Skip to main content
Have a personal or library account? Click to login
Understanding near hanging. a meta-analysis and discussion of the anatomy, physiology, psychological outcomes, nursing interventions and care needs Cover

Understanding near hanging. a meta-analysis and discussion of the anatomy, physiology, psychological outcomes, nursing interventions and care needs

By:   
Open Access
|Sep 2026

References

  1. Abd-Elwahab Hassan, D., Ghaleb, S. S., Kotb, H., Agamy, M., & Kharoshah, M. (2013). Suicidal hanging in Kuwait: Retrospective analysis of cases from 2010 to 2012. Journal of forensic and legal medicine, 20(8), 1118–1121. https://doi.org/https://doi.org/10.1016/j.jflm.2013.09.021
  2. Adams, N. (1999). Near hanging. Emergency Medicine, 11(1), 17–21.
  3. Ahmad, M., & Hossain, M. (2010). Hanging as a method of suicide: retrospective analysis of postmortem cases. Journal of Armed Forces Medical College, Bangladesh, 6(2), 37–39.
  4. Armstrong, G., Pirkis, J., Arabena, K., Currier, D., Spittal, M. J., & Jorm, A. F. (2017). Suicidal behaviour in Indigenous compared to non-Indigenous males in urban and regional Australia: Prevalence data suggest disparities increase across age groups. Australian & New Zealand Journal of Psychiatry, 51(12), 1240–1248.
  5. Aufderheide, T. P., Aprahamian, C., Mateer, J. R., Rudnick, E., Manchester, E. M., Lawrence, S. W., Olson, D. W., & Hargarten, S. W. (1994). Emergency airway management in hanging victims. Annals of emergency medicine, 24(5), 879–884.
  6. Australian Bureau of Statistics. (2004). Suicides: recent trends, Australia, 1993 to 2003..
  7. Australian Bureau of Statistics. (2006). Suicides: recent trends.
  8. Australian Bureau of Statistics. (2021). Estimates of Aboriginal and Torres Strait Islander Australians (Final 2021 Census-based estimated resident population of Aboriginal and Torres Strait Islander and non-Indigenous Australians for various geographies Issue.
  9. Australian Institute of Health and Welfare. (2021). Australian Burden of Disease Study 2018: Key Findings for Aboriginal and Torres Strait Islander People.
  10. Australian Institute of Health and Welfare. (2026a). Alcohol, tobacco & other drugs in Australia: Experiences of alcohol and other drugs among First Nations people. https://www.aihw.gov.au/reports/alcohol/alcohol-drugs-first-nations
  11. Australian Institute of Health and Welfare. (2026b). Suicide and self harm monitoring (Deaths by Suicide Over Time, Issue. https://www.aihw.gov.au/suicide-self-harm-monitoring
  12. Azmak, D. (2006). Asphyxial deaths: a retrospective study and review of the literature. The American journal of forensic medicine and pathology, 27(2), 134–144.
  13. Baldursdottir, S., Sigvaldason, K., Karason, S., Valsson, F., & Sigurdsson, G. (2010). Induced hypothermia in comatose survivors of asphyxia: a case series of 14 consecutive cases. Acta anaesthesiologica scandinavica, 54(7), 821–826.
  14. Bansal, A., & Nayyar, V. (2023). Outcome of patients with attempted suicidal hanging with pre-hospital cardiac arrest: A pilot observational ICU study. International Journal of Critical Care, 17(3), 6–21.
  15. Beck, B., Smith, K., Mercier, E., Gabbe, B., Bassed, R., Mitra, B., Teague, W., Siedenburg, J., McLellan, S., & Cameron, P. (2019). Differences in the epidemiology of out-of-hospital and inhospital trauma deaths. Plos one, 14(6), e0217158.
  16. Bennewith, O., Gunnell, D., Kapur, N., Turnbull, P., Simkin, S., Sutton, L., & Hawton, K. (2005). Suicide by hanging: multicentre study based on coroners' records in England. The British Journal of Psychiatry, 186(3), 260–261.
  17. Berdai, A. M., Labib, S., & Harandou, M. (2013). Postobstructive pulmonary edema following accidental near-hanging. The American Journal of Case Reports, 14, 350.
