A 28-year-old man stabbed both his wife and his S-year-old son to death, be
fore unsuccessfully attempting to commit suicide. The incident occurred aga
inst a background of marital conflict. The child's body exhibited six tenta
tive wounds to the skin in the area of the heart, with no corresponding def
ects in the overlying clothing, a pattern normally seen only in suicide. Th
eir presence can be explained by the fact that this can be considered an ex
tended suicide, the father's motivation for the killing being comparable to
that for true suicide. However, wounds of this nature can be produced in s
uch cases only if the victim is severely limited in his ability to defend h
imself, here due to the superior physical strength of the father. (C) 1999
Elsevier Science Ireland Ltd. All rights reserved.