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

Murugaphillai Sivasubramanium; Amal N. Vadysinghe; S. M. Nirmani K. Thilakarathne

doi:10.5114/amsik.2018.83095

eISSN: 1689-1716
ISSN: 0324-8267

Archiwum Medycyny Sądowej i Kryminologii/Archives of Forensic Medicine and Criminology

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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

Department of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka

Teaching Hospital, Kandy, Sri Lanka

Arch Med Sadowej Kryminol 2018; 68 (3): 179–187

DOI: https://doi.org/10.5114/amsik.2018.83095

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.

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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

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

Murugaphillai Sivasubramanium

¹

,

Amal N. Vadysinghe

²

,

S. M. Nirmani K. Thilakarathne

¹