  18. Berke, D. M., Helmer, S. D., Reyes, J., & Haan, J. M. (2019). Injury patterns in near-hanging patients: how much workup is really needed? The American Surgeon, 85(5), 549–555.
  19. Bhattacharya, M., Kallet, R. H., Ware, L. B., & Matthay, M. A. (2016). Negative-pressure pulmonary edema. CHEST, 150(4), 927–933.
  20. Biffl, W. L., Moore, E. E., Offner, P. J., Brega, K. E., Franciose, R. J., & Burch, J. M. (1999). Blunt carotid arterial injuries: implications of a new grading scale. Journal of Trauma and Acute Care Surgery, 47(5), 845.
  21. Boots, R., Joyce, C., Mullany, D., Anstey, C., Blackwell, N., Garrett, P., Gillis, S., & Alexander, N. (2006). Near-hanging as presenting to hospitals in Queensland: recommendations for practice. Anaesthesia and intensive care, 34(6), 736–745.
  22. Cai, Z., Junus, A., Chang, Q., & Yip, P. S. (2022). The lethality of suicide methods: A systematic review and meta-analysis. Journal of affective disorders, 300, 121–129.
  23. Cantor, C. H., & Baume, P. J. (1998). Access to methods of suicide: what impact? Australian & New Zealand Journal of Psychiatry, 32(1), 8–14.
  24. Champion, S., Spagnoli, V., Deye, N., Megarbane, B., & Baud, F. (2013). Cardiac impairment after hanging attempt: a preliminary descriptive study. Annales de Cardiologie et D'angeiologie,
  25. Chan, E. C., Conlon, K., & Gagnon, L. (2024). Risk factors and methods in suicides of elderly patients connected to mental health services from 1999–2024. Frontiers in psychiatry, 15, 1425371.
  26. Chikhani, M., & Winter, R. (2014). Injury after non-judicial hanging. Trauma, 16(3), 164–173.
  27. Choudhari, K. A., Sharma, D., & Leyon, J. J. (2008). Thomas Willis of the “circle of Willis”. Neurosurgery, 63(6), 1185–1191.
  28. Clément, R., Redpath, M., & Sauvageau, A. (2010). Mechanism of death in hanging: a historical review of the evolution of pathophysiological hypotheses. Journal of forensic sciences, 55(5), 1268–1271.
  29. Cook, N., Trout, R., Waterhouse, C., Braine, M., Barrett, C., Brennan, P., Teasdale, G., Abildgaard, O., Caponnetto, V., Santana, P., Küçükakgün, H., Lynch, C., Shepherd, A., Tulek, Z., & Wahl, Z. (2025). The Glasgow Coma Scale: an international standard for education and practice with adults. British Journal of Neuroscience Nursing, 21, S1–S36. https://doi.org/10.12968/bjnn.2025.21.Sup1c.S1
  30. Cooke, C. T., Cadden, G. A., & Margolius, K. A. (1995). Death by hanging in Western Australia. Pathology, 27(3), 268–272.
  31. Coombs, A. E., & Ashton-Cleary, D. (2023). Hanging and near-hanging. BJA Education, 23(9), 358–363. https://doi.org/10.1016/j.bjae.2023.05.002
  32. Davidson, J. A. (2003). Presentation of near-hanging to an emergency department in the Northern Territory. Emergency Medicine, 15(1), 28–31.
  33. de Charentenay, L., Schnell, G., Pichon, N., Schenck, M., Cronier, P., Perbet, S., Lascarrou, J.-B., Rossignol, T., Lesieur, O., & Argaud, L. (2020). Outcomes in 886 critically ill patients after near-hanging injury. CHEST, 158(6), 2404–2413.
  34. De Leo, D., Sveticic, J., & Milner, A. (2011). Suicide in Indigenous people in Queensland, Australia: trends and methods, 1994–2007. Australian & New Zealand Journal of Psychiatry, 45(7), 532–538.
  35. Deasy, C., Bray, J., Smith, K., Bernard, S., & Cameron, P. (2013). Hanging-associated out-of-hospital cardiac arrests in Melbourne, Australia. Emergency Medicine Journal, 30(1), 38–42.
  36. Debnath, J., & Basak, A. K. (2022). A study on hanging in 167 Cases. Central Medical College Journal, 6(2), 77–81.
  37. Deshpande, S. (1998). Laryngotracheal separation after attempted hanging. British journal of anaesthesia, 81(4), 612–614.
