In the other cases, the absence of farewell notes could complicate forensic investigations, especially to establish the differential diagnosis with murder-suicides without the explicit consent of the victims. Furthermore, they often explain the reasons which are frequently based on either psychiatric disorders or financial problems. Suicidal notes clearly allow the correct identification of suicide pacts. Suicidal notes were documented in 4 cases, which reported the reasons and the consent of the victims. Gunshots and acute poisonings were the most common suicidal methods that were adopted. Among them, 6 cases of suicide pacts were registered, which involved two couples of friends, two couples of spouses, one couple of lovers and one couple of identical twins. In the present research, on the 26,054 autopsy reports assessed at the Milan Institute of Legal Medicine from 1993 to 2020, 4596 suicides were collected. In such cases, the initiator and the addicted victim decide to end their lives together in the same place and at the same time. Suicide pacts are unique events, which involve two or more individuals. If death due to inert gas inhalation is suspected during an autopsy, samples of biological material can be collected to be tested later by gas chromatography combined with mass spectrometry (GC-MS), but the results of the investigations are usually not helpful from the point of view of a forensic pathologist. Thus, even if the material for toxicological tests is handled properly, detection of the presence of helium in a relatively short period of time after death is usually impossible or very difficult. Helium dissipates quickly in the ambient air, and usually, its presence cannot be detected either in the blood or in the tissues. In the case of incompetent use of the equipment theoretically dedicated to such suicide, death may occur not because of the suffocation, which is the most common mechanism in such cases, but because of a pressure injury of the respiratory tract, resulting in rapid damage to the alveoli in the rupture mechanism, causing massive bleeding. A large amount of information on how to commit suicide with the use of helium can be found on the internet, which contributes to the popularization of this method in the world. Helium suicide is a method that does not leave characteristic macro- and microscopic post-mortem changes. Helium has also been used for committing suicide. In the case of its improper use, various complications may occur, affecting mainly the respiratory tract and, in extreme cases, even result in death. They are one of two possible targets of "Killing a Hammerhead" Missions obtained in Outposts.Helium is a chemically inert gas present in atmospheric air that is used in various branches of industry and in medicine. Golden Hammerhead "bosses" are 25% bigger, have more vitality and cause more damage to hulls.However, they are very fragile, and any of the Submarine Mounted guns is extremely effective, as long as a skilled Gunner can predict its movement. Lone Divers will be chased and Bled to death. The Golden Hammerhead will attack the Submarine in hit-and-run attacks, punching holes in the Hull with its head and retreating to strike again. Golden Hammerheads present a similar threat level to the common Hammerhead.ĭead Golden Hammerheads can be scavenged for a Swim Bladder and a unit of Alien Blood. Golden Hammerheads may spawn as a replacement for a Hammerhead, the chance of which depends on the game difficulty. As its name implies, the Golden Hammerhead has gold-colored, somewhat shiny skin, and two motionless fins to act as stabilizers. Golden Hammerheads possess a hardened blunt head, strong enough to punch holes in hulls, and also feature the Hammerhead trademark four scythe-like limbs, each of which can inflict very heavy Bleeding on any living creature, with 360º of reach. Golden Hammerheads are Gold-colored variants of the Hammerhead, and while considerably weaker than their common variant, they make up for it with one of the fastest speeds and mobility of any creature ingame.
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