Medico-legal examination of hanging

Year 2015, , 400 - 405, 03.01.2016

Mehmet Yıldırım Süleyman Sivri

https://doi.org/10.5799/ahinjs.01.2015.04.0558

Cited By: 1

Abstract

Hanging is usually fatal and it is one of the most preferred method of suicide due to can be applied easily at any environment. In hanging particularly serious injuries is seen on the neck structures. Vascular injuries, cervical spine injury, laryngeal, tracheal injury can be seen or cerebral edema, intracranial hemorrhage can be occurred secondary to neck injury. In survivors of hanging, epilepsy, pulmonary complications such as acute respiratory distress syndrome, pulmonary edema, and bronchopneumonia are frequently observed. Hanging is a serious health problem that requires urgent intervention and post-professional care. Hanging has a high mortality despite early and accurate intervention. However the relief of neck structures and the treatment of accompanying complications can increase survival. In this study, we aimed that once again attract attention one of the most preferred way of suicide hanging cases, raise awareness of community on this issue and emphasize the importance of the early interventions in patients with near hanging. J Clin Exp Invest 2015; 6 (4): 400-405

Key words: Hanging, medico/legal, complication

Keywords

Ası, adli/tıbbi, komplikasyon

References

• Özsoy SD, Eşel E. İntihar (Özkıyım). Anadolu Psikiyatri Dergisi 2003;4:175-185.
• Roy A. Psychiatric emergencies. BJ Sadock, VA Sadock (eds): Comprehensive Textbook of Psychiatry 7. edn, Baltimore, Lippincott Williams& Wilkins. 2000;2031-2040.
• Karanfil R, Keten A, Zeren C, et al. Investigation of mass suicide of siblings taken place in Kahramanmaraş. J Clin Exp Invest 2012;3:514-517.
• Çayköylü A, Coşkun İ, Kırkpınar İ, et al. Özkıyım girişiminde
• bulunanlarda sosyodemografik özellikler ve tanı dağılımı. Kriz Dergisi 1997;5:37-42.
• Gök Ş. Adli Tıp VI. Baskı, Filiz kitabevi, İstanbul 1991:103-116.
• Herrick JA, Mahedran B, Penny FJ. Postobstructive pulmonary edema following anesthesia. J Clin Anesth 1990;116-120.
• Koç S, Özaslan A. Genel olarak asfiksiler, ası, boğma, tıkama-tıkanma, kimyasal asfiksiler. İçinde: SoysalZ, Çakalır C, editörler. Adli Tıp, Cilt 1. İstanbul: İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi Yayınları; 1999:405-457.
• Howell MA, Guly HR. Near hanging presenting to an accident and emergency department. J Accid Emerg Med 1996;13:135-136.
• Knight B. Simpson’s Forensic Medicine. Tenth edn. London: Edward Arnold; 1991:155-161.
• Betz P, Eisenmenger W. Frequency of throat skeleton fractures in hanging. Am J Forensic Med Pathol 1996;17:191-193.
• Kır MZ, Ketenci HÇ, Başbulut AZ. Erzurum ilinde çocuklarda kaza orjinli ası sonucu meydana gelen ölümler. Turk J Forensic Med 2010;24:2.
• McHugh TP, Stout M. Near-hanging injury. Ann Emerg Med 1983;12:774-776.
• Hite PR, Greene KA, Levy DI, et al. Injuries resulting from bungee-cord jumping. Ann Emerg Med 1993;22:1060-1063.
• Breitmeier D, Mansouri F, Albrecht K, et al. Accidental autoerotic deaths between 1978 and 1997. Institute of Legal Medicine, Medical School Hannover. Forensic Sci Int 2003; 137:41-44.
• Gunnell D, Bennewith O, Hawton K, et al. - The epidemiology
• and prevention of suicide by hanging: a systematic review. Int J Epidemiol 2005;34:433-442.
• Petrauskiene J, Kalediene R, Starkuviene S. Methods of suicides in Lithuania and their associations with demographic factors. Medicina (Kaunas) 2004;40:905-911.
• Cooke CT, Cadden GA, Margolius KA. Death by hanging in Western Australia. Pathology 1995;27:268-272.
• Altındağ A, Sır A, Özkan M. Türkiye’de intihar hızlarındaki değişimler (1974-1998). Türkiye’de Psikiyatri 2001;3:79-86.
• Küçüker H, Aksu A. Elazığ’da görülen intihar olgularının adli tıp açısından incelenmesi. Düşünen Adam 2002;15:16-20.
• Soğut O, Sayhan MB, Gokdemir MT, et al. Evaluation of suicide attempts in southeast of Turkey, around the Sanliurfa Region. JAEM 2011;10:8-13.
• Şenol V, Ünalan D, Avşaroğulları L, et al. İntihar girişimi nedeniyle Erciyes Üniversitesi Tıp Fakültesi, Acil Anabilim Dalı’na başvuran olguların incelenmesi. Anadolu Psikiyatri Dergisi 2005;6:19-29.
