Deaths due to hanging among adolescents – A 10-year retrospective study

Bhosle, S H; Zanjad, N P; Dake, Michael D.; Godbole, H. V.

doi:10.1016/j.jflm.2014.11.003

Cited by 15 publications

(13 citation statements)

References 15 publications

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“…In this case, the victim used cloth/saree as ligature material, which is consistent with previous studies (Bhosle et al 2015;Singh et al 2013). In females, the preferred site for hanging is indoors or bed rooms and this victim used her bed room (Singh et al 2013, Shaw et al 2005.…”

Section: Discussionsupporting

confidence: 91%

Overdose of carbamazepine before hanging by a child: a case report of a complex suicide

Vadysinghe

Thilakarathne

2018

Egypt J Forensic Sci

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Background: Compared to death by hanging, fatal cases due to carbamazapine intake is hardly seen. We are reporting a rare case where the victim had used this combination to terminate life as a complex suicide. Case presentation: The deceased was a 16-year-old school girl, who had been on carbamazepine for 10 years for epilepsy. Following a heated argument with her family members, who had disapproved of her love affair, the victim was found hanging from a rafter in her bedroom, with a plume of froth coming from both nostrils and mouth. A complete death investigation, including scene investigation and complete autopsy examination, was carried out. Her stomach contained pieces of tablets which were later confirmed to be carbamazepine, which was also seen in fatal levels in the blood. The cause of death was confirmed as hanging, in a patient who had ingested a massive dose of carbamazepine. The manner of death was suicide and more towards planned complex type. Conclusion: The value of toxicological analysis should not be underestimated even in cases of hanging. This case further highlights the responsibility cast upon the guardians of children diagnosed with chronic diseases like epilepsy, where stressful situations need to be handled in a tactful manner, to avoid catastrophic consequences.

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Section: Discussionsupporting

confidence: 91%

Overdose of carbamazepine before hanging by a child: a case report of a complex suicide

Vadysinghe

Thilakarathne

2018

Egypt J Forensic Sci

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“… 23 In fact, a previous study examining deaths in adolescents due to hanging injury revealed that the majority of hangings (98.4%) were the result of a suicidal attempt. 28 Similarly, deaths due to plastic-bag suffocation were mostly in adults and resulted from suicidal attempts. 22 Our results also showed that intentional self-harm was associated with higher odds of mortality after controlling for confounding factors in the multivariate analysis.…”

Section: Discussionmentioning

confidence: 99%

Suffocation Injuries in the United States: Patient Characteristics and Factors Associated with Mortality

Sasso

Bachir

Sayed

2018

WestJEM

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IntroductionAsphyxiation or suffocation injuries can result in multi-organ damage and are a major cause of morbidity and mortality among different age groups. This study aims to describe characteristics of patients presenting with suffocation injuries to emergency departments (EDs) in the United States (U.S.) and to identify factors associated with mortality in this population.MethodsWe conducted a retrospective cross-sectional study using the 2013 U.S National Emergency Department Sample database. ED visits with primary diagnoses of intentional or accidental suffocation injury, and injury by inhalation and aspiration of foreign bodies or food (ICD-9-CM codes) were included. We performed descriptive statistics to describe the study population. This was followed by multivariate analyses to identify factors associated with mortality.ResultsWe included a total of 27,381 ED visits for suffocation injuries. Most suffered from either inhalation and ingestion of food causing obstruction of respiratory tract or suffocation (51.6%), or suicide and self-inflicted injury by hanging, strangulation, and suffocation (39.4%). Overall mortality was 10.9%. Over half (54.7%) of the patients were between 19 and 65 years old. Males were more common than females (59.1% vs. 40.9%). Over half of the patients (54.9%) were treated and released from the ED. Factors associated with increased mortality included male gender, young age (4–18 years), diseases of the cardiac, respiratory, genitourinary and neurologic systems, intentional self-harm, and self-payer status.ConclusionMortality from suffocation injuries remains high with significant burden on children and adolescents and on patients with intentional injuries. Tailored initiatives targeting identified modifiable factors through implementation of behavioral and environmental change can reduce the risk of suffocation injury and improve clinical outcomes of affected victims.

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“…In 2006, Azmak [18] evaluated asphyxia-related deaths in all age groups in Turkey and found that most hangings occurred during spring and summer, and that most carbon monoxide poisonings occurred during winter. However, in 2014, Bhosle et al [19] examined hanging in adolescents and found an increased incidence from 2006 to 2009 for no apparent reason. Time of day and seasonal variation in the exposure rate have been shown to play roles in drowning.…”

Section: Discussionmentioning

confidence: 99%

Cases of asphyxia in children and adolescents: a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany

Mosek¹,

Sperhake

Edler

et al. 2020

Int J Legal Med

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Purpose Injury-related asphyxia is one of the most common causes of death in children in Germany. However, only a few systematic studies have analyzed the causes and circumstances of asphyxia in children and adolescents. Methods All cases of asphyxia in children and adolescents (0-21 years of age) among the Hamburg Legal Medical Department's autopsy cases from 1998 to 2017 were retrospectively analyzed with special focus on how often external findings were completely absent. Results Among 249 cases of fatal asphyxia, 68% were accidents, 14% were suicides, and 13% were homicides. Most of the cases involved boys. Adolescents and young adults aged 15-21 years represented the main age group. Drowning was the leading mechanism of asphyxia. Younger age was associated with less frequent detection of external signs of asphyxia in the postmortem external examination. Petechial hemorrhages were the most common visible external indication of asphyxia. No external findings indicative of asphyxia were present in 14% of the cases. Conclusion Asphyxia in children and adolescents often involves accidents. However, postmortem external examination alone is insufficient to identify asphyxia and the manner of death.

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Deaths due to hanging among adolescents – A 10-year retrospective study

Cited by 15 publications

References 15 publications

Overdose of carbamazepine before hanging by a child: a case report of a complex suicide

Overdose of carbamazepine before hanging by a child: a case report of a complex suicide

Suffocation Injuries in the United States: Patient Characteristics and Factors Associated with Mortality

Cases of asphyxia in children and adolescents: a retrospective analysis of fatal accidents, suicides, and homicides from 1998 to 2017 in Hamburg, Germany

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