Multiple self-inflicted gunshot wounds to the head are rare and usually present a challenge to the pathologist and to the police in determining the manner of death. We report a case of two suicidal gunshot wounds to the head. The literature is reviewed, and the pertinent findings, including location of the wounds, location of the brain injuries, types of weapons used, and criteria important to determine the manner of death, are discussed.
From the Office of the Chief Medical Examiner of Massachusetts, Pocasset, MA (G.K., J.W.) and Department of Pathology University of Massachusetts, Worcester, MA (J.V.D.)
Manuscript received May 2, 1999, accepted July 14, 1999.
Address correspondence and reprint requests to George Kury, Office of the Chief Medical Examiner, 870 County Road, Pocasset, MA 02559, U.S.A.