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Asphyxia: hanging, strangulation, drowning

Forensic Medicine and Toxicology · MBBS

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A hanged body shows an inverted-V ligature mark above the thyroid — suicide. Hanging's mark (oblique, inverted-V, above thyroid cartilage, parchment-like) differs from ligature strangulation (horizontal, complete, lower — homicidal; fingernail abrasions, hyoid fracture common). Judicial hanging breaks C2 (hangman's fracture); suicidal usually asphyxiates. Dribbling saliva (opposite the knot) proves antemortem. The ligature's angle is the verdict — oblique whispers suicide, horizontal shouts homicide.

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