Original ArticlesUnplanned Complex Suicide by Self-Stabbing and Rail Suicide A Case Report and Review of LiteratureKulkarni, Chaitanya MD∗; Mohite, Shailesh MD†; Meshram, Vikas MD‡ Author Information From the ∗Department of Forensic Medicine and Toxicology, Government Medical College Akola, Akola †Department of Forensic Medicine and Toxicology, Topiwala National Medical College Mumbai, Mumbai ‡Department of Forensic Medicine and Toxicology, All India Institute of Medical Sciences, Jodhpur, India. Manuscript received March 16, 2019; accepted May 16, 2019. The authors report no conflict of interest. Reprints: Chaitanya Kulkarni, MD, Department of Forensic Medicine and Toxicology, Government Medical College Akola, Akola, India. E-mail: [email protected]. The American Journal of Forensic Medicine and Pathology: March 2020 - Volume 41 - Issue 1 - p 78-80 doi: 10.1097/PAF.0000000000000503 Buy Metrics Abstract Investigation of a complex suicide is a challenging task, particularly when the combination of modalities adopted is rare and unplanned. There is often a significant likelihood of labeling the case as a homicide. We present an interesting case of unplanned complex suicide with self-stabbing and head injury resulting from intentionally being struck by a train. There were also hesitation cuts evident over the neck and left wrist. This case highlights the importance of studying the nature and characterization of the wounds, examination of clothes, and examination of the scene to safely conclude the cause and the manner of death. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.