Delayed Death in Hanging

MD, Nithin; Manjulatha, B; GN, Pramod Kumar

doi:10.4172/2157-7145.s1-001

J Forensic Res

2012

DOI: 10.4172/2157-7145.s1-001

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Delayed Death in Hanging

Nithin MD¹,

B Manjulatha²,

Pramod Kumar GN³

Abstract: Hanging is one of the most common methods of suicide in India in which death of the individual occurs almost immediately. However, a few cases have been reported in literature in which death has occurred after a certain period of time or the patient has survived after prolonged resuscitative measures. Here we present three cases of delayed deaths due to suicidal hanging in which the victims survived for variable time duration after they were rescued from hanging.

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Cited by 3 publications

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Delayed deaths in near-hanging cases: An autopsy study of causes and associated factors

Hosahally,

Chandra,

Hugar

2024

Russian Journal of Forensic Medicine

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Background Near hanging cases are those who survive an attempt of hanging injury for varied duration. Such cases while being hospitalised succumb to complications resulting in delayed deaths. This study evaluates various factors associated with delayed causes of death in near hanging cases and provides insight in improving the emergency services. Material Methods A prospective autopsy based study was conducted at the Department of Forensic Medicine, M.S. Ramaiah Medical College between 2012 and 2021. All near hanging cases who were hospitalised and later having succumbed to complications and subsequently subjected for medico-legal autopsy were included in the study. Results Females in the age group of 19-30 yrs were commonly the victims. More than half of them could reach the hospital within 30 mins to 1 hour. 47.8 % of them were suspended for between 1 to 3 mins. 65% survived for more than a day. Partial hanging with faint ligature mark was more common. 95.7% of them had taken off from a platform with falling height of less than 1 metre. Cerebral oedema and consolidation were the common post mortem findings in brain and lungs. Cause of death was attributed to hypoxic encephalopathy in majority of the cases. Conclusion Longer the duration of suspension, more the height of fall, no history of contact with ground while being suspended, cerebral oedema, hypoxia, pulmonary oedema, hypotension and need for resuscitation are the predictors of fatal outcome in near hanging cases.

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Delayed deaths in near-hanging cases: An autopsy study of causes and associated factors

Hosahally,

Chandra,

Hugar

2024

Russian Journal of Forensic Medicine

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Study of delayed deaths in hanging: Unravelling post-obstructive pulmonary oedema as the primary cause of death

Sheikh,

Kanani,

Tailor

2024

IJFCM

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Suicide by hanging is a significant public health concern globally, with delayed deaths presenting unique challenges in understanding the underlying pathophysiology.In this observational study, cases of suicidal hanging resulting in delayed death were isolated, and comprehensive analyses were performed. Data collection included detailed histories of the suicidal attempts, circumstances surrounding the events, medical treatment records, and thorough autopsy examinations, including histopathological analyses. : This study aims to investigate cases of delayed death by hanging and analyse the associated pathophysiological mechanisms.Three cases of delayed death by hanging were identified and analysed in this study. Each case involved individuals who initially survived the suicidal attempts and received medical treatment. Despite efforts, all three individuals succumbed to their injuries after a period of time. Autopsy findings revealed characteristic signs of hanging, along with evidence of post-obstructive pulmonary edema as the cause of death in each case. This study highlights the occurrence of delayed deaths following suicidal hanging and underscores the importance of understanding the pathophysiological mechanisms involved. The identification of post-obstructive pulmonary edema as a significant contributor to mortality in these cases emphasizes the need for timely and effective medical interventions to mitigate adverse outcomes in individuals who survive hanging attempts.

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Neuropsychiatric sequelae of attempted hanging and diagnostic dilemmas

et al. 2017

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Suicide is an important cause of death worldwide, and India is not immune to this major health problem. Suicide by hanging is one of the lethal methods widely practiced. However, literature is very sparse as well as old in the context of neuropsychiatric consequences seen in those who survive such attempts. We present a case of a young boy who survived an attempted hanging and was left with neuropsychiatric sequelae in the form of retro/anterograde amnesia, aggression, lability of affect, and impaired memory and visuomotor deficits. The associated diagnostic dilemmas, namely whether to diagnose such patients with Korsakoff's psychosis, organic amnesic syndrome, or major neurocognitive syndrome, are discussed and a brief review of literature of this largely ignored area is also presented.

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Delayed Death in Hanging

Cited by 3 publications

References 18 publications

Delayed deaths in near-hanging cases: An autopsy study of causes and associated factors

Delayed deaths in near-hanging cases: An autopsy study of causes and associated factors

Study of delayed deaths in hanging: Unravelling post-obstructive pulmonary oedema as the primary cause of death

Neuropsychiatric sequelae of attempted hanging and diagnostic dilemmas

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