J Forensic Sci Toxicol | Volume 2, Issue 1 | Case Report | Open Access

Suicide Pact in a Cocaine Related Death: A Case Report

Juan Pedro Montoya-Ramírez1*, Alejandra Peña-Gutiérrez1, Diego Nicolás Sánchez-Barrios1, Andrés Felipe Méndez-Bonilla1, Johan Leandro Escobar-Pérez1 and Mario Alberto Hernandez- Rubio2

1Department of Medicine, University of La Sabana, Colombia 2Department of Legal Medicine, University of La Sabana, Colombia

*Correspondance to: Juan Pedro Montoya-Ramírez 

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Introduction: suicide pacts are an infrequent event, in which two or more people reach a mutual agreement to take their own lives, at a given time and place. Over the past decade, there has been a gradual increase in the suicide rate in Colombia. Several studies have previously treated the relationship between the use of psychoactive substances and the risk of suicide, the increase in risk is well known. Findings: The levels of cocaine in the blood found in the samples of both bodies were in lethal ranges. In the two cases presented, nonspecific signs of hypoxia were found in the necropsy, suggesting that acute respiratory failure caused death in both cases. Conclusion: Despite the close relationship between cocaine use and the risk of suicide, its use as a mechanism for causing death is highly unusual. In this case a violent suicide death occurs; the notes found played a fundamental role in establishing the context of a suicide pact, in addition the presence of underlying disease and depressive symptoms have been described as factors frequently associated with these pacts.


Violent death; Suicide; Intoxication; Cocaine; Suicide pact; Diadic death


Montoya-Ramírez JP, Peña-Gutiérrez A, Sánchez-Barrios DN, Méndez-Bonilla AF, Escobar-Pérez JL, Hernandez- Rubio MA. Suicide Pact in a Cocaine Related Death: A Case Report. J Forensic Sci Toxicol. 2019;2(1):1010.

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