Rajesh Ban Goswami Assistant Professor, Dept. of Forensic Medicine & Toxicology, Late Shri Lakhiram Agrawal Memorial Govt. Medical College, Raigarh, Chhattisgarh 496001, India., India
A. Dutta Demonstrator, Dept. of Forensic Medicine & Toxicology, Late Shri Lakhiram Agrawal Memorial Govt. Medical College, Raigarh, Chhattisgarh 496001, India., India
Address for correspondence: Rajesh Ban Goswami, Assistant Professor, Dept. of Forensic Medicine & Toxicology, Late Shri Lakhiram Agrawal Memorial Govt. Medical College, Raigarh, Chhattisgarh 496001, India., India E-mail: grajeshban@gmail.com
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Received : May 20, 2018
Accepted : June 09, 2018
Published : July 30, 2018
Abstract
Introduction: Hanging is one of the most common mode of suicide in Asian countries as well as countries
worldwide. Survival period in hanging does not follow a fixed pattern and fatality varies from few seconds
to few minutes depending upon various factors such as duration of suspension, type of ligature material,
force applied for compression of neck, position of the person etc. Victims usually fail to resist pressure
and succumb to death speedily almost within few minutes. However in a few reported cases patient has
survived for certain period after immediate and prompt resuscitative measures, but died at a later stage
which can specifically be called as delayed or near hanging death. More than 25-30% of suicidal death
cases due to hanging are reported in India and the data is expanding every year. We have studied certain
number of cases in which people of young adult groups succumbed to death following consequent
complications after rescued hanging. Aims & Objectives: The present study is conducted to analyse the
cases of delayed death in hanging and their comparison with other cases of hanging as well as preventive
aspects in such cases. Materials and methods: Total Nos. of delayed death in hanging were 07 during
2016 and 2017, among 131 cases of death due to hanging autopsied, which were brought to mortuary of
KGH, Raigarh (C.G.), during the period of January 2016 to December 2017. Observations & Results: In our
study, Male: Female= 1:6, Partial: Complete Hanging= 1:6, Age group-16-36 years, Cause of death= H.I.E
followed by pulmonary oedema, Survival period= 24-48 hrs, in one case victim survived around seven
days. Soft & Hard materials were used for the purpose of hanging. Conclusion: Predominant cause behind
death is HIE and pulmonary oedema. Overcoming critical period can reduce morbidity and mortality
References
1. Verma SK, Agarwal BBL. Accidental hanging with delayed death in a lift. Med Sci Law. 1999;39(4):342–4.
2. Aggarwal NK, Kishore U, Agarwal BB. Hanging-delayed death (a rare phenomenon). Med Sci Law. 2000;40(3):270-2.
3. Nithin MD, Manjunatha B, Pramod Kumar GN, Sasidharan S. Delayed death in hanging. J Forensic Res. 2011;S1:001.
4. Bhoi SB, Tumram NK, Shinde DK, Chandekar KS. Delayed death after attempted suicide by hanging. J Punjab Acad Forensic Med Toxicol. 2013;13(2):86–7.
5. Kumar NB, Tingne CV, Ghormade PS, Keoliya AN. Delayed death due to fatal pulmonary edema in near hanging. J Forensic Med Sci Law. 2014;23(1):1-5.
6. Kumar RR, Punitha R. Delayed causes of death in hanging: an autopsy study. J Punjab Acad Forensic Med Toxicol. 2014;14(1):32-5.
7. Khetre RR, Bansude ME, Dode CR, Umbare RB, Chormale DS. Delayed death in hanging- a rare case report. Int J Recent Trends Sci Technol. 2014;12(2):253-5.
8. Gadhari RK, Pathak AG, Keoliya AN, Chaudhuri KM. Delayed death following attempted suicidal hanging: a case report. Medico-Legal Update. 2015;15(2):17-9.
9. Sane MR, Mugadlimath AB, Zine KU, Farooqui JM, Phalke BJ. Clinical-pathological profile of delayed death in hanging: a retrospective study. J Clin Diagn Res. 2015;9(3):HC01-3.
10. Maled V. Delayed death in hanging. Indian J Forensic Med Pathol. 2016;9(1):29-31.
11. Debbarma S, Deka SJ. Study of delayed death in hanging. Indian J Forensic Community Med. 2016;3(4):280-3.
12. Maxeiner H. Delayed death following strangulation (hanging). Arch Kriminol. 1987;180(5-6):161-71.
13. Hausmann R, Betz P. Delayed death after attempted suicide by hanging. Int J Legal Med. 1997;110(3):164-6.
14. Kumar V. Delayed hanging death: a case report. J Pak Med Assoc. 2007;57(1):39-41.
15. Singh OG, Sarma PC, Lepcha C. Near hanging: a case report. J Punjab Acad Forensic Med Toxicol. 2009;9(1):24-6.
16. Lowy A, Burton P, Briggs A. Increasing suicide rates in young adults. BMJ. 1990;300(6725):643.
17. Trivedi JK, Srivastava R, Tandon R. Suicide: an Indian perspective. J Indian Med Assoc. 2005;103(2):78-84.
18. Gandhi R, Taneja N, Mazumder P. Near hanging: early intervention can save lives. Indian J Anaesth. 2011;55(4):388-91.
19. Fishman AJ, Danon MC, Casarella WJ, Sos TA. Suicidal hanging: an association with adult respiratory distress syndrome. Chest. 1977;71(2):225-7.
20. Marak FK, Balaraman R. Delayed death in hanging. J Indian Acad Forensic Med. 2008;30(3):149–50.
21. Vijayakumar L. Suicide in women. Indian J Psychiatry. 2015;57(Suppl 2):S233–8.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
Whether all authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
The authors report no conflicts of interest in this work.
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creat
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creat