Professional Documents
Culture Documents
SUMMARY
This project is based on the title to study the prevalence of homicide in Peshawar in the last one year
First we emphasize on formulating our aims and objectives to help us focus on our study.The principal objectives of our project are: 1. 2. 3. 4. To review the rate of homicidal deaths ocurring in Peshawar in the last one year (2010). To find out the relationship of gender with rate of homicidal deaths. To find out relationship of age with homicidal deaths. To find out the most common causative agent.
Before collecting data related to our project,we did the necessary literature review,to basically get an idea about our project,from previous researches related to our topic.The literature review is collected mainly from the internet,medical journals and the latest ,most authentic books.It includes a full explanation of violent deaths,causes and modes of such deaths,high risk groups and various factors related to homicidal deaths.the review covered both national anmd international studies i.e. those done in karachi,faisalabad,abbotabad.it thus gave us convincing reasons to why our research should be done.the fact that homicides are so large in number,nearly in every city of the country and worldwide,made us want to know the trends in Peshawar too.
Keeping our aim and objectives in mind,we collected data that helped us to find out rates of homicidal deaths in Peshawar in the last one year and also the factors influencing these rates.For this we made a proforma which included the factors that appeared to be involved in homicidal deaths.This was compared with the proforma used by the Forensic Medicine and Toxicology department,K.M.C. and the necessary changes were made.
Our research project was based on retrospective studies of autopsy records.An application was written to the head of Department Forensic medicine and Toxicology,K.M.C. to allow us to use the autopsy records from 1st january 2010 to 31st December 2010.we then collected data from autopsy register .we made the necessary exclusion by not counting the deaths occuring due to accidents e.g. R.T.As and homicides.Our study design did not require any intervention measures or blinding because the out come had occurred before the start of the study.
The homicidal victims mainly belonged to the middle age group (i.e. 26 year to 45 year) followed by young age group (i.e.13 year to 25 year) where 45.8% and 33.5% of the homicidal death occurred respectively.The least number of homicidal deaths occurred in childhood group (i.e. 0 to 12 year).
Fire arm was the major causative agent for the homicidal deaths followed by bomb blast injuries which were 85.9% and 4.6% respctively.
Both the literature review and our results shows that homicidal deaths are not only a great problem all over the world but also in Peshawar.the main reason for this in Peshawar is illetracy,social,religious conflict,love affairs,revenges etc.The government.teachers,doctors and all members of the society in general should participate in overcoming this problem.many people loss their dear ones,sometimes the only supporters of their family and those left behind often undergo serious mental problems as a result of which the whole family or even the whole community suffers.With proper education and grooming the homicidal deaths can be prevented or at least reduced to a significant extent.Usage of unlicensed weapons should be banned and legislation should be made strict.
INTRODUCTION
Homicide is one of the oldest crimes in human civilization. For every person who dies as a result of homicide, many more are injured. A study of the patterns of homicide in a society is one of the first steps in developing strategies to prevent it. This study was conducted at the department of Forensic Medicine Khyber Medical College, Peshawar, to know the patterns of homicide, taking it as the first step in the prevention of this crime. This study includes 825 cases of homicide out of the total of 1008 medico-legal autopsies conducted at Khyber Medical College, Peshawar, during the year 2010. The cases have been labeled as homicide on the basis of autopsy and police inquest. The homicide rate for Peshawar during the period under study was 22.9/100,000. Males constituted 86.15% of the victims. 32% of the victims were in their third decade of life. Firearms were the causative agent in 86% of the cases. Chest was the primarily targeted area of the body. The highest number of homicides occurred in the month of August. The homicide rate is alarmingly high in Peshawar as is the use of firearms. This is something that should be seriously looked at by the policy makers. The title of our project is: Incidence of homicidal deaths in Peshawar in the year (2010). Death can be mainly due to two different means as follows: Natural Unnatural Unnatural death can be further classified into: Suicidal Homicidal Accidental Our area of concern over here is Homicide. Homicide is the death of one human being as a result of the conduct of another 1.There has been a global increase in homicide and it causes over 500,000 deaths per year worldwide 2. Included in homicide are cases of premeditated murder, intentional killing,and aggravated assaults resulting in death 3.Homicide is a common endpoint of many different behavioral pathways 4.It may be a result of arguments between acquaintances, domestic violence, robberies, drug addiction and terrorism 5.For every person who dies as a result of violence, many more are
To Review the Prevalence of Homicidal deaths occurring in Peshawar in last one Year (2010) To find out the Relationship of Gender with Prevalence of Homicidal deaths in Peshawar. To find out Relationship of Age with Prevalence of death in Peshawar. To find out the most important Causative Agent.
