Abrahams K, Wampers M, Vandenberghe J
Tijdschr Psychiatr. 2019;61(7):464-476.
Although hanging is a frequently used suicide method, little is known about the prognosis of patients that survived hanging (near-hanging).
AIM: To describe a case report and present a literature-review on the functional neurologic outcome after near-hanging (with separate analyses for the presence of cardiac arrest and use of neuro-protection), and possible residual neuropsychological symptoms.
RESULTS: Only 12,4% (bi 4,6-29,4) of patients after near-hanging with cardiac arrest had a good functional outcome, compared to 90,6% (bi 85,7-94,0) of those without cardiac arrest. Neuroprotection through targeted temperature management has no significant influence on the outcome, neither in the presence nor absence of cardiac arrest. Near-hanging victims with a good functional outcome have, at most, mild residual neuropsychological symptoms. These can manifest throughout all cognitive domains, although learning and memory are most frequently and severely affected. DISCUSSION A significant subgroup of patients after near-hanging without cardiac arrest recovers towards a good level of functioning. A range of residual neuropsychological symptoms remain apparent, which are challenges for diagnostics and suicide prevention.
尽管缢吊是一种常用的自杀方式，但对于缢吊存活者（近缢死）的预后情况却知之甚少。
描述一例病例报告，并对近缢死后的功能性神经学转归（分别分析心脏骤停情况及神经保护措施的使用）以及可能存在的残留神经心理学症状进行文献综述。
近缢死后发生心脏骤停的患者中，仅有12.4%（四分位间距4.6 - 29.4）功能转归良好，而未发生心脏骤停的患者中这一比例为90.6%（四分位间距85.7 - 94.0）。通过目标温度管理进行神经保护对转归无显著影响，无论是否发生心脏骤停。功能转归良好的近缢死受害者最多仅有轻度残留神经心理学症状。这些症状可在所有认知领域出现，不过学习和记忆受影响最为频繁且严重。
近缢死后未发生心脏骤停的患者中有相当一部分亚组恢复至良好的功能水平。一系列残留神经心理学症状依然明显，这对诊断和自杀预防构成挑战。
