A Five-Year Retrospective Study of Deaths Due To Constriction of Neck
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Introduction: Hanging and strangulation are amongst the commonest modes of violent asphyxial deaths. Usuallydeaths from hanging are suicidal and those from strangulation are homicidal in nature.Methods: During thisretrospective study offive-year period, 3264 cases were autopsied. Among them,the cases of hanging and strangulation were 3.86%. Observations: Numberof cases of hanging was 96 (76.19%), and ligature strangulation was 24 (19.04%). Males constituted81.25% of cases of hanging and 91.66% of ligature strangulation. In the second decade of life, 87.5% cases of deaths due to hanging occurred while 71.42% casesof strangulation were reported in third decade of life. Maximum cases of deaths due to hanging were reported in morning (29.17%) and of strangulation during afternoon (37.50%). All cases of ligature strangulation were reported fromrural areas while 86.49% of hanging cases reported fromrural areas.All hanging cases were suicidal in nature andthose of ligature strangulation were homicidal in nature. In two third of cases, ligature material used was rope. Ligature mark was above thyroid in 73.95% of cases of hanging and below thyroid in75.00% cases of ligature strangulation. Associated injuries were present on other body parts in 7.29% of hanging cases and 54.17% ofligature strangulation.Complete ligature mark was seen in 2.08% cases of hanging and 79.17% cases of strangulation. Fracture of hyoid bonewas seen in 45.83% cases of ligature strangulation and 7.29% cases of hanging. Dribbling of saliva was observed in 39.58% of hanging cases. The study area showed an incidence of hanging of 1.4 per 100000 as compared to a national average of 4.1 per 100000.Conclusion: Risk factors and aetiology are multifactorial and multidimensional. High suicidal prevalence rates have considerable implications for health care facilities. Early recognition of risk factors is important for prevention and appropriate intervention.
Authors and Affiliations
Ravdeep Singh, Anupinder Thind, Didar Singh Walia, Krishan Kumar Aggarwal, Akash Deep Aggarwal
Keywords
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- EP ID EP421640
- DOI 10.9790/0853-1712033339.
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