Homicide Investigation to the subject of sexual asphyxias. … will be a valuable resource for law enforcement, forensic pathologists and behavioral scientists."

—Barbara C. Wolf, M.D., District Medical Examiner, District 5, Florida

"The book's clarity and insight on the nature of autoerotic deaths will insure that it will remain the singular, go to source by law enforcement professionals for years to come."

—Detective Mark Czworniak, Area North Homicide Bureau, Chicago Police Department

"The team of Sauvageau and Geberth have created the most complete professional insight into the intimate complexities of autoerotic deaths based on scientific research and extensive case experience. I believe that this text will become the ‘best practice model’ for this phenomenon. It is a sign of Geberth's skills as he combines his knowledge of forensics and clear cut dialogue that makes this a ‘must have’ for all members of the law enforcement community."

––Edwin T. Dreher, Deputy Chief (Ret.) New York City Police Department

"Add another resource to your death investigation library, Sauvageau and Geberth have provided the definitive text on autoerotic death investigation … . This book covers everything known about the forensic and practical aspects of investigating autoerotic deaths. It is a must read for any professional charged with investigating or determining cause and manner of these types of deaths."

—Marvin Skeen Chief Criminal Investigator, Homicide Investigation and Tracking System, Washington State Office of Attorney General

" … clearly written, concise, and free of confusing jargon. … the most current complete analysis of autoerotic deaths. … This outstanding book is destined to become a classic in the study and investigation of autoerotic death."

—Ronald Turco, M.D., Assistant Clinical Professor Oregon Health and Sciences University

"Both Sauvageau and Geberth demonstrate their expertise and mastery of the subject matter throughout each chapter. It is a must for all those practitioners who may be faced with this type of investigation."

—Cathryn F. Lavery, PhD, Iona College

"This book is an appropriate and necessary addition to the library of the full spectrum of responders from first line patrol to homicide detective as well as others working in the medicolegal discipline."

—Detective Al Cruise, Homicide Unit, Seattle Police Department

"A review of the book’s index will immediately confirm that you have picked up the definitive textbook on autoerotic deaths. … will be a great resource to help investigators evaluate and understand crime scene presentations that involve bizarre sexual practices."

—Larry Thomas, Assistant Director (Retired), Kansas Bureau of Investigation

"The latest book in the renowned Practical Aspects of Criminal and Forensic Investigations Series, Autoerotic Deaths: Practical Forensic and Investigative Perspectives, is co-authored by forensic pathologist Anny Sauvageau, M.D., Chief Medical Examiner of Alberta, Canada and founder of the Working Group on Human Asphyxia, and series Editor Vernon J. Geberth, retired Lieutenant Commander of the Bronx Homicide Task Force with the New York City Police Department. This 164 page text includes numerous full-color photographs of autoerotic death scenes. The book also provides numerous checklists for the death scene investigator that give practical guidance, particularly in the investigation of atypical scenes, and highlight the best practices for the investigation of these deaths. The [authors’] analysis of … videotaped deaths allows the authors to debunk many myths that have been perpetuated. The result provides the forensic community the definitive treatise on the subject of autoerotic asphyxia … a comprehensive text that will be a valuable resource for law enforcement, forensic pathologists, and behavioral scientists."

Journal of Forensic Sciences (American Academy of Forensic Sciences), May 2014

Contents

Autoerotic death: Historical context

Sexual asphyxia in fiction

Anthropologists’ accounts of autoerotic asphyxia

Sexual asphyxia: Early nonscientific reports in London

Historical context of autoerotic death in forensic literature

The early period (1947 to 1980)

The golden age (1981 to 1990)

The turning point (1991)

The modern era

The need for a modern book covering the advances on autoerotic death

Definition, incidence, and best practices in approaching these deaths

Definition

Pitfalls in the application of the term autoerotic death

Pitfall 1: To label a death autoerotic even though the manner of death was not accidental

Pitfall 2: To label a death autoerotic even though the sexual activity was not solitary

Pitfall 3: To become confused concerning the concept of an escape mechanism

Terminology and death certification

Incidence of autoerotic deaths

Incidence in Canada

Incidence in Europe

Incidence of autoerotic deaths in Western Countries

Variables influencing the incidence of autoerotic deaths

Best practices in approaching these deaths

Investigation of the scene

Examination of the body

History

Understanding these deaths: There are different types of sexuality

Definition of autoerotic deaths: Checklist for the forensic expert

Incidence of autoerotic deaths: Checklist for the forensic expert

Best approaches of autoerotic deaths: Checklist for the forensic expert

Understanding these deaths: There are different types of sexuality

Death scene characteristics

Death scene characteristics as main clues to the sexual autoerotic nature

Common scene features

Nudity and exposure of the genitals

Cross-dressing

Evidence of masturbatory activity

Foreign body insertion in the anus

Lubricants

Pornography

Mirror and video recording

Covering of the face, bondage of the genitals, other bondage, and other masochistic behavior