Literature Review
Definition Why it happens ? Who is at risk ? On Basis of sex Age Weapons Used On Cause On Place Homicides worldwide Homicides in Pakistan Big cities Peshawar Lahore Karachi Quetta Faisalabad
HOMICIDE (QATL)
Causing death of a human being by other human being. Homicide is of two types: A. Culpable
a. Justifiable Homicide:
Causing death in pursuance of orders of the law of courts and also killing by police during law enforcement such as during suppression of riots.
b. Excusable Homicide:
It is infact causing death in excusable circumstances like the one which occurs in self defense.
AutomatismThe defense of automatism holds that one who is unconscious or unaware of their behavior, for instance, someone walking in their sleep, does not have the capacity to commit a crime. Self-defense and defense of othersComplete defenses. For example of a very popular case on the subject read People v. Goetz. Defense of dwelling/habitationLimited to an invader attempting to commit a felony or otherwise hurt someone inside the home, but in some jurisdictions applies to a person's car. Prevention of a crimePermitted for "dangerous" felonies.[2] Privilege of public authority A person who has public authority to commit an act is not criminally liable.[3] Insanity defense There are several tests for legal insanity used in various U.S. states, the two most popular being the M'Naghten Rule and the Model Penal Code test.[4] Defense of infancy[7] In some jurisdictions children under the age of 7 are conclusively presumed to be not guilty of criminal homicide, as are children under the age of 14 - but reputably so. Mistake of factThis defense asserts that a mistake of fact will excuse a criminal charge if it is honestly entertained, based upon reasonable grounds and is of such a nature that the conduct would have been lawful had the facts been as they were supposed to be. Involuntary intoxicationIf a person is drugged, and cannot control their behavior due to the properties of the drugging agent, this operates as a defense for the same reason as automatism. WarState v. Gut, 13 Minn. 341 (1868), a soldier killing an enemy in battle is usually not criminal, but in some circumstances may be. E.g., a soldier killing a non-combative prisoner of war.
Criminal homicide:
Criminal homicide takes several forms and includes certain unintentional killings. The crime committed in a criminal homicide is determined by the state of mind of the defendant and statutes defining the crime. Murder, for example, is usually an intentional crime. In some jurisdictions, certain types of murders automatically qualify for capital punishment,[8] but if the defendant in a capital case is sufficiently mentally retarded in the United States he may not be executed, for reasons described in Atkins v. Virginia, similar to those utilizing an insanity defense. Varying by jurisdiction, a homicide that occurs during the commission of a felony may constitute
State-sanctioned homicide:
Homicides may also be non-criminal when conducted with the sanction of the state. The most obvious examples are capital punishment, in which the state determines that a person should die. Some argue that abortion is the "killing" of unborn humans and thus qualifies as a form of legal homicide. Homicides committed in action during war are usually not subject to criminal prosecution either. In addition, members of law enforcement entities are also allowed to commit justified homicides within certain parameters which, when met, do not usually result in prosecution; see deadly force.
Why it happens :
Included in homicide are cases of premeditated murder, intentional killing, and aggravated assaults resulting in death. Homicide is a common endpoint of many different behavioral pathways .It may be a result of arguments between acquaintances, domestic Violence , robberies, drug addiction and terrorism. For every person who dies as a result of Violence , many more are injured and suffer from a range of physical, sexual, reproductive and mental health problems. This places a massive burden on national economies, costing countries billions of US dollars each year in health care, law enforcement and lost productivity. In addition homicide, results in significant personal, social and economic cost .Studies on patterns of homicide are fairly well documented in USA and other western countries. Data on homicidal patterns from a few cities of Pakistan has started to appear in medical journals. Medico legal autopsies not only give the cause and manner of death but also give important statistical data related to legal incidents in the cities and regions where the autopsies are conducted. According to the law in Pakistan, medicolegal autopsy is performed after police / magisterial inquest. It generally includes deaths due to violent crime including mechanical interference with the bodily respiratory passages, physical assaults and poisoning. All deaths occurring suddenly and under suspicious circumstances are subjected to an autopsy. Conduction of medico-legal autopsy is a statutory duty performed by an authorized medical officer, designated by the provincial government.As homicides comprise a major portion of medico-legal autopsies, therefore, they get special importance in general criminal profile of the society.
