Autopsy cases among patients with mental disorders: an unusual case of asphyxia caused by the iron roller of a garbage truck.

A case of asphyxia of a young man suffering from "Identity Disorder" as delineated by the DSM-III-R (American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders revised in 1987) is reported. The patient jumped into the drum of a garbage truck and the iron roller in the drum asphyxiated him by compression. In addition to the presentation of this rare category of the DSM-III-R disorders as an autopsy case and an unusual means of asphyxia, we briefly reviewed other autopsy cases of the patients with mental disorders who died in Japan between 1988 and 1992.