Knife wounds

DEFINITION: Puncture or slash wounds caused by knives or other sharp instruments.

SIGNIFICANCE: In cases of deaths involving knife wounds, forensic pathologists can determine useful information from the patterns and types of wounds, both about the weapons and about the persons who wielded them.

By examining the pattern of injuries and the type of wounds inflicted by a knife, a forensic pathologist can often determine what type of knife was used, what hand the assailant used to hold the knife, the order in which the wounds were inflicted, and which of the wounds was the one that caused death.

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A knife can cause different kinds of wounds, depending on the way an assailant wields it. For example, if the assailant jabs with the knife, it will cause a deep puncture wound. Alternatively, if the knife is used to slash, the wounds will be long but superficial. The pattern of the wounds can help determine where the assailant was standing in relationship to the victim, with which hand the assailant held the knife while assaulting the victim, whether the victim was above or below the assailant, and even the state of mind of the assailant (indicated by the type of wound, such as slashing or jabbing, the number of wounds inflicted, and the speed and ferocity of the attack). A blood spatter pattern found at a can also help investigators to determine whether wounds were inflicted by a knife.

From the depths and locations of knife wounds, a forensic pathologist can determine the order in which the wounds were caused and even determine which one actually caused death. If this is an important issue, the pathologist must examine the wounds carefully, as often knife wounds are inflicted very close to one another, or even on top of each other. By carefully examining the tissues, the pathologist can usually determine which damage was caused first, and so can determine which wound caused the death. Bleeding patterns and blood spatter patterns are also sometimes helpful in determining which wound caused death.

Because assailants who use knives must handle their weapons during their attacks, knives can be a good source of forensic evidence. A knife may retain the user’s fingerprints, blood or other body fluids, or skin. It may even retain fibers from the assailant’s clothing or household items that can link a to the crime through or other evidence. A knife may also retain a victim’s blood, thus linking a knife not found at the scene of the crime with the crime committed. Knives may also give clues as to where they were manufactured or purchased, helping to identify assailants through purchase records.

According to the online database website Statista, knives or other stabbing weapons were involved in 1,630 homicides in the United States in 2022. A 2013 study published in the Journal of Emergency Medicine, estimated 30 percent of all emergency room visits were attributed to knife wounds, with the vast majority, 88 percent, being accidental.

Bibliography

Byrd, Mike. Crime Scene Evidence: A Guide to the Recovery and Collection of Physical Evidence. Wildomar, Calif.: Staggs, 2001.

Fisher, Barry A. J. Techniques of Crime Scene Investigation. 7th ed. Boca Raton, Fla.: CRC Press, 2004.

James, Stuart H., and Jon J. Nordby, eds. Forensic Science: An Introduction to Scientific and Investigative Techniques. 2d ed. Boca Raton, Fla.: CRC Press, 2005.

"Number of Murder Victims in the United States in 2022, by Weapon Used." Statista, 5 July 2024, www.statista.com/statistics/195325/murder-victims-in-the-us-by-weapon-used/. Accessed 16 Aug. 2024.

Payne-James, Jason, Anthony Busuttil, and William Smock, eds. Forensic Medicine: Clinical and Pathological Aspects. San Francisco: Greenwich Medical Media, 2003.

Saferstein, Richard. Criminalistics: An Introduction to Forensic Science. 9th ed. Upper Saddle River, N.J.: Pearson Prentice Hall, 2007.

Smith, Gary A. " Knife-Related Injuries Treated in United States Emergency Departments, 1990–2008." Journal of Emergency Medicine, vol. 45, no. 3, July 2013, DOI: 10.1016/j.jemermed.2012.11.092. Accessed 16 Aug. 2024.