Near-Hanging

Aka: Near-Hanging, Attempted Hanging, Attempted Suicide by Hanging, Asphyxia by Hanging, Suicidal Hanging, Hanging Injury

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II. Epidemiology

  1. Hanging Incidence: 10,000 deaths per year in U.S.
    1. Hanging is the second most common mechanism for Suicide in the U.S. (firearms are first)

III. Pathophysiology

  1. Suicidal Hanging mechanism for death
    1. Vascular Occlusion with secondary anoxic brain injury (most common)
    2. Vertebral Artery Dissection, Cervical Spine injuries, Laryngeal Fractures may also occur, but are less common
  2. Judicial hanging mechanism for death
    1. Cervical Spine Fracture
    2. Airway injury
    3. Arterial dissection

IV. Evaluation

  1. Advanced imaging was negative in Near-Hanging survivors with normal GCS and normal exam (without tenderness)
    1. Subramanian (2016) J Trauma Acute Care Surg 81(5): 925-30 +PMID: 27537511 [PubMed]

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Related Studies

Ontology: Suicide and self-inflicted injury by hanging (C0261972)

Concepts Injury or Poisoning (T037)
ICD9 E953.0
English Injury-hanging, Suicide and self-inflicted injury by hanging
Derived from the NIH UMLS (Unified Medical Language System)

Ontology: Attempted suicide - hanging (C0564920)

Concepts Injury or Poisoning (T037)
SnomedCT 158067005, 287181000
Spanish intento de suicidio - ahorcamiento (evento), intento de suicidio - ahorcamiento (hallazgo), intento de suicidio - ahorcamiento
English attempted suicide by hanging (diagnosis), attempted suicide by hanging, suicide attempt by hanging, Attempted suicide - hanging, Attempted suicide - hanging (finding), Attempted suicide - hanging (event)
Derived from the NIH UMLS (Unified Medical Language System)

Ontology: Asphyxiation by hanging (C1268608)

Concepts Injury or Poisoning (T037)
SnomedCT 129674006
Spanish asfixia por ahorcamiento (evento), asfixia por ahorcamiento (hallazgo), asfixia por ahorcamiento
English Asphyxiation by hanging, asphyxia; hanging, hanging; asphyxia, Asphyxiation by hanging (finding), Asphyxiation by hanging (event)
Dutch asfyxie; ophanging, ophanging; asfyxie
Derived from the NIH UMLS (Unified Medical Language System)

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