SEX: Male : males are more oriented and involved in homicidal cases. we will discuss it under different headings as the causes are different:
Land Disputes behind most murders: Land and property disputes leave all other motives for murder far behind in the federal capital. In the past, such disputes used to be prevalent in rural areas but the growing trend of urbanisation has brought it to the peripheries of big cities where price of real estate has been rising fast. Since Islamabad is the choicest place for many, particularly the moneyed class, to live in or invest, land here fetches the highest price. Market sources say price of land in Islamabad is 100 per cent higher than in other big cities of Pakistan. In such a situation, forays by the mafia and disputes over land in the city`s rural areas are inevitable. Such disputes have risen mostly in those areas of the city which are developing as satellite towns. Many of the cases have been reported from localities like Alipur Farash, Phulgaran, Bhara Kahu, Sihala and those falling in the northern and western parts of the capital. Majority of the disputes have led to target and revenge killings between the contending family members. FEMALES : Honor killings a major portion of homicides : Human Rights Watch defines Honor Killings as follows: "Honor crimes are acts of violence, usually murder, committed by male family members against female family members, who are held to have brought dishonor upon the family. A woman can be targeted by (individuals within) her family for a variety of reasons, including: refusing to enter into an arranged marriage, being the victim of a sexual assault, seeking a divorce-even from an abusive husband-or (allegedly) committing adultery. The mere perception that a woman has behaved in a way that dishonors her family is sufficient to trigger an attack on her life." It should be noted that the loose term honor killing applies to killing of both males and females in cultures that practice it. For example , during the year 2002 in Pakistan, it is estimated that 245 women and 137 men were killed in the name of Karo-Kari in Sindh. These killings target women and men who choose to have relationships outside of their family's tribal affiliation and/or religious community.According to a new epidemiological study published in the European Journal of Public Health, One in every five homicides in Pakistan is a so-called honor killing. Other sources of data, such as death certificates, often do not include specific enough information on the circumstances of the death, While honor killings are illegal and considered murder in Pakistan, there are loopholes that often prevent full punishment for the crime. Its a very unique kind of violence, because usually domestic violence is caused by husbands or partners, but this is often conducted by brothers or fathers, said Dr. Muazzam Nasrullah, who ran the study while at the Aga Khan University in Pakistan.
To Study The Prevalance Of Homicide In Peshawar Killing of females during sexual harassment: ( rape victims )
Most of the females are victims of men disguise and they are murdered during sexual abusement either by their mentally ill husbands and other men who commit rape on them and after making their use kill them .Armed sexual violence is horrifically widespread in heavily armed environments.Weapons can be used to facilitate systematic rape a war crime, used to hasten the expulsion of national groups by degrading women and spreading terror, fear, and humiliation. Sexual violence against men may also be significant, but few data on this type of abuse have so far been collated, and it is believed that most cases are not reported.Women and girls are raped at gunpoint while away from home collecting firewood and water, or undertaking other daily tasks; they are also vulnerable in jail or refugee camps, with no place to hide. At least 15,700 women and girls in Rwanda and 25,000 in Croatia and Bosnia are reported to have been raped at times of armed conflict; the actual figures may be much higher.83 This can have implications for HIV/AIDS infection: soldiers often have a much higher infection rate than the civilian population, and forced sex is more likely to lead to transmission.
Place involved :
Females are mostly murdered in kitchen through burning them with sui gas and oil . 2 nd most often place is bedroom . very rarely in bathroom and garage and roof areas.Males are murdered at places quite far from their residential area . mostly at their working places , in offices . Elderly man are murdered at homes mostly .
Weapons used :
Sharp weapons : knife , axe .pieces of glass .dagger Blunt weapons : stick ,sports goods like bat and hockey Most important of them are FIRE ARMS including shot guns , rifles, pistols . Poisons used rarely
Pakistan Perspective :
Small arms have always been a part of life in Pakistan, especially in the KPK, Balochistan provinces and the Tribal belt near the borders. But prior to the advent of war in Afghanistan, arms were used for hunting and protection proposes and during festivals celebrations only. Few people possessed arms, usually semi-automatic weapons, and that too in limited quantities. Arms could only be purchased through proper licenses and from licensed shop and dealers. Dara Adam Khel in KPK province produced illicite arms, but only in small quantities and getting arms from that place was not easy for the common person. The rise of ethnic problems in Karachi and the widening of sectarian divisions mostly in Punjab, made the smuggling of sophisticated weapons to down country, a very lucrative business. Karachi and most of Punjab, where weapons were only possessed by the very rich people, and that too mostly for hunting and personal security purposes, became big markets for these weapons.
