Mechanical asphyxia by hanging: A look back in search for evidence

  • 0Faculty of Medicine, University of Vita-Salute San Raffaele, via Olgettina 58, Milan 20132, Italy.

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Summary

This summary is machine-generated.

Diagnosing death by hanging is challenging due to inconsistent forensic findings. This review highlights the variable reliability of external and internal signs, urging for standardized research in forensic pathology.

Area Of Science

  • Forensic Pathology
  • Medical Science

Background

  • Diagnosing death by hanging presents significant challenges in forensic practice due to the absence of definitive diagnostic indicators.
  • Historically, various external and internal signs have been proposed to aid in the diagnosis of death by hanging.

Purpose Of The Study

  • To review and analyze the reported frequency and diagnostic significance of signs associated with death by hanging.
  • To evaluate the scientific evidence supporting historically accepted diagnostic signs in forensic cases.
  • To identify potential laboratory investigations that may assist in diagnosing death by hanging.

Main Methods

  • Systematic review of published literature on forensic diagnosis of death by hanging.
  • Analysis of the frequency of occurrence for both external and internal signs across various case histories.
  • Overview of laboratory investigations relevant to post-mortem diagnosis in suspected hanging cases.

Main Results

  • Significant variability exists in the reported frequency of occurrence for signs considered useful in diagnosing death by hanging.
  • Some historically validated signs lack sufficient scientific evidence regarding their actual diagnostic utility.
  • The reliability of proposed diagnostic markers, both macroscopic and microscopic, is inconsistent across studies.

Conclusions

  • The diagnosis of death by hanging remains problematic due to the lack of pathognomonic findings.
  • There is a critical need for new case studies employing standardized methodologies and consistent variables for reliable comparisons.
  • Further research is required to establish definitive diagnostic criteria in forensic investigations of hanging.