Protective padding in hanging

Evidence of repetitive behavior

Scene element forbidding ruling a death as autoerotic

A modern study of crime scene features in autoerotic death

Incidence of individual scene features

Number of scene features per case

Comparison of scene features in relation to the autoerotic methods

Comparison of scene features in relation to age group

Summary

Scene characteristics: Checklist for the forensic expert

Typical methods of autoerotic deaths: Hanging

Definitions of terms

Basic pathophysiology of hanging

Complete suspension versus incomplete suspension

Variation of positions in autoerotic hangings

Scene investigation

Body examination

Neck furrow

Petechiae

Cyanosis, congestion, protrusion of the tongue

Fractures of the neck structures

New data on the pathophysiology of hanging: The Working Group on Human Asphyxia

The agonic sequence in hanging

Respiratory responses to hanging

Study of filmed hangings casts doubt on the traditional conception of the pathophysiology of hanging

Agonal responses to hanging in complete versus incomplete suspension

Role of ischemic habituation on the agonal responses to hanging in autoerotic practitioners

Role of ethanol in the agonal responses to hanging

Interpretation of bruises in hanging

Estimation of the time to die by hanging

Estimation of the time to irreversibility

Typical methods of autoerotic deaths: Checklist for the forensic expert

Basic knowledge in autoerotic hanging: Checklist for the forensic expert

Advanced knowledge in autoerotic hanging: Checklist for the forensic expert

Typical methods of autoerotic deaths: Asphyxia by plastic bags and chemical substances

Definitions of terms

Autoerotic deaths by smothering by plastic bags over the head

Scene investigation

Autopsy findings

Pathophysiology of smothering

Pathophysiology of smothering: New data from the Working Group on Human Asphyxia

Autoerotic deaths by suffocation on chemical substances

Gaseous hydrocarbons

Anesthetic compounds

Inhalants: Glue, solvents, aerosols

Other chemicals

Scene investigation

Pathophysiology of propane-related deaths: New data from the Working Group on Human Asphyxia

Implications for toxicology and pathology

Implications for crime scene interpretation

Typical methods of autoerotic deaths: Checklist for the forensic expert

Definitions of terms: Checklist for the forensic expert

Autoerotic deaths by smothering by plastic bags over the head: Checklist for the forensic expert

Autoerotic deaths by suffocation on chemical substances: Checklist for the forensic expert

References

Atypical methods of autoerotic deaths

Electrocution

Examples from the literature

Overdressing/body wrapping

Examples from the literature

Foreign body insertion

Examples from the literature

Atypical asphyxia methods

Definition of terms: The classification of asphyxia

Ligature strangulation

Chest compression

Inverted or abdominal suspension

Immersion and drowning

Smothering

Other atypical methods

Atypical methods of autoerotic deaths: Checklist for the forensic expert

Atypical victims

Introduction

Female victims

Female victims in the early period of forensic literature on autoerotic deaths (1947 to 1980)

Female victims in the golden age of forensic literature on autoerotic deaths (1981 to 1990)

Female victims in the modern era of forensic literature on autoerotic deaths (1991 to present)

Non-white victims

Teenager and elderly victims

Atypical victims: Checklist for the forensic expert

Index

Author Bio

Dr. Anny Sauvageau is an associate clinical professor at the University of Alberta and the University of Calgary anda well-known world expert on asphyxia. She has a founder designation in forensic pathology from the Royal College of Physicians and Surgeons of Canada in recognition of her significant contribution to the development of this new specialty in Canada. From 2007 to 2012, she was vice president of the Forensic Pathology Examination Board of the Royal College of Physicians and Surgeons of Canada. She is also one of the founders and the program director of the residency program in forensic pathology at the University of Alberta. She is the author of more than 75 papers in peer-reviewed forensic journals and a much sought-after international speaker. She is the founder of the Working Group on Human Asphyxia and the cofounder of the International Network for Forensic Research. Her innovative approach toward forensic research has significantly improved the understanding of the pathophysiology of hanging and other types of strangulation.

Commander Vernon Geberth is a retired lieutenant commander of the New York City Police Department with over 40 years of law enforcement experience. He is a nationally renowned lecturer, author, educator, consultant, and expert witness on the subject of death investigation. He has appeared on numerous local, national, and international television programs to answer questions on the subject of murder and provide insight, analysis, and commentary with respect to all aspects of homicide and death investigations. Geberth has been referenced as a media consultant on myriad national major cases across the United States and Canada. Over 66,500 members from over 8,000 law enforcement agencies have attended Geberth’s Practical Homicide Investigation seminars. In his seminars, Geberth focuses on his textbooks stressing advanced tactics, procedures, and forensic techniques and presents equivocal death, suicide, and missed investigations as well as serial murder investigation and the application of abnormal psychology to the investigative process.

Name: Autoerotic Deaths: Practical Forensic and Investigative Perspectives (Hardback)CRC Press 
Description: By Anny Sauvageau, Vernon J. Geberth. Autoerotic Deaths: Practical Forensic and Investigative Perspectives is a collaboration between two internationally known experts who combine their extensive experience to present a scientific, modern view of autoerotic death—complete with a...
Categories: Forensic Science, Psychiatry