Institute of Legal Medicine, University of Bonn, Stiftsplatz 12, 53111, Bonn, Germany.
Forensic Sci Med Pathol. 2020 Sep;16(3):531-534. doi: 10.1007/s12024-020-00223-6. Epub 2020 Mar 7.
Ligature strangulation causes death due to neck compression without suspension. However, suicidal ligature strangulation is rare. The suicide of a 32-year-old man is presented. After a dispute, the man was found outdoors with a lashing belt around his neck which had been pulled tight with a ratchet. Conjunctival petechiae were found, but hemorrhages in the soft tissues were not observed. The hyoid bone and larynx did not show fractures or hemorrhage. Other injuries as well as signs of defence were not observed. The differentiation between homicidal and suicidal ligature strangulation can be difficult and requires careful investigation and collaboration by police and forensic pathologists.
绞索勒颈导致的死亡是由于颈部受压而无悬吊所致。然而，自杀性绞索勒颈较为罕见。本文报道了 1 例 32 岁男性的自杀案例。该男子在与他人发生争执后被发现于室外，其颈部被一条拉紧的拉绳紧紧勒住。死者出现结膜点状出血，但软组织未见出血。舌骨和喉未见骨折或出血。其他损伤以及防御迹象也未观察到。鉴别他杀和自杀性绞索勒颈可能具有一定难度，需要警方和法医病理学家进行仔细调查和协作。