  38. Dewhurst, K. (1972). Some letters of Dr. Thomas Willis (1621–1675). Medical History, 16(1), 63–76.
  39. Dimaio, V. (2000). Homicidal asphyxia. Am J Forensic Med Pathol, 21, 1–4.
  40. Dorfman, J. D. (2023). Near hanging: evaluation and management. CHEST, 163(4), 855–860.
  41. Dudgeon, P., Agung-Igusti, R., Derry, K., & Gibson, C. (2025). Australian aboriginal and Torres Strait Islander social and emotional well-being. American Psychologist, 80(8), 1137.
  42. Dudgeon, P., Calma, T., & Holland, C. (2017). The context and causes of the suicide of Indigenous people in Australia. J. Indig. Wellbeing, 2(1).
  43. Elfawal, M., & Awad, O. (1994). Deaths from hanging in the eastern province of Saudi Arabia. Medicine, science and the law, 34(4), 307–312.
  44. Ellis, I. (2007). The management of threatened hanging and near hanging: A unique feature of remote area emergency care. Australasian Emergency Nursing Journal, 10(4), 164–168.
  45. Elnour, A. A., & Harrison, J. (2008). Lethality of suicide methods. Injury Prevention, 14(1), 39–45.
  46. Evans, V. (2021). Caring for traumatic brain injury patients: Australian nursing perspectives. Critical Care Nursing Clinics, 33(1), 21–36.
  47. Fukumoto, W., Mitani, H., Kuno, Y., Higaki, T., Tatsugami, F., Nakamura, Y., Nagao, M., & Awai, K. (2021). Incidence and factor analysis of laryngohyoid fractures in hanging individuals— computed tomography study. European radiology, 31(10), 7827–7833.
  48. Gandhi, R., Taneja, N., & Mazumder, P. (2011). Near hanging: Early intervention can save lives. Indian journal of anaesthesia, 55(4), 388–391.
  49. Gantois, G., Parmentier-Decrucq, E., Duburcq, T., Favory, R., Mathieu, D., & Poissy, J. (2017). Prognosis at 6 and 12months after self-attempted hanging. The American Journal of Emergency Medicine, 35(11), 1672–1676. https://doi.org/https://doi.org/10.1016/j.ajem.2017.05.037
  50. Geulayov, G., Casey, D., Bale, L., Brand, F., Clements, C., Farooq, B., Kapur, N., Ness, J., Waters, K., & Tsiachristas, A. (2019). Suicide following presentation to hospital for non-fatal self-harm in the Multicentre Study of Self-harm: a long-term follow-up study. The Lancet Psychiatry, 6(12), 1021–1030.
  51. Gubbins, K. (2016). The hanging/hanged patient and relevance to pre-hospital care. Journal of Paramedic Practice, 8(6), 290–293.
  52. Gunnell, D., Bennewith, O., Hawton, K., Simkin, S., & Kapur, N. (2005). The epidemiology and prevention of suicide by hanging: a systematic review. International journal of epidemiology, 34(2), 433–442.
  53. Hellier, C., & Connolly, R. (2009). Cause of death in judicial hanging: a review and case study. Medicine, science and the law, 49(1), 18–26.
  54. Howley, I. W., Bennett, J. D., & Stein, D. M. (2021). Rapid detection of significant traumatic brain injury requiring emergency intervention. The American Surgeon, 87(9), 1504–1510.
  55. Hsu, C. H., Haac, B., McQuillan, K. A., Tisherman, S. A., Scalea, T. M., & Stein, D. M. (2017). Outcome of suicidal hanging patients and the role of targeted temperature management in hanging-induced cardiac arrest. Journal of Trauma and Acute Care Surgery, 82(2), 387–391.
  56. Hsu, C. H., Haac, B. E., Drake, M., Bernard, A. C., Aiolfi, A., Inaba, K., Hinson, H. E., Agarwal, C., Galante, J., & Tibbits, E. M. (2018). EAST Multicenter Trial on targeted temperature management for hanging-induced cardiac arrest. Journal of Trauma and Acute Care Surgery, 85(1), 37–47.
  57. Hunt, I. M., Windfuhr, K., Shaw, J., Appleby, L., & Kapur, N. (2012). Ligature points and ligature types used by psychiatric inpatients who die by hanging. Crisis.
