ISSN: 0022-1198
CODEN: JFSCA
Published Online: 1 October 1985
Page Count: 8

Correlation of Circumstances with Pathological Findings in Asphyxial Deaths by Hanging: A Prospective Study of 61 Cases from Seattle, WA
Reay, DT
Chief medical examiner and medical examiner, King County Medical Examiner's Office,

Bonnell, HJ
Staff pathologist, Armed Forces Institute of Pathology,

Luke, JL
Distinguished scientist, Armed Forces Institute of Pathology, DC

Eisele, JW
Chief medical examiner and medical examiner, King County Medical Examiner's Office,

(Received 5 February 1985; accepted 5 March 1985)

Abstract

Correlation of the circumstances of death with the pathologic findings in this prospective study of deaths by hanging affords insight pertaining to certain of the pathophysiologic mechanisms involved in fatalities of this type. The presence of conjunctival and facial/periorbital petechial hemorrhages correlates with increasing levels of body support below the point of ligature suspension. Hyoid bone and/or thyroid cartilage fractures (found in 26% of cases) are most frequently identified in those persons found completely suspended and in victims in the older age ranges. No hyoid bone/thyroid cartilage fractures, internal soft tissue injury, or petechiae were present in 13 (21%) of the study cases.

Keywords:
pathology and biology, asphyxia, hemorrhage, hanging deaths, pathologic findings, correlation with circumstances of death

Paper ID: JFS11055J
DOI: 10.1520/JFS11055J
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