Accidental Death Due to Autoerotic Asphyxia Coupled With Fetishistic Transvestism

Abstract

Fetishistic transvestism is a disorder of sexual perversion associated with fantasies and sexual urges to dress in opposite gender clothing as a means of arousal and adjunct to masturbation and coitus. However, transvestism has been described in schizophrenia and psychosis and fetishism in the course of simple schizophrenia. Our reported case is a 26 year-old male found hanging in transvestite attire wearing blouse and petticoat. There was no psychiatric background and no known previous suicidal behavior of the deceased. The manner of death was finally considered to be an accident. The cause of the death was accidental hanging provoked by fatal autoerotic asphyxia.

An autopsy case of carbon monoxide poisoning: A case report

“…Incidence is comparatively higher in young adults. 9,10 Previous studies also show that the main cause of fatal CO poisoning is due to the collection of this gas in an ill ventilated room. [10][11][12] Homicidal deaths are very uncommon.…”

The shame of truth – death due to accidental autoerotic asphyxia

“…Autoerotic asphyxia (hypoxyphilia) is frequently accompanied by non-lethal paraphilias such as transvestism and bondage, different props and devices for sexual stimulation, pain-stimulating agents, pornographic magazines, ropes, chains, rubber items, and chemical anaesthetics, 1,3,16,23–26 which will support a finding of accidental death. However, even after thorough investigation, it is still essential to exclude suicide or homicide.…”

“…Therefore, they may modify the scene before the police arrive to conceal the erotic nature of the death with its associated social stigma and protect their and the deceased's reputations. 9,17,18,23…”

The menace and mitigation of air pollution in the built environment: A review

“…Generator as an alternative source of power in developing countries CO poisoning has always been associated with inadequate ventilation for outward diffusion of high concentration of carbon monoxide from living or recreational facilities [33]. The greatest risk of asphyxiation is associated with keeping running generators in the hallway at night [24].…”