Pistols
6% 8%
Shotguns
AK-47
12%
Rifles
Grenades
13%
61%
MURDERS:
Murders (per 100,000 people per annum) (1998-2000) by country An estimated 520,000 people were murdered in 2000 around the globe. Two-fifths of them were young people between the ages of 10 and 29 who were killed by other young people.[36] Because murder is the least likely crime to go unreported, statistics of murder are seen as a bellwether of overall crime rates.[37] Murder rates vary greatly among countries and societies around the world. In the Western world, murder rates in most countries have declined significantly during the 20th century and are now between 1-4 cases per 100,000 people per year. Murder rates in Japan, Ireland and Iceland are among the lowest in the world, around 0.5 cases per 100,000 people per year; the rate of the United States is among the highest of developed countries, around 5.5 in 2004,[38] with rates in larger cities sometimes over 40 per 100,000.[39] 666,160 people have been killed in the United States between 1960 and 1996.[40] Within the Western world, nearly 90% of all murders are committed by males, with males also being the victims of 74.6% of murders (according the United States Department of Justice).[citation needed] There is a sharp peak in the age distribution of murderers between the ages of 18 and 30.[citation needed] People become less likely to commit a murder as they age. Incidents of children and adolescents committing murders are extremely rare.[citation needed]
Graph # 1
Murder in Rio de Janeiro. More than 500,000 people died from gun violence in Brazil between 1979 and 2003.[52] Murder is the leading cause of death for African American males aged 15 to 34. In 2006, Federal Bureau of Investigation's Supplementary Homicide Report indicated that most of the 14,990 murder victims were Black (7421).[53] In the year 2007 non-negligent homicides, there were 3,221 black victims and 3,587 white victims. While 2,905 of the black victims were killed by a black offender, 2,918 of the white victims were killed by white offenders. There were 566 white victims of black offenders and 245 black victims of white offenders.[54] It should be noted that the "white" category in the Uniform Crime Reports (UCR) includes non-black Hispanics.[55] In London in 2006, 75% of the victims of gun crime and 79% of the suspects were "from the African/Caribbean community."[56] Murder demographics are affected by the improvement of
History:
The murder of the Archduke Franz Ferdinand of Austria triggered the start of World War I.According to scholar Pieter Spierenburg murder rates per 100,000 in Europe have fallen over the centuries, from 35 per 100,000 in medieval times, to 20 in 1500 AD, 5 in 1700, to below two per 100,000 in 1900.[61]In the United States, murder rates have been higher and have fluctuated. They fell below 2 per 100,000 by 1900, rose during the first half of the century, dropped in the years following World War II, bottomed out at 4.0 in 1957 before rising again.[62] The rate stayed in 9 to 10 range most of the period from 1972 to 1994, before falling to 5 in present times.[61] The increase since 1957 would have been even greater if not for the significant improvements in medical techniques and emergency response times, which mean that more and more attempted homicide victims survive. According to one estimate, if the lethality levels of criminal assaults of 1964 still applied in 1993, the country would have seen the murder rate of around 26 per 100,000, almost triple the actually observed rate of 9.5 per 100,000.[63]A similar, but less pronounced pattern has been seen in major European countries as well. The murder rate in the United Kingdom fell to 1 per 100,000 by the beginning of the 20th century and as low as 0.62 per 100,000 in 1960, and was at 1.28 per 100,000 as of 2009. The murder rate in France (excluding Corsica) bottomed out after the World War II at less than 0.4 per 100,000, quadrupling to 1.6 per 100,000 since then.[64]The specific factors driving this dynamics in murder rates are complex and not universally agreed upon. Much of the raise in the U.S. murder rate during the first half of the 20th century is generally thought to be attributed to gang violence associated with the Prohibition. Since most murders are committed by young males, the near simultaneous low in the murder rates of major developed countries circa 1960 can be attributed to low birth rates during the Great Depression and the World War II. Causes of further moves are
The average number of homicides by sharp instrument, blunt instrument, hitting or kicking and shooting had all increased during the period 1993-1997, compared with 1979-1983, whilst the numbers of homicidal strangulation and burning had decreased. The largest absolute rise in homicides was attributed to sharp instrument use 175 p.a. between 1979 and 1983, to 211 p.a. between 1993 and 1997. Homicide by firearm had also increased dramatically by 66% over the same period, but the absolute numbers per year are still relatively low (61 deaths p.a. between 1993 and 1997).An interesting finding is that of the effect of social class on homicide data. Deaths from homicide, accidents, suicide and undetermined injury are all inversely related to social class, and men of social class V (unskilled) between the ages of 20-64 are more than 12 times as likely to be killed than their counterparts in social class I.The ONS also looked at the data produced by other countries, and found that the homicide rates are lower in Denmark, Netherlands, Norway and France, whilst the rates in England and Wales compare more favourably with those of the USA, Scotland, New Zealand, Israel, Australia and Canada.The homicide rate in the USA is 6.5 times that of England and Wales, and the use of firearms accounts for 75% of the difference. This clearly reflects the ease of availability of firearms in that country.
