A Complex Suicide by Ligature Strangulation and Hanging Using Two Different Ligatures
According to the statistics of the Malaysian National Suicide Registry, hanging is the most common method of suicide in