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Pediatric and adolescent strangulation deaths.

S K Verma1

  • 1Department of Forensic Medicine and Toxicology, University College of Medical Sciences, Dilshad Garden, Delhi 110 095, India. vermasatish2003@yahoo.com

Journal of Forensic and Legal Medicine
|July 26, 2007
PubMed
Summary
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Pediatric and adolescent strangulation deaths are rising, with females more affected. Most cases were homicidal, often involving ligature strangulation and common materials like clothing.

Area of Science:

  • Forensic Pathology
  • Pediatric Mortality
  • Violent Death Investigation

Background:

  • Increasing incidence of pediatric and adolescent deaths from unnatural causes.
  • Fatal strangulation is a significant category within violent deaths.
  • Limited research exists on the specific characteristics of pediatric and adolescent strangulation cases.

Purpose of the Study:

  • To analyze the characteristics of pediatric and adolescent strangulation deaths.
  • To identify patterns and contributing factors in these cases.

Main Methods:

  • Retrospective cohort study of 28 pediatric and adolescent strangulation deaths.
  • Data collected from inquest papers, post-mortem reports, and departmental records (1993-2004).

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Main Results:

  • Female victims outnumbered males (3:4 ratio).
  • Ligature strangulation (77%) was more common than manual strangulation (23%).
  • 93% of cases were homicidal; 7% were accidental. Neck structure fractures occurred in 25%, and over half had associated injuries.

Conclusions:

  • Strangulation is a notable cause of violent death in pediatric and adolescent populations.
  • Homicidal ligature strangulation, often with common materials, is prevalent.
  • Further investigation is needed to determine the exact motives in many cases.