Near-hanging caused by a toy necklace

Hanging injuries and fatalities are rare among children and are usually unintentional. In this report we describe a 23-month-old girl who almost died when she accidentally hanged herself with a popular toy necklace, and we discuss recent epidemiological trends in accidental strangulations among children. This case emphasizes the need for increased awareness among consumers, health care providers, and product manufacturers about the dangers of toys such as the one described here.