Homicides in Scotland:
The Scottish Executive Justice Department has recently produced homicide data for 2001 (2002 Scottish Executive National Statistics), and they have identified 104 homicides the same number as in 2000.77% of victims were men (the majority being in the 16-29 and 30-39 years age groups).Just under half of all homicides involved the use of a sharp instrument (46%).
Method Sharp instrument Hitting/ kicking Blunt instrument Strangulation/ asphyxiation Shooting Fire Poisoning Other/ unknown
Percentage 46 14 9 9 6 6 5 5
75% of victims knew their assailant (23% killed by a relative, 56% killed by an acquaintance), and 89% of assailants were male. 56% of assailants were reported to have been either drunk or under the influence of drugs at the time of the assault, whilst 10% of victims were similarly under the influence.
Intentional homicide rates per 100,000 population for 198 countries/territories calculated by UNODC are presented alphabetically in five regional groups: Africa, Americas, Asia, Europe and Oceania. These regions are further divided into fifteen geographically-defined sub-regions. The geographically-defined regions and sub-regions used in this dataset correspond to those in the UNODC drugs and crime database used for analysis in UNODC studies and the World Drug Report.
HOMICIDE:
Homicide is a long-standing threat to a community's health, although it began to be widely recognized as a public health issue only in the 1990s. Homicide has traditionally been viewed through the lens of crime, though both criminal justice and public health approaches can be useful in efforts to reduce homicide.Public health descriptions of homicide are based largely upon information provided on death certificates. In the United States, death certificate information is reported to each county by funeral directors, physicians, and coroners. Each county reports the information to the state, which, in turn, reports it to the National Center for Health Statistics. These data cover every death (regardless of cause of death) for which there is a body. In vital statistics data, and for public health purposes, a homicide is defined as the death of a person at the hands of another.Law enforcement data about crime are gathered by police and sheriff's officers at the local level, reported to a central agency at each state, and then forwarded on to the Federal Bureau of Investigation. Participating in The Uniform Crime Reports (UCR) is a voluntary process, and about 85 percent of police departmentscovering 96 percent of the U.S. populationparticipated in UCR as of 1991. The data about homicides are reported in the Federal Bureau of Investigation's (FBI) Supplementary Homicide Report. The FBI defines a homicide as murderthe willful (nonnegligent) killing of one human being by another.In addition to murders, the public health definition of homicide includes legally sanctioned killings (e.g., executions or homicides in self-defense). The law enforcement definition, however, is limited to criminal homicides. Because thedefinitions differ, the numbers of homicides reported by each system also differ. The overall patterns of risk, however, are the same. EXTENT OF THE PROBLEM: Homicide rates in the United States peaked in 1993, dropped substantially, and the homicide rate in 1998 was the same as that in 1968 (see Figure 1). Although people were alarmed at the high homicide rates in the early 1990s, these rates have vacillated throughout the twentieth century. Historians believe that homicide rates were probably even higher in the Middle Ages in Europe.The United States has a much higher homicide rate than other industrialized countries (see Figure 2). Although not included in the chart, it many be useful to note that among those countries reporting rates to the World Health Organization, Colombia actually has the highest rate by far146.5 homicides per 100,000 males. The discrepancy appears to be largely due to the much higher number of deaths due to firearms in the United States. Even when compared to other countries where firearms are relatively common, homicide rates in the United States are higher, possibly because firearms in the United States are much more likely to be handguns, whereas in other countries the guns are most likely to be rifles and shotguns. Handguns are the leading method of homicide in the United States. HOMICIDE RISK:
HOMICIDAL DEATHS BY FIREARMS IN PESHAWAR: AN AUTOPSY STUDY Zahid Hussain, Mian Mujahid Shah,* Hakim Khan Afridi, Muhammad Arif** Departments of Forensic Medicine & Toxicology, Khyber Medical College Peshawar, *Ayub Medical College Abbottabad and ** Women Medical College Abbottabad
RESULTS: A total number to the Department and subjected to autopsy examination during 2004. There were 492 (77.7%) cases of homicidal deaths, out of which 452 (91.87%) were due to firearm injuries frequent affected age group was between 16-30 years, while the age group from 16-45 years together comprised 64.3% of cases. The male to female ratio was 5.75:1, while the rural to urban ratio was 1.7:1. The total number of injuries sustained and distribution in various body regions involved.
