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Indian Journal of Forensic Medicine and Pathology

Volume  12, Issue 3, July-September 2019, Pages 255-261
 

Case Report

Death Due to Hanging in Adolescents: A Case Series

Arijit Dey1, Aravindan Vijay Kumar2, Swati Tyagi3, Neha Sharma4, Pooja Gajmer5

1,3,4,5Senior Resident, 2Junior Resident, Department of Forensic Medicine and Toxicology, All India Institute of Medical Science, New Delhi 110029, India.

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DOI: DOI: http://dx.doi.org/10.21088/ijfmp.0974.3383.12319.16

Abstract

Introduction: Hanging is an important cause of homicidal and suicidal injury in adults, but in adolescents, it is usually accidental, leading to death because of asphyxia as a result of partial or complete hanging. Though rarely observed in children less than 12 years of age, suicide by hanging is a common cause of unnatural death in adolescents, and there are several recent examples. The most common suicidal methods among adolescents are hanging, the use of firearm, jumping from height, drowning and poisoning. Case Details: The authors describe three incidents in a metropolitan city, where an adolescent was brought to hospital after being found hanging in his/her own residence by their parents. In the first case, the victim was a 16 year old girl, who was found hanging from ceiling fan using her dupatta. In the second case, a 14 year old girl allegedly committed suicide by hanging herself after her parents had rebuked him regarding his academic performance. In the third case, a 13 year old boy allegedly hanged himself while trying to emulate the suicidal hanging shown in a crime thriller series. The authors discuss the suicide notes found in these cases and also the post-mortem examination findings in each case. Conclusion: The authors try to analyze factors associated with death due to hanging in adolescents and also identify areas of intervention for preventing such deaths. The predisposing and precipitating factors in these cases observed were love affair related strife, examination related pressure and emulating television stunts. This case series highlights the importance of crime scene reconstruction to evaluate manner of death in obscure cases.

Keywords: Adolescents; Suicide note; Hanging; Accidental; Ligature material; Autopsy.


Corresponding Author : Arijit Dey