Accidental XXXX between 1978 and 1997. Institute of Legal Medicine, Medical School Hannover.

@entity1 @entity712 @entity510 @entity167 @entity2063 @entity3636 @entity3652 @entity2072 @entity24336 @entity1286 @entity24335 @entity204 @entity912 @entity2332
Between 1978 and 1997 the Institute of Legal Medicine of the Hannover Medical School examined 17 fatal @entity204 . The incidence for the Hannover region was 0.49 cases per million inhabitants per year. The victims included 17 @entity1 with an average age of 36.8 years; a peak in the age distribution was seen between 20 and 29 years. Twelve of the @entity1 were found by friends or family in a domestic environment, while other situations in which the victims were found included the victim's own car, a hotel room, a canal embankment, a public parking lot as well as the holding cell of the youth detention center. The @entity1 were of varying socioeconomic status and held a number of different types of jobs or still attended school. Five of the @entity1 were found completely nude, while five were only undressed below the waist. Four @entity1 wore @entity1 's clothes and two were fully clothed with exposed genitals. Besides @entity1 's clothes, other objects found at the scene included various types of sexual aids, including ropes, chains, metal bars, locks, sex magazines, condoms, plastic bags, rubber items, etc. In four cases blood @entity167 levels between 0.1 and 2.5 per thousand (urine @entity167 levels between 0.2 and 2.5 per thousand ) were found. Toxicologic examination revealed @entity3636 , @entity3652 , a @entity24336 - @entity24335 gas mixture in one case each, and in two cases @entity2072 and @entity1286 . Causes of @entity204 included central @entity912 after strangulation (seven cases), @entity2063 (4), @entity510 (2), intoxication (1), @entity2332 (1), @entity712 (1), and drowning (1). The history, findings at scene, and autopsy findings and, in individual cases, other investigations are of utmost importance to accurately reconstruct a fatal autoerotic accident.
