Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Evaluation of Deaths Related to Railway Accidents in İzmir, Türkiye: Retrospective Original Research
İzmir'de Demir Yolu Kazalarına Bağlı Ölümlerin Değerlendirilmesi: Retrospektif Özgün Araştırma
Ferhat Turgut TUNÇEZa, Alperen UYANa, Gülden ERSENa, Mehmet TOKDEMİRa, Zafer KARADENİZb
aDepartment of Forensic Medicine, İzmir Kâtip Çelebi University Atatürk Training and Research Hospital, İzmir, Türkiye
bİzmir Forensic Medicine Branch Office, İzmir, Türkiye
Turkiye Klinikleri J Foren Sci Leg Med. 2023;20(1):33-9
doi: 10.5336/forensic.2022-94413
Article Language: EN
Full Text
ABSTRACT
 Objective: In autopsy series; although not frequently in rail transportation systems, deaths are seen as a result of suicide attempts and severe traumas caused by accidents. The present study aims to discuss the data of death cases in the rail transportation systems of our region by evaluating the locations and the origins of the incidents. Material and Methods: Autopsy reports made in İzmir Forensic Medicine Institute between May 1, 2010 and May 1, 2020 crime scene investigation reports, hospital records, identity witness statements, and toxicology reports were retrospectively analyzed. Results: Rail transport system accidents accounted for 0.26% of the 25.349 autopsies performed in İzmir between 2010 and 2020, and 54 of the cases were male and 14 were female. In these death cases, the mean age of which was 43.1±19.6 years, the most common origin was determined as suicide (52.9%). The origin of suicide is followed by the origin of accident with 42.6%. It was determined that 60.3% of the cases occurred in the city, and 80.9% of them occurred as a result of the crushing of pedestrians by the trains in motion. Multiple system injuries were found in 74.9% of the deaths. In the current study, it was seen that deaths were most frequently due to head trauma. Conclusion: In the study, it was noted that accidents in rail transport systems occur more often in the city and suicides occur more often than accident-related deaths, and it was evaluated that measures should be increased and awareness should be raised at rail transport.

Keywords: Forensic medicine; suicide; railway accidents
ÖZET
 Amaç: Otopsi serilerinde; raylı ulaşım sistemlerinde sık olmamakla birlikte meydana gelen intihar girişimleri ve kazaların yol açtığı ağır travmalar sonucu ölümler görülmektedir. Bu çalışma, bölgemizin raylı ulaşım sistemlerinde meydana gelen ölüm vakalarının verilerini, olayların konumlarını ve kökenlerini değerlendirerek tartışmayı amaçlamaktadır. Gereç ve Yöntemler: 1 Mayıs 2010-1 Mayıs 2020 tarihleri arasında İzmir Adli Tıp Kurumunda yapılan otopsi raporları, olay yeri inceleme raporları, kimlik tanığı beyanları, hastane kayıtları ve toksikoloji raporları retrospektif olarak incelendi. Bulgular: İzmir'de 2010-2020 yılları arasında yapılan 25.349 adli otopsinin %0,26'sını raylı ulaşım sistemi kazaları oluşturdu ve olguların 54'ü erkek, 14'ü kadındı. Yaş ortalaması 43,1±19,6 olan bu ölüm olgularında en sık neden intihar (%52,9) olarak belirlendi. İntiharı %42,6 ile kaza orijini takip etmektedir. Vakaların %60,3'ünün kentte meydana geldiği, %80,9'unun ise hareket hâlindeki trenlerin yayalara çarpması sonucu meydana geldiği belirlendi. Ölümlerin %74,9'unda çoklu sistem yaralanmaları saptandı. Mevcut çalışmada ölümlerin en sık kafa travmasına bağlı olduğu görüldü. Sonuç: Çalışmamızda raylı ulaşım sistemlerindeki kazaların şehir içinde daha sık meydana geldiği ve intiharların kazaya bağlı ölümlerden daha sık meydana geldiğine dikkat çekilerek, raylı ulaşımda önlemlerin ve farkındalığın artırılması gerektiği değerlendirilmiştir.

Anahtar Kelimeler: Adli tıp; intihar; demir yolu kazaları
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