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Fractures of neck structures in suicidal hanging
1University of Bergen, Gade Institute, Department of Forensic Medicine, Bergen, Norway.
Medicine, Science, and the Law
|January 1, 1996
Summary
Neck fractures are common in suicidal hangings, particularly in older individuals and with longer suspension times. This study registered 80 cases, finding fractures in a significant proportion.
Area of Science:
- Forensic Pathology
- Traumatology
Background:
- Fractures of the bony structures of the neck in hanging deaths are reported with variable frequency in the literature.
- Prospective studies are crucial for determining the true incidence of such fractures.
Purpose of the Study:
- To prospectively register the occurrence and characteristics of neck fractures in cases of suicidal hanging.
- To analyze the relationship between fracture incidence and demographic factors and suspension details.
Main Methods:
- A prospective study involving 80 registered cases of suicidal hanging.
- Detailed dissection and radiographic examination (X-ray) were employed to identify and document all fractures.
- Data on patient demographics (age, sex) and suspension characteristics were collected.
Main Results:
- Neck fractures were observed in a notable proportion of suicidal hanging cases.
- Fracture incidence appeared to correlate positively with increasing age and suspension duration.
- The highest frequency of fractures was identified in atypical complete hangings.
- A demographic breakdown showed 73% male and 27% female participants, with a mean age of 38.7 years.
Conclusions:
- Neck fractures are a significant finding in suicidal hangings, challenging the notion of their rarity.
- Age and suspension time are potential contributing factors to fracture development in hanging incidents.
- Atypical complete hangings present a higher risk for neck fractures.