Autoerotic death is an uncommon cause of death with higher prevalence in middle aged Caucasian people, usually but not always caused by accidental self-hanging. The main cause for it is a sexual compulsion of the practitioners, who seek controlled hypoxia as a mean to improve their sexual experience. In order to achieve this goal they try different methods to decrease their brain oxygenation: mechanical asphyxia, electrocution, chemical abuse, etc. Even though they usually take preventive measures sometimes these are not functioning properly making them loose their consciousness and finally die. This article presents a typical case of self-hanging associated with masochistic behavior.
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