DISCUSSION
Similar to reports from the United States,1 our study shows that firearm injury is the leading cause of homicidal deaths in the district of Peshawar, accounting for about 92% of such deaths. In the United States, firearms are used in more than 60% of all homicides, over 25% of all assaults, more than 35% of all robberies and in almost half of all suicides. 7 Our data also agrees with several other studies from various cities of Pakistan, where firearm victims were the leading cause of homicidal deaths.8-13 However a study from Karachi conducted in the year 2002 indicates that firearm injuries and road traffic accidents together form the common causes of medico legal autopsies;14 this may merely indicate the pattern of a busy city faced with an increasing traffic load. Almost all age groups were represented with the majority being in the young adult and middle aged persons (16-45 years, 54.3%). Other studies from Pakistan also agree that the most common victims of firearm related homicides are young and middle aged adults.8,9,15,16 The high male to female ratio of 5.75:1 in our study compares well with an earlier
Most of the cases had more then one injury involving multiple sites of the body. The maximum numbers of injuries were inflicted on the chest followed by the head. The upper limbs and lower limbs sustained minimum number of fatal injuries. 51.15% of the victims died during the night time i.e. 6 pm to 6 am, and 48.85% during the day time. The highest number of homicides occurred in the month of November followed July and April. DISCUSSION: During the period understudy, 78.55% of all deaths reporting for autopsy at the department of Forensic Medicine and Toxicology Khyber Medical College Peshawar were determined to be homicidal in manner. These results are similar to the figures of cities like Bahawalpur and Faisalabad, where 80% of all cases autopsied were homicides.18,19 However lower figures have been reported for Nawab shah (62%) 20.This may be because of the low level of urbanization and industrialization in Nawab shah with the relative intactness of the usual institutional methods of social control. The homicide rate of 22.99 per 100,000 population per year is one of the highest reported in the world with only South Africa, Columbia and Estonia reporting higher rates.21 This could be because of the high rate of gun possession in the area under study especially automatic weapons. Another reason could be a lack of confidence in the judicial system with people tending to take the law into their own hands for settling differences and disputes. In our study of 520 homicidal deaths, 448 (86.15%) were male and 72 (13.85%) were female, forming a male to female ratio of 6.22:1. It is similar to that reported in Bahawalpur (6.82:1)11 and Abbottabad (6.8:1) 5, but is much higher than that in Faisalabad (3.47:1) 22.This may be explained by the structure of society in Peshawar and other areas with high male to female ratio where females are primarily confined to their homes and are therefore protected from being involved in violence. This is in contrast to the more industrialized places like Faisalabad where females are more actively involved in workplaces and play a relatively proactive role thereby exposing them to a pattern of violence and homicide similar to that in males. Our study showed 62.11% of all homicides occurred in age groups between 20-39 years of age, with 32.3% in the third decade of life. Other studies in Pakistan also give the highest occurrence of homicide in the same age group, with 28-40% of all homicides being in the age bracket of 20-29 years 5,10,11,12,13,22. Studies in India and Turkey have also reported this age group to be the most vulnerable 14,23,24, while studies in U.S.A indicate the highest rates at an earlier age (10-25 years) 7,25,26. This difference could be because individuals start a more independent life at an earlier age in U.S.A thus exposing them to all sorts of violence, something also reflected by the increasing incidence of juvenile offenders and school violence. The weapon most often used to inflict homicide was a firearm (85.96%). This is the highest use of firearms reported in Pakistan. Other studies have reported the use of firearms in 41-58% cases of homicide. Other countries also report a lower use of firearms for homicide. This could be
HOMICIDE IN ABBOTTABAD
Qudsia Hassan, Mian Mujahid Shah*, M. Wahid Basher Women Medical College, Abbottabad, *Ayub Medical College Abbottabad RESULTS There were a total of 40 cases consisting of 35 males and 5 females. The male to female ratio was 7:1. The victims belonging to commonest age group fell under 20-29 years (40%) followed by 30-39 years (22.5%).
