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Autoerotic asphyxia: part I.

Lisa B E Shields1, Donna M Hunsaker, John C Hunsaker

  • 1Office of the Chief Medical Examiner, Louisville, Kentucky, USA.

The American Journal of Forensic Medicine and Pathology
|February 24, 2005
PubMed
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Fatal autoerotic asphyxia, often involving ligature, results in unexpected deaths during solitary sexual activity. This study reviewed 16 such cases in Kentucky, predominantly affecting Caucasian males.

Area of Science:

  • Forensic Pathology
  • Toxicology
  • Psychiatry

Background:

  • Fatal autoerotic asphyxia involves self-induced asphyxiation during solitary sexual activity, often with a failed release mechanism.
  • The majority of victims are Caucasian males, typically aged 20-39.
  • Ligature asphyxia is the most common method, though other asphyxial methods are also documented.

Purpose of the Study:

  • To analyze deaths due to autoerotic asphyxia, specifically ligature asphyxia, in Kentucky.
  • To review case demographics, circumstances, and potential contributing factors.
  • To contribute to understanding the mechanisms and psychosocial predispositions.

Main Methods:

  • Retrospective review of medicolegal death investigation records.
  • Analysis of data from 1993 to 2001 in Kentucky.

Related Experiment Videos

  • Inclusion criteria focused on deaths attributed to autoerotic asphyxia via ligature.

    • Main Results:

    • Sixteen cases of fatal autoerotic asphyxia were identified between 1993 and 2001.
    • All victims were Caucasian males, aged 14 to 59 years (mean age 38.3).
    • Cross-dressing was noted in 4 cases.

    Conclusions:

    • Autoerotic asphyxia deaths disproportionately affect Caucasian males.
    • Thorough investigation, including background review and postmortem examination, is crucial.
    • Further research into psychosocial factors may elucidate predispositions.