Hanging Deaths at Tertiary Care Teaching Hospital
Keywords:Hanging, Ligature strangulation, Hyoid Bone, Thyroid Cartilage
Background: Hanging signifies an asphyxiation form which, by a noose or another constricting band
tightened by body weight, is secondary to compression or restriction of the neck structures. All hangings are
suicidal. Accidental and homicidal hangings are rare and uncommon.
Objective: This research was performed on deaths attributed to neck strain related to hanging and
strangulation carried out for post-mortem analysis in the mortuary of Osmania General Hospital
Methods: Detailed information regarding the deceased and the circumstances of the death were collected
from the police and relatives by a questionnaire. For certain situations, the detail was matched by an on-site
observation or by photos of the incident location.
Results: Knot was present in the right side of the neck in 97(48.5%) cases, over the left side of the neck
in 62(31%) cases, and over the center of the occipital region in 41(20.5%) cases. In the present study, it is
observed that in 167(83.5%) cases, the level of ligature mark was above the thyroid cartilage, below the
thyroid cartilage in 11(5.5%) cases, and overriding the thyroid cartilage in 22(11%) cases. parchmentization
was present in 135(67.5%) cases and absent 65(32.5%) cases. The causes for these observations are the
ligature material type and the length of suspension which in the majority of cases are parchmentized. 169
cases (84.5%) did not show any changes around the ligature mark, but in 31 cases (15.5%). Fracture of hyoid
bone was seen in 3.5% of the cases and fracture of thyroid cartilage was seen in 4.5% of the cases
Conclusion: Our society has a great socio-economic burden due to the high incidence of suicidal hanging
among young adults particularly women. The private essence of hanging and convenient access to ligature
points and ligature supplies renders suicide avoidance challenging. Marital disappointment, organic disease
issues, and dowry abuse are the primary reasons behind suicide hanging.
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