  58. Hunter, E. (1993). Aboriginal health and history: Power and prejudice in remote Australia. Cambridge University Press.
  59. Hunter, E., & Harvey, D. (2002). Indigenous suicide in australia, new zealand, canada and the united states. Emergency Medicine, 14(1), 14–23.
  60. Hunter, E., & Milroy, H. (2006). Aboriginal and Torres Strait Islander Suicide in Context. Archives of Suicide Research, 10(2), 141–157. https://doi.org/10.1080/13811110600556889
  61. Isaacs, J. Y., Smith, M. M., Sherry, S. B., Seno, M., Moore, M. L., & Stewart, S. H. (2022). Alcohol use and death by suicide: A meta-analysis of 33 studies. Suicide and Life-Threatening Behavior, 52(4), 600–614.
  62. Iserson, K. V. (1984). Strangulation: a review of ligature, manual, and postural neck compression injuries. Annals of emergency medicine, 13(3), 179–185.
  63. Jain, S., Margetis, K., & Iverson, L. M. (2025). Glasgow coma scale. In StatPearls [internet]. StatPearls Publishing.
  64. James, R., & Nasmyth-Jones, R. (1992). The occurrence of cervical fractures in victims of judicial hanging. Forensic science international, 54(1), 81–91.
  65. Jawaid, M. T., Amalnath, S. D., & Subrahmanyam, D. K. S. (2017). Neurological Outcomes Following Suicidal Hanging: A Prospective Study of 101 Patients. Ann Indian Acad Neurol, 20(2), 106–108. https://doi.org/10.4103/0972-2327.205773
  66. Jayaprakash, S., & Sreekumari, K. (2012). Pattern of injuries to neck structures in hanging—an autopsy study. The American journal of forensic medicine and pathology, 33(4), 395–399.
  67. Kaki, A., Crosby, E. T., & Lui, A. C. (1997). Airway and respiratory management following non-lethal hanging. Canadian journal of anaesthesia, 44(4), 445–450.
  68. Kannamani, B., Sahni, N., Bandyopadhyay, A., Saini, V., & Yaddanapudi, L. N. (2024). Insights into pathophysiology, management, and outcomes of near-hanging patients: A narrative review. Journal of Anaesthesiology Clinical Pharmacology, 40(4), 582–587.
  69. Karanth, S., & Nayyar, V. (2005). What influences outcome of patients with suicidal hanging. The Journal of the Association of Physicians of India, 53, 853–856.
  70. Kim, M. J., Yoon, Y. S., Park, J. M., Cho, J., Lim, H., Kang, H., Kim, H. J., Kim, S. W., Lee, K. R., & Kim, G. B. (2016). Neurologic outcome of comatose survivors after hanging: a retrospective multicenter study. The American Journal of Emergency Medicine, 34(8), 1467–1472.
  71. Kodikara, S. (2006). Uneventful recovery from suicidal hanging. Medicine, science and the law, 46(1), 89–91.
  72. Kosky, R. J., & Dundas, P. (2000). Death by hanging: implications for prevention of an important method of youth suicide. Australian & New Zealand Journal of Psychiatry, 34(5), 836–841.
  73. Kumar, S., Vijayan, J., Jacob, J., Aaron, S., Joseph, M., Alexander, M., & Gnanamuthu, C. (2005). Cervical spine injuries in 64 attempted suicidal hangings in India. Tropical doctor, 35(4), 198–200.
  74. Lemyze, M., & Mallat, J. (2014). Understanding negative pressure pulmonary edema. Intensive care medicine, 40(8), 1140–1143.
  75. Li, X.-F., Dai, L.-Y., Lu, H., & Chen, X.-D. (2006). A systematic review of the management of hangman’s fractures. European Spine Journal, 15(3), 257–269.
  76. Mahajan, K., Tyagi, A., Waran, M., & Srivastava, A. K. (2019). A case of near-hanging. Indian Journal of Case Reports, 5(2), 157–159.
  77. Maier, W., Malatskey, S., Fradis, M., & Krebs, A. (1999). Diagnostic and therapeutic management of bilateral carotid artery occlusion caused by near-suicidal hanging. Annals of Otology, Rhinology & Laryngology, 108(2), 189–192.