• Cantürk N, Cantürk G, Koç S, et al. İstanbul’da ası sonucu ölümler; 2000-2002 yıllarında yapılan otopsilerin retrospektif değerlendirilmesi. Adli Tıp Dergisi 2005;19:6-13.
• Penney D, Stewart AHL, Parr MJA. Prognostic outcome
• indicators following hanging injuries. Resuscitation 2002;54:27-29.
• Baker EW. Baş ve Boyun Atlası . 1. edn. istanbul: Güneş Kitapevi. 2013:50-150.
• Mant AK et al. Taylor’s Principles and Practice of Medical Jurisprudence. 13th ed. New York. Churchill Livingstone. 1984:2282-321.
• Camps FE. Gradwohls Legal Medicine, 3rd Edn. John Wright & Sons Ltd, Bristol, 1976;339:326-336.
• Rosen P, Barkin R. Emergency Medicine Concepts and Clinical Practice. 4th ed. St Louis: Mosby-Yearbook;1998:406-409.
• Linnau KF, Cohen WA. Radiologic evaluation of attempted suicide by hanging cricotracheal separation and common carotid artery dissection. AJR 2002;178-1.
• Samarasekera A, Cooke C. The pathology of hanging deaths in Western Australia. Pathology 1996;28:334-338.
• Sharma BR, Harish D, Sharma A, et al. Injuries to neck structures in deaths due to constriction of neck, with a special reference to hanging. J Forensic Leg Med 2008;15:298-305.
• Morild I. Fractures of neck structures in suicidal hanging.Med Sci Law 1996;36:80-84.
• Green H, James RA, Gilbert JD, et al. Fractures of the hyoid bone and laryngeal cartilages in suicidal hanging. J Clin Forensic Medicine 2000;7:123-126.
• Suarez-Penaranda JM, Alvarez T, Miguens X, et al. Characterization of lesions in hanging deaths. J Forensic Sci 2008;53:720-723.
• Charoonnate N, Narongchai P, Vongvaivet S. Fractures of the hyoid bone and thyroid cartilage in suicidal hanging. J Med Assoc Thai 2010;93:1211-1216.
• Salim A , Martin M, Sangthong B, et al. Near-hanging injuries: A 10-year experience. Injury, Int. J Care Injured 2006;37:435-439.
• Karanth S, Nayyar V. What influences outcome of patients
• with suicidal hanging, JAPI 2005;53:853-856.
• Vander Krol L, Wolfe R. The emergency department management of near-hanging victims. J Emerg Med 1994;12:285–292.
• Nick A. Near hanging. Emerg Med 1999;11:17-21.
• Uzün I, Büyük Y, Gürpinar K. Suicidal hanging: fatalities in Istanbul retrospective analysis of 761 autopsy cases. J Forensic Leg Med 2007;14:406-409.
• Inanıcı MA, Polat O, Aksoy E, et al. Hanging related fatalities (retrospective study of 50 autopsy cases).Turkish J Forensic Med 1995;11:31-37.
• Ahuja J. Central cord syndrome resulting from nearhanging injury. CMAJ 1987;137: 221-222.
• Solhi H, Pazoki S, Mehrpour O, et al. Epidemiology and prognostic factors in cases of near hanging presenting to a referral hospital in Arak, Iran. J Emerg Med. 2012;43:599-604.
• Kaki A, Crosby ET, Lui A. Airway and respiratory management
• following non-lethal hanging. Can J Anaesth 1997;44:445-450.
• Schwartz DR, Maroo A, Malhotra A, et al. Negative pressure pulmonary hemorrhage. Chest 1999;115:1194-1197.
• Lang SA, Duncan PG, Shephard DA, et al. Pulmonary edema associated with airway obstruction. Can J Anaesth 1990;37:210-218.
• Mansoor S, Afshar M, Barrett M, et al. Acute respiratory distress syndrome and outcomes after near hanging. Am J Emerg Med. 2015;33:359-362.
• Viswanathan S, Muthu V, Remalayam B. Pulmonary edema in near hanging. J Trauma Acute Care Surg. 2012;72:297-301.
• Dinsmore W, Crane J, Callender ME. Status epilepticus and near hanging. Postgrad Med J 1985;6:519-520.
• Howell MA, Guly HR. Near hanging presenting to an accident and emergency department. J Accid Emerg Med 1996;13:135-136.
• Aufde-heide TP, Aprahamian C, Mateer JR, et al. Emergency airway management in hanging victims. Ann Emerg Med 1994;24:879-884.
• Anon. Mortality and Demographic Data 1993. Ministry of Health, New Zealand, 1995.
• Köksal V, Kayacı S, Coşkun S. Hangman Fracture Treated Using Cervical Collar. JAEMCR 2014;5:127-130.
• Borgquist O, Friberg H. Therapeutic hypothermia for comatose survivors after hanging. J Resuscitation 2009;80:210-212.
• Sternbach G, Bresler MJ. Near-fatal suicidal hanging. J Emerg Med 1989;7:513-516.