Trends of homicidal deaths in central Bangkok, Thailand: a 5-year retrospective study

Challenges in the analysis of forensic pathology data relating to homicides in Kosovo from 2006-2015

The ability to conduct accurate retrospective homicide comparative research is reliant on the publishing of robust studies that assess the specifics of homicides in a standardised manner. To address these matters at the Institute of Forensic Medicine (IFM) in Pristina, Kosovo, the IFM homicide data of the years 2006-2015 was retrospectively studied. In general, there was a year on year downward trend in the number of homicide deaths in Kosovo per 100,000 people, however it was noted that a standardisation method to record homicides in Kosovo has not been developed and as such, the data may not be complete. In addition, the analysis of the IFM data demonstrated that firearms were consistently used in 73.76 % of all homicides committed between 2006-2015 but the examination of, and the specific documentation of the types of firearms used was not recorded. This is important to provide evidence to enforce legislation to reduce the availability of these weapons and ultimately the number of homicides. Consequently, this study aimed to compare global homicide trends relative to the retrospective homicide data from Kosovo, to inform and address the need for prevention programmes and to establish standardised recording of homicides in Kosovo.

Characteristics of deaths associated with kratom use

BACKGROUND

Kratom (Mitragyna speciosa Korth) use has increased in Western countries, with a rising number of associated deaths. There is growing debate about the involvement of kratom in these events.

AIMS

This study details the characteristics of such fatalities and provides a 'state-of-the-art' review.

METHODS

UK cases were identified from mortality registers by searching with the terms 'kratom', 'mitragynine', etc. Databases and online media were searched using these terms and 'death', 'fatal*', 'overdose', 'poisoning', etc. to identify additional cases; details were obtained from relevant officials. Case characteristics were extracted into an Excel spreadsheet, and analysed employing descriptive statistics and thematic analysis.

RESULTS

Typical case characteristics (n = 156): male (80%), mean age 32.3 years, White (100%), drug abuse history (95%); reasons for use included self-medication, recreation, relaxation, bodybuilding, and avoiding positive drug tests. Mitragynine alone was identified/implicated in 23% of cases. Poly substance use was common (87%), typically controlled/recreational drugs, therapeutic drugs, and alcohol. Death cause(s) included toxic effects of kratom ± other substances; underlying health issues.

CONCLUSIONS

These findings add substantially to the knowledge base on kratom-associated deaths; these need systematic, accurate recording. Kratom's safety profile remains only partially understood; toxic and fatal levels require quantification.