Firearms (62.5%) were the most common method of offence, with rifles on the top of list (57.5%) followed by use of blunt methods (22.5%),
RESEARCH METHODOLOGY
The project allotted to us is To study the prevalence of homicide in Peshawar.In order to carry out the project,we first conducted the literature review which was a comprehensive assessment of the current status of knowledge on the rate of homicidal deaths in the past years and various associated factors such as effect of age,sex,rural/urban location etc.The information was collected from the internet,journals and different books. The literature review enabled us to formulate our aims and objectives and have a clear picture of how to go ahead with our research.We could not prepare a questionnaire because our study population was the people who had been killed and information from relatives could not fulfill our requirements, neither were the available. However , keeping our aims and objectives in mind, we made a proforma which included the factors that appeared to be involved in homicidal deaths. This proforma was compared with the proforma used by the Forensic Medicine And Toxicology Department, K.M.C and the necessary changes were made. The proforma included the following variables for which data had to be extracted from autopsy registers: Name Age Sex Address Date of Death Police Station Causative Agent Manner Of Death Autopsy Number
A copy of the proforma is given in the annexure section. Our research was based on retrospective studies of autopsy records. So an application was written to the Head of Department of Forensic Medicine and Toxicology, K.M.C to allow us to use the autopsy records from 1st January, 2010 to 31st December, 2011. Since the records are made by doctors at the Forensic Department, it made the data reliable. Then we paired up and went through all the autopsy registers, collecting data from each first investigation report (FIR) and filling out the proformas. We made the necessary exclusions by not counting the deaths occurring due to accident e.g R.T.As. Our study desigh did not require any intervention measures or binding because the outcome had occurred before the start of the study. This task too around two weeks. Once all the proformas were filled, we divided our batch
4. Lastly we worked out the most common causative agent. This was done by dividing the causative agent in to the following groups: Firearm Sharp Weapon Strangulation Miscellaneous
Result:
After we extracted the data from the autopsy registers, we summed up the cases for each objective to make it easy for us to draw graphs and charts. These were made using SPSS 16 which helped us to present our data in organized, creative and presentable form.
Gender
Cumulative Frequency Valid Male Female Total 727 98 825 Percent 88.1 11.9 100.0 Valid Percent 88.1 11.9 100.0 Percent 88.1 100.0
To Study The Prevalance Of Homicide In Peshawar Prevalance of homicide on basis of Most Common Agent used for Homicide in 2010 Table # (4)
Firearm was the major causative agent for homicide.85.93% of the homicides occurred through firearm.
CAUSATIVE AGENT
Cumulative Frequency Valid BLAST INJURY BLUNT WEAPON BOMB BLAST FAI POISONING SHARP + BLUNT WEAPON SHARP WEAPON STRANGULATION Total 1 20 37 709 4 1 24 29 825 Percent .1 2.4 4.5 85.9 .5 .1 2.9 3.5 100.0 Valid Percent .1 2.4 4.5 85.9 .5 .1 2.9 3.5 100.0 Percent .1 2.5 7.0 93.0 93.5 93.6 96.5 100.0
Prevalance of homicide on basis of Most Common Agent used for Homicide in 2010 Graph # (3)
Prevalance of homicide on basis of Most Common Agent used for Homicide in 2010
To Study The Prevalance Of Homicide In Peshawar Prevalance of homicide on Monthly Basis in 2010 Table # (5)
Homicides mainly took place in August followed by April in the year 2010 with 10.06% and 9.82% homicides respectively.
Percent 7.9 6.8 8.7 9.8 9.0 8.2 6.5 10.1 7.6 9.1 8.0 8.2 100.0
Valid Percent 7.9 6.8 8.7 9.8 9.0 8.2 6.5 10.1 7.6 9.1 8.0 8.2 100.0
Cumulative Percent 7.9 14.7 23.4 33.2 42.2 50.4 57.0 67.0 74.7 83.8 91.8 100.0
February March April May June July August September October November December Total
A total of 825 cases of homicide occurred during the study period 2010.This formed 81.85% of the total 1008 autopsies conducted during this period.
Deaths
Homicides Others
A total of 825 cases of homicide occurred during the study period 2010.This formed 81.85% of the total 1008 autopsies conducted during this period.
100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% Deaths Others Homicides
DISCUSSION
Homicide is a reflection of extreme aggression and one of the oldest crime in human history.Although a large mumber of dimensions have been added to this crime ,the age-old factors like revenge,rage,jealousy and honour persist even today.killing of human being is a major crime.Since very long time laws were framed by different judicial authorities in a bit to prevent its further occrrence.Inspite all of these,there has been a phenonmenal rise in the incidence of homicide all over the world.Homicide demographics are affected by the improvement of trauma cxare,leading to reduced lethality of violent assaults,thus the homicide rate may also not necessarily reflect the overall level of societal violence.
According to our data ,we found that majority of deaths are due to homicide in the deaths caused in unnatural way.within the duration of our study period,a total of 1008 cases were brought for medicolegal investigation to the department of Forencsic Medicine and Toxicology K.M.C. Peshawar,out of which 825 cases were that of homicide.It makes about 81.84% of the autopsies conducted during this period.the remaining percentage involved accidental and suicidal deaths.
The gender ratio in our study is similar to the accepted view of male predominance.Males were the predominant victims of homicidal death making 727 male homicide cases making 88.1%.There werefound to be 98 female homicide cases making 11.9% of total homicidal deaths.Male to female ratio was 7.40:1.
The high mortality ratio among males is probably due to the fact that they frequently have occupational exposure as they are the earning members of the family and are thus more involved in outdoor activities.and also they have low tolerance as compared to females so are frequently involved in fights and violence.Most importantly the females of our society stay back at their homes.So the mortality ratio is lower than that of the males.
