Extreme violence--homicide; an analysis of 265 cases from the offices of JMO Colombo and Ragama--a study from Sri Lanka.

Violence in a society can be categorized into many areas such as interpersonal violence, domestic violence, violence against children, violence of human rights, violence due to wars etc. The most extreme form of violence is killing of another human. To study whether the underlying reasons (motives) for killing has a relationship to the methods employed for killing. A retrospective descriptive study based on autopsy reports, magistrate orders and case notes attached was carried out on all the cases examined at the office of the JMO Colombo and Ragama from July 2005 to June 2006. The data were analyzed using SPSS statistical package. Out of 265 autopsy examinations alleged to be homicides, 39% of deaths were related to terrorist acts while previous enmity was recorded in 35% of cases. The commonest method of homicide was firearms (31%) while explosives recorded the second highest (28%). Blunt force and sharp force trauma were the reasons for 23% and 14% of homicides respectively. Almost all the deaths related to war was caused by firearms and bombs (96%) where as 47% of previous enmity deaths were caused by firearms. Firearms were never used in homicides of sudden provocation or drunken brawls. The increased use of firearms was not only seen in terrorism related homicides, but also in homicides related to previous enmity. Further research is needed in this area as to why it occurs despite having a tight firearm policy in Sri Lanka.