title: An Unusual Method of Suicidal Ligature Strangulation.
abstract: This article reports a case of suicidal strangulation by ligature of a 51-year-old woman with a psychiatric disorder. She had been suffering from depression with a history of previous suicidal attempt. The deceased accomplished self-strangulation using two ligatures, with one placed above the other and consisting of a satin fabric and a shoelace. The underlying shoelace ligature was fastened by a secure fixed square knot at the back of the neck. The overlying fabric piece was tied with a half-knot under the chin and was tightened around the neck manually. A detailed investigation and autopsy examination strongly suggests suicide. The case is of interest due to its rarity and uncommon method of execution.
authors.affiliation: Ministry of National Security, Government of Jamaica, 21/2 Hope Boulevard, Kingston 06, Jamaica.
authors.forename: Parthasarathi
authors.initials: P
authors.lastname: Pramanik
mesh_terms: D001237:Asphyxia / Q000473:pathology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D019838:Neck Injuries / Q000473:pathology*; D013405:Suicide
keywords: forensic autopsy; forensic pathology; forensic science; homicide; ligature strangulation; suicide