If we analyze the homicide cases in different age group,it reveals that about 45.8% of homicidal deaths in our study occurred in the middle age group(i.e 26 year to 45 year),followed by young age group(i.e 13 year to 25 year)making 33.5%.The lowest rate was
The methods of killing have changed over time.with recent advances,weapons like knives and daggers are becoming outdated and are being repleced by firearm as the most commonly used weapon.according to the data collected,the most common causative agent was firearm. 709 cases of total 825 homicidal deaths making 85.9% occurred through firearm.followed by bomb blast injuries which makes 4.6%(38 cases),strangulation 3.5%(29 cases),sharp weapon 2.9%(24 cases),blunt weapon 2.4%(20 cases),poisoning 0.5%(4 cases) in decreasing frequency.
The reason for firearm being the major causative agent is their easy availability,use of unregistered weapons lack of education and lack of policies by the law enforcement agencies for the valid use of these weapons.Among all the cases sharped edged weapons are umostly used unplanned deaths which usually occur in rural areas.Females aresubjected to strangulation because they are physically weak and thus in the rural areas it becomes one of the major causes of homicidal deaths.
According to our study,the time trend shows that homicidal deaths are more in summer season.he possible cause for this may be that outdoor exposure is longer in summer due to longer days as compared to winter and perhaps the tolerance is lower due to hot climate and provocation on trivial matters become more common.
As far as the data given above is concerned, it is far less than the actual rate of homicide in Peshawar. Although this data is the record of the cases brought for autopsies by the police but they are still very less than the actual values as there are certain limitations in this regard .Many cases cannot be brought on the record due to cultural and religious reasons. It is believed in our society, especially among the illiterate, that organs are taken from dead bodies during autopsy. Thus people think that autopsy is a dishonor for the dead body. The cases of
Despite all of these factors, the recorded values are not so significant / representative so as to catch the attention of the people associated with law enforcing duties in the region.
It is recorded that after Afghan war, the resulting increase in influx of the Afghan refugees in and around Peshawar, has increased the availability of the rifled weapons very much. Due to easy availability, the injuries caused by the rifled automatic guns have increased many folds. The use of short guns is very much decreased. However, small automatic weapons like pistols are also easily available.
CONCLUSION
1.PREVALENCE OF HOMICDE:
Homicidal deaths are more common than other types of unnatural deaths.
3.CAUSATIVE AGENT:
Homicidal deaths are more frequently committed by firearm,followed by bomb blasts and sharp and blunt weapons.However,strangulation and poisoning also contribute in homicidal deaths.The reason for greater homicidal death due to firearm may be due to easy availability and its greater use among the paople of this part of the country.
4.AGE-GROUP:
Homicidal death are common in age group(26 year to 45 year).it may be because of the rushing adrenaline, emotional state and lack of rational thinking during these years of life and this was more precise for the males of this age group (0 to 12 year)has the least number of deaths.May be because they are confined to their homes with their parents.
5.Time related:
Homicidal deaths are more in summer season.the possible cause for this may be that outdoor exposure is longer in summer due to longer days as compared to winter and perhaps the tolerance is lower due to hot climate and provocation on trivial matters become more common.
Religious Teachings:
According to Islamic law; if anyone kills person unless it would be for murder or for spreading mischief in the land. It would be as if he killed all upland if anyone save a life, it would be as if he saved the life of all pal. (Quran 5:32) In Christianity, there is also discouragement of homicide and suicide; As u do least of my brothers, you do me(Mathew 25:40) Buddhism forbids the destruction of life; Everyone fear punishment; everyone fear death just as you do.Therefore,do not kill or cause to kill.Everyone fears punishment,everyone loves life as u do.Therefore do not kill or cause to kill. Life is sacred according to Islam and other world faith if one follows this fact, rate of homicide and suicides will definitely decrease.
Protection Of Weak:
________________________________________________________________ Community Medicine Department 56 Khyber Medical College,Peshawar
Education:
with proper education and grooming people can be given oppurtunities to lead a respectable and peaceful life, free of violence.
Law Enforcement:
those carrying unlicensed, guilty of murder or participation in murder should be punished severly and not let free in exchange for a handsome amount of money to the police or other law enforcing agencies.
Optimism:
People should have a positive attitude towards life, they should be optimistic that everything will be alright in the end because life is not easy as it seems. Every one has problems, but they overcome them with patience and hard work. Some people control lose control of their lives just by being pessimistic and this contributes to one of the many factors responsible for homicidal deaths.
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Address Date name Father Name Age Sex Police Station Cause of death/causative agent Pm no