Background: The process of breathing, or the exchange of air between the atmosphere and the lungs' alveoli, is impaired in cases of hanging by a neck rope, which results in asphyxia and death. Main symptoms and important findings: A 27-year-old male was admitted to a rural hospital with complaints of hanging from a fan at home after a fight with his wife, with unconscious state, and one episode of seizure associated with up rolling off the eyeball, frothing from the mouth, and tonic-clonic movement. There was previous deliberate self-harm. Given low GCS, the patient was immediately intubated with ET TUBE 7.5 and taken on mechanical ventilation on volume control mode with peep 5, RR 16, Spo2 100%, TV 360 ml. rapid antigen test was done which came out to be negative and ECG done and show sign of tachycardia. Chest and spine X-RAY was done. CT brain done and the finding was normal. EEG was done and show the finding was beta activity and no epileptiform changes. An orthopedic physician's opinion was taken and to continue Philadelphia collar for 4 weeks was advised. The main diagnosis, therapeutic interventions, and outcomes: After a physical examination and investigations doctor diagnosed a case of hanging with depression. Medical management was provided with Inj. Ceftriaxone 1 gm intravenous twice a day for 9 days, Inj. Pan 40 mg intravenous once a day, Inj. Emset 4 mg three times a day, Inj. Levipril 500 mg twice a day, Inj. Dexa 6 mg once a day for 5 days, Nebulization With Duolin And Budecort three times a day, intravenous fluids given. Now his outcomes were good. His complications were reduced. Conclusion: Hanging is a complicated case and produces more complications but early diagnosis management can secure the life of a patient and reduce the complication of hanging.