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Article CommentaryAnalysis and Commentary

Understanding Tattoos in Medicolegal Assessments

Carolina A. Klein and Christopher Kenedi
Journal of the American Academy of Psychiatry and the Law Online March 2018, 46 (1) 93-101;
Carolina A. Klein
Dr. Klein is Chief Medical Officer, The Maia Institute, Alexandria, VA and Chief of Forensic Services at Napa State Hospital, CA. Dr. Kenedi is Adjunct Associate, Departments of Medicine and Psychiatry, Duke University Medical Center, Durham NC, and Consultant Physician and Psychiatrist, Auckland District Health Board, Auckland, New Zealand.
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Christopher Kenedi
Dr. Klein is Chief Medical Officer, The Maia Institute, Alexandria, VA and Chief of Forensic Services at Napa State Hospital, CA. Dr. Kenedi is Adjunct Associate, Departments of Medicine and Psychiatry, Duke University Medical Center, Durham NC, and Consultant Physician and Psychiatrist, Auckland District Health Board, Auckland, New Zealand.
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    Table 1

    Meanings of Common Tattoos

    TattooLocationAssociation
    Lotus flower64VariableEnlightenment, rising from amidst hardships
    SemicolonCommonly, the wristCommitment to life, fighting against depression and suicidal ideation
    Triquetra/Trinity knotVariableConnectedness with the elements around us: earth, sea and sky. Can also mean eternity or connectedness with God.
    “Om” (sacred syllable)65VariableHindu religion: God or universe; For some, peace, good karma, tranquility
    A waveVariableStrength, fighting against fate
    Anchor66VariableHope, salvation, and eternity
    Cobweb (black and white)67Commonly, the elbowLong prison sentences
    Tear drop68Underneath eyeFilled in tear: committed murder; if only outline: attempted murder
    Five-point crown69,70VariableLatin Kings gang (Hispanic gang originally based in Chicago)
    Three dotsLateral to eye corner or on hands“mi vida loca (my crazy life)” and “Los Vatos Locos (The Crazy Dudes)”; associated with the gang lifestyle
    Five dots71Outer surface of hand, between thumb and index fingerTime spent in prison
    MS-1372Visible areas: face, hand, neckMara Salvatrucha gang
    Cards (playing cards)VariableAssociation with gambling, such as gambling with life, popular in Russian prisons
    ACABKnucklesWillingness to go to prison for one's gang; “all cops are bastards”
    Three dotsBetween thumb and index fingerDeath to police
    Question markSecond phalanx of ring fingerBisexuality
    Four dotsOn one finger of either handLesbian orientation
    Watch with no minute handsHandsDoing time in prison
    StarsShoulderRank in gang
    StarsKnees“The bearer will bow down to no man.”
    CrossChestHighest rank in Russian gang
    EWMNVariable, commonly knuckles“Evil, wicked, mean, nasty”;animosity to authority and police
    Black hand with “M” in the middleVariableMexican Mafia, North and South
    Dragons and Japanese flowersTattoo encompassing large areas of the body in the shape of armor suitsYazuka body suits, associated with Polynesian tradition
    “Tongan Crisps” with hands underneath the wordsVariableTongan Crisps Polynesian gang
    Swastika with 14VariableWhite supremacists and Nazi lowriders
    Pyramid with a center eye73VariableDead Man incorporated, in support of the Illuminati or New World Order against religion and government
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Journal of the American Academy of Psychiatry and the Law Online: 46 (1)
Journal of the American Academy of Psychiatry and the Law Online
Vol. 46, Issue 1
1 Mar 2018
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Understanding Tattoos in Medicolegal Assessments
Carolina A. Klein, Christopher Kenedi
Journal of the American Academy of Psychiatry and the Law Online Mar 2018, 46 (1) 93-101;

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Understanding Tattoos in Medicolegal Assessments
Carolina A. Klein, Christopher Kenedi
Journal of the American Academy of Psychiatry and the Law Online Mar 2018, 46 (1) 93-101;
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