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

  • 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)
  • 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
  • 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]