  78. Mansoor, S., Afshar, M., Barrett, M., Smith, G. S., Barr, E. A., Lissauer, M. E., McCurdy, M. T., Murthi, S. B., & Netzer, G. (2015). Acute respiratory distress syndrome and outcomes after near hanging. The American Journal of Emergency Medicine, 33(3), 359–362.
  79. Martin, M. J., Weng, J., Demetriades, D., & Salim, A. (2005). Patterns of injury and functional outcome after hanging: analysis of the National Trauma Data Bank. The American journal of surgery, 190(6), 838–843.
  80. Matsuyama, T., Okuchi, K., Seki, T., & Murao, Y. (2004). Prognostic factors in hanging injuries. The American Journal of Emergency Medicine, 22(3), 207–210.
  81. Matusz, E. C., Schaffer, J. T., Bachmeier, B. A., Kirschner, J. M., Musey Jr, P. I., Roumpf, S. K., Strachan, C. C., & Hunter, B. R. (2020). Evaluation of nonfatal strangulation in alert adults. Annals of emergency medicine, 75(3), 329–338.
  82. McCance, K. L., & Huether, S. E. (2014). Pathophysiology: The biologic basis for disease in adults and children. Elsevier Health Sciences.
  83. McHugh, T. P., & Stout, M. (1983). Near-hanging injury. Ann Emerg Med, 12(12), 774–776. https://doi.org/10.1016/s0196-0644(83)80256-x
  84. Mitra, B., Maiden, M. J., Read, D., Nehme, Z., Bernard, S., & Cameron, P. A. (2023). Definitive management of near-hanging at major versus non-major trauma centres. Emergency Medicine Australasia, 35(5), 849–854.
  85. Mobbs, R. J., Stoodley, M. A., & Fuller, J. (2002). Effect of cervical hard collar on intracranial pressure after head injury. ANZ journal of surgery, 72(6), 389–391.
  86. Morris, C., & Reid, M. (2005). Attempted Suicide by Hanging: Case Report and Literature Review. Journal of the Intensive Care Society, 6(2), 24–26.
  87. Nichols, L. (2019). The Circle of Willis, aneurysms and subarachnoid haemorrhages: A historical narrative of parallels from observation to intervention. Australasian Journal of Neuroscience, 29(2), 12–21.
  88. Nichols, L. (2025). The fateful failed hanging of Anne Greene. Australasian Journal of Neuroscience, 35(1), 37–46.
  89. Nichols, L., Gall, S., Stankovich, J., & Stirling, C. (2021). Associations between socioeconomic status and place of residence with survival after aneurysmal subarachnoid haemorrhage. Internal Medicine Journal, 51(12), 2095–2103.
  90. Nichols, L., Stirling, C., Otahal, P., Stankovich, J., & Gall, S. (2018). Socioeconomic Disadvantage Is Associated with a Higher Incidence of Aneurysmal Subarachnoid Hemorrhage. J Stroke Cerebrovasc Dis, 27(3), 660–668. https://doi.org/10.1016/j.jstrokecerebrovasdis.2017.09.055
  91. Nichols, L., Stirling, C., Stankovich, J., & Gall, S. (2020). Time to treatment following an aneurysmal subarachnoid hemorrhage, rural place of residence and inter-hospital transfers. Australasian Emergency Care, 23(4), 225–232.
  92. Nielsen, N., Wetterslev, J., Cronberg, T., Erlinge, D., Gasche, Y., Hassager, C., Horn, J., Hovdenes, J., Kjaergaard, J., & Kuiper, M. (2013). Targeted temperature management at 33 C versus 36 C after cardiac arrest. New England Journal of Medicine, 369(23), 2197–2206.
  93. Pajonk, F.-G., Gruenberg, K. A. S., Moecke, H., & Naber, D. (2002). Suicides and suicide attempts in emergency medicine. Crisis: The Journal of Crisis Intervention and Suicide Prevention, 23(2), 68.
  94. Pal, A., & Pratihari, H. (2017). Unusual hanging-A case report. J Forensic Cri Stu, 1(102), 1–5.
  95. Pascoe, B., & Horton, D. (2018). The Little Red Yellow Black Book : An introduction to Indigenous Australia. Aboriginal Studies Press.
  96. Penney, D., Stewart, A., & Parr, M. (2002). Prognostic outcome indicators following hanging injuries. Resuscitation, 54(1), 27–29.
