eISSN: 1689-1716
ISSN: 0324-8267
Archiwum Medycyny Sądowej i Kryminologii/Archives of Forensic Medicine and Criminology
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SCImago Journal & Country Rank
3/2018
vol. 68
 
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abstract:
Case report

Asphyxia using a piece of a sarong at a psychiatric unit: a case of self-strangulation

Murugaphillai Sivasubramanium
1
,
Amal N. Vadysinghe
2
,
S. M. Nirmani K. Thilakarathne
1

  1. Department of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka
  2. Teaching Hospital, Kandy, Sri Lanka
Arch Med Sadowej Kryminol 2018; 68 (3): 179–187
Online publish date: 2019/02/20
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Self-strangulation should be cautiously determined following a comprehensive death investigation because the circumstance of strangulation is usually homicide. The deceased was a 33-year-old male who suffered from depression and was found missing from a psychiatric unit while on treatment. The deceased was found the following day in the doctors’ car park of the unit. The deceased was in a prone position with a strip of material from the sarong he was wearing round his neck and features of strangulation. Scene investigation and autopsy with the history of psychiatric disease confirmed self-strangulation. The rarity of self-strangulation, especially in a hospital, and the ligature material used being a strip of material from the sarong he was wearing inspired us to report this case.
keywords:

depression, suicide, asphyxia, self-strangulation, ligature strangulation

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