台灣地區自慰性窒息死亡之剖析

自慰性窒息行為具有隱密性、反覆與持續性、幻想導向、危險性、獨特性與多樣性等特質，性滿足是其最主要的目的，而死亡往往是出乎死者意料之外的結果。源於此類死亡案件在國內較為罕見，且其現場特殊跡象與自殺及謀殺案件有部分雷同之特徵，若處理人員未具備自慰性窒息行為方面的專業知識，且無此類案件勘察或偵查之經驗時，則易對死亡原因誤判而造成偵查方向錯誤。本研究以國外文獻為參考依據，經由多方管道共蒐集10件國內案例，依案例分析結果進行國內外案例比較，發現死者均以29歲以下之單身男性為最大族群，且多位於住處之臥室內，死亡原因為窒息，多數死者呈裸體或著異性服裝狀態，國內案例在進行活動方式上無明顯偏重何種方式。依案例分析之結果，提出陳屍地點、高風險裝置、屍體姿勢、脫逃裝置、性倒錯跡證、過去曾有類似經驗及無自殺意圖等7項特徵為判斷自慰性窒息死亡之必要特徵，而綑綁束縛、受虐行為、衣物、手淫活動及保護措施等為參考特徵，當必要特徵均出現且參考特徵越多項時，則越能支持判斷自慰性窒息死亡之強度，以免過度判斷。

關鍵字

自慰性窒息；性窒息；性倒錯；施虐受虐

並列摘要

The autoerotic asphyxia generally has various features such as secluded, repeated, continuous, fantasy-oriented, dangerous, unique, and diversity. These accidental deaths occur during solitary sexual activity in which some type of apparatus that was used to enhance the sexual stimulation of the deceased caused unintentional death. Due to this kind of death case is rare in Taiwan, and autoerotic asphyxia has characteristic which is very closely resemble a suicide or sexual homicide in the death scene. The particular death scene characteristics are often ignored or overlooked entirely by investigators. This research referred to foreign reports and analyzed ten domestic cases. Compare with these cases and the results of analysis, the researchers found the victims are under 29 years old, single, males, and most happened in living room with naked or female clothing. No significant method in sexual activity in the 10 domestic cases. According to the results of cases analysis, the researchers proposed the seven items: location, body position, high-risk elements, self-rescue mechanisms, sexual paraphernalia and props, evidence of prior autoerotic activity and no apparent suicidal intent are necessary characteristics to determine as an autoerotic asphyxia, another five items: bondage, masochistic behavior, attire, protective padding, and masturbatory activity are reference characteristics for judging autoerotic asphyxia. When all of the necessary characteristics appeared and the reference characteristics appeared more, then these can be able to support to determine the strength of autoerotic asphyxia, and can avoid taking over-determined.

並列關鍵字

Autoerotic Asphyxia ； Sexual Asphyxia ； Paraphilia ； Sadomasochistic

參考文獻

Sauvageau A, Racette S: Autoerotic deaths in the literature from 1954 to 2004: a review. J Forensic Sci 2006;51:140-6. doi:10.1111/j.1556-4029.2005.00032.x

Janssen W, Koops E, Anders S, Kuhn S, Püschel K: Forensic aspects of 40 accidental autoerotic deaths in Northern Germany. Forensic Sci Int 2005;147:S61-4. doi:10.1016/j.forsciint.2004.09.093

Byard RW, Winskog C: Autoerotic death: incidence and age of victims—a population-based study. J Forensic Sci 2012;57:129-31. doi:10.1111/j.1556-4029.2011.01898.x

Breitmeier D, Mansouri F, Albrecht K, Böhm U, Tröger HD, Kleemann WJ: Accidental autoerotic deaths between 1978 and 1997. Institute of Legal Medicine, Medical School Hannover. Forensic Sci Int 2003;137:41-4. doi:10.1016/s0379-0738(03)00275-5

Jung SK: An autoerotic death in Korea. Med Sci Law 2013;53:48-50. doi:10.1258/msl.2012.012033

主題瀏覽