  97. Rayes, M., Mittal, M., Rengachary, S. S., & Mittal, S. (2011). Hangman's fracture: a historical and biomechanical perspective: Historical vignette. Journal of neurosurgery: Spine, 14(2), 198–208.
  98. Reay, D. T., Cohen, W., & Ames, S. (1994). Injuries Produced By Judicial Hanging A Case Report. The American journal of forensic medicine and pathology, 15(3), 183–186.
  99. Rhodes, H., Petersen, K., Schwarz, K., & Amandossova, G. (2020). Hanging in there. living beyond hanging: a retrospective review of the prognostic factors from a regional trauma center. Panamerican Journal of Trauma, Critical Care & Emergency Surgery, 9(3), 218–222.
  100. Rigozzi, L., & Nichols, L. (2019). Anne Greens Hanging A Diagram depicting the potential for the vertebrobasilar system to provide collateral circulation when the anterior (internal carotid) system is occluded through ligature from a noose during hanging, as described by Thomas Willis 1664. Leigh Rigozzi, Hobart, Tasmania.
  101. Rozzi, H. V., & Riviello, R. (2019). How to evaluate strangulation. ACEP Now, 38(4).
  102. Runeson, B., Tidemalm, D., Dahlin, M., Lichtenstein, P., & Långström, N. (2010). Method of attempted suicide as predictor of subsequent successful suicide: national long term cohort study. Bmj, 341.
  103. Salim, A., Martin, M., Sangthong, B., Brown, C., Rhee, P., & Demetriades, D. (2006). Near-hanging injuries: A 10-year experience. Injury, 37(5), 435–439. https://doi.org/https://doi.org/10.1016/j.injury.2005.12.013
  104. Salvetti, M., Schnell, G., Pichon, N., Schenck, M., Cronier, P., Perbet, S., Lascarrou, J.-B., Guitton, C., Lesieur, O., Argaud, L., Colin, G., Cholley, B., Quenot, J.-P., Merdji, H., Geeraerts, T., Piagnerelli, M., Jacq, G., Paul, M., Chelly, J.,…Legriel, S. (2023). Epidemiology and outcome predictors in 450 patients with hanging-induced cardiac arrest: a retrospective study [Original Research]. Frontiers in Neurology, Volume 14 - 2023. https://doi.org/10.3389/fneur.2023.1240383
  105. San Nicolas, A., & Lemos, N. (2015). Toxicology findings in cases of hanging in the City and County of San Francisco over the 3-year period from 2011 to 2013. Forensic science international, 255, 146–155.
  106. Saukko, P. (2004). Knight’s forensic pathology. Edward Arnold.
  107. Sauvageau, A., LaHarpe, R., Geberth, V. J., & Asphyxia, W. G. o. H. (2010). Agonal sequences in eight filmed hangings: analysis of respiratory and movement responses to asphyxia by hanging. Journal of forensic sciences, 55(5), 1278–1281.
  108. Schellenberg, M., Inaba, K., Warriner, Z., Alfson, D., Roman, J., Van Velsen, V., Lam, L., & Demetriades, D. (2019). Near hangings: epidemiology, injuries, and investigations. Journal of Trauma and Acute Care Surgery, 86(3), 454–457.
  109. Sen Gupta, B. (1965). Studies on 101 cases of death due to hanging. J Indian Med Assoc.
  110. Shin, J., Lee, H., Kim, J., Kim, J., Choi, S., Jeung, K., Cho, I., Cha, G., Kim, G., & Han, C. (2014). Outcomes of hanging-induced cardiac arrest patients who underwent therapeutic hypothermia: a multicenter retrospective cohort study. Resuscitation, 85(8), 1047–1051.
  111. Simi, T. H., Sunny, S. N., Zahan, M. S., Rahman, M. J., Tarafder, A., & Debnath, M. K. (2026). Forensic Analysis of Suicidal Hanging Cases: A Study in a Tertiary Care Hospital in Bangladesh. Community Based Medical Journal, 15(1), 61–66.
  112. Solhi, H., Pazoki, S., Mehrpour, O., & Alfred, S. (2012). Epidemiology and prognostic factors in cases of near hanging presenting to a referral hospital in Arak, Iran. The Journal of emergency medicine, 43(4), 599–604.
  113. Spicer, R. S., & Miller, T. R. (2000). Suicide acts in 8 states: incidence and case fatality rates by demographics and method. American journal of public health, 90(12), 1885.
  114. Statistics, O. f. N. (2022). Recent trends in suicides: death occurrences in England and Wales between 2001 and 2018.. https://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/deaths/arti cles/recenttrendsinsuicidedeathoccurrencesinenglandandwalesbetween
  115. Stellpflug, S. J., Menton, T. R., Corry, J. J., & Schneir, A. B. (2020). There is more to the mechanism of unconsciousness from vascular neck restraint than simply carotid compression. International Journal of Neuroscience, 130(1), 103–106.
  116. Stellpflug, S. J., Weber, W., Dietrich, A., Springer, B., Polansky, R., Sachs, C., Hsu, A., McGuire, S., Gwinn, C., & Strack, G. (2022). Approach considerations for the management of strangulation in the emergency department. JACEP Open, 3(2), e12711.
  117. Symonds, C., & Feindel, W. (1969). Birthplace of Thomas Willis. British medical journal, 3(5671), 648.
  118. Taylor, S., Kingdom, D., & Jenkins, R. (1997). How are nations trying to prevent suicide? An analysis of national suicide prevention strategies. Acta psychiatrica scandinavica, 95(6), 457–463.
  119. Tintinalli, J. E., Stapczynski, J. S., Ma, O., Yealy, D., Meckler, G., & Cline, D. (2016). Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 8e. McGraw Hill Education New York, NY, USA.
  120. Trujillo, M. H., Fragachan, C. F., & Tortoledo, F. (2007). Noncardiogenic pulmonary edema following accidental near-hanging. Heart & Lung, 36(5), 364–366.
  121. Tugaleva, E., Gorassini, D. R., & Shkrum, M. J. (2016). Retrospective analysis of hanging deaths in Ontario. Journal of forensic sciences, 61(6), 1498–1507.
  122. Vande Krol, L., & Wolfe, R. (1994). The emergency department management of near-hanging victims. The Journal of emergency medicine, 12(3), 285–292.
  123. Wallace, S. K., Cohen, W. A., Stern, E. J., & Reay, D. T. (1994). Judicial hanging: postmortem radiographic, CT, and MR imaging features with autopsy confirmation. Radiology, 193(1), 263–267.
  124. Wan, X., Wang, W., Liu, J., & Tong, T. (2014). Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range. BMC medical research methodology, 14(1), 135.
  125. Wee, J. H., Park, K. N., Oh, S. H., Youn, C. S., Kim, H. J., & Choi, S. P. (2012). Outcome analysis of cardiac arrest due to hanging injury. The American Journal of Emergency Medicine, 30(5), 690–694.
  126. Wood-Jones, F. The ideal lesion produced by judicial hanging. Lancet, 1319(1), 53.
  127. Yamada, M., Kitahara, T., Kurata, A., Fujii, K., & Miyasaka, Y. (2004). Intracranial vertebral artery dissection with subarachnoid hemorrhage: clinical characteristics and outcomes in conservatively treated patients. Journal of neurosurgery, 101(1), 25–30.
  128. Yamasaki, S., Takase, I., Takada, N., & Nishi, K. (2009). Measurement of force to obstruct the cervical arteries and distribution of tension exerted on a ligature in hanging. Legal Medicine, 11(4), 175–180.
  129. Yıldırım, M., Çelik, F., Gümüş, A., & Tüfek, A. (2015). The effective factors on survival in near hanging. J Anesth Crit Care Open Access, 2(2), 00051.
  130. Zuberi, O. S., Dixon, T., Richardson, A., Gandhe, A., Hadi, M., & Joshi, J. (2019). CT angiograms of the neck in strangulation victims: incidence of positive findings at a level one trauma center over a 7-year period. Emergency radiology, 26(5), 485–492.
DOI: https://doi.org/10.2478/ajon-2026-0015 | Journal eISSN: 2208-6781 | Journal ISSN: 1032-335X
Language: English
Page range: 37 - 77
Published on: Sep 21, 2026
Published by: Australasian Neuroscience Nurses Association
In partnership with: Paradigm Publishing Services
Publication frequency: 2 issues per year

© 2026 Linda Nichols, published by Australasian Neuroscience Nurses Association
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.