Germany. A 22-year-old woman was found dead in her flat, lying fully dressed in her bed. Her arms and legs were tied up crosswise behind her back. The head was completely cut off, lying next to the body on the pillow. The bedding was blood-soaked. Next to the body, a long kitchen knife was found. At the medicolegal autopsy, several blunt force injuries to the head were present. Bandlike skin abrasion zones were seen where the arms and legs had been tied up, with soft tissue bleedings underneath, indicating vitality.

Fig.1 Superficial cut wounds above the cutoff line.

The head had been cut off by several incisions, as indicated by many sharp-angled skin ends and superficial cut wounds. The neck was cut through directly above the hyoid bone. The spinal column was disconnected between the second and third vertebra, with countless grooves on both ends. Massive blood aspiration, soft tissue hemorrhage surrounding the lesions, and pallor of the inner organs as signs of bleeding out, were present, indicating that the injuries were vital. Death was attributed to massive neck injuries with decapitation in combination with blood loss.

Fig.2 Superficial cut wounds below the cutoff line.

Homicidal beheading is a rare, extreme form of homicidal violence involving decapitation inflicted by another person. Perpetrators often use sharp instruments or heavy tools; motives vary from interpersonal conflict to ritualized violence. Forensics focuses on wound pattern, toolmarks, defensive injuries, and postmortem changes to determine manner and timing. Identification may rely on dental records, DNA, and associated personal effects. Investigations require meticulous scene control to preserve trace evidence and blood pattern analysis. Psychological profiling examines intent, planning, and possible prior threats. Medical examiners avoid graphic description while documenting trauma for legal proceedings and to support criminal justice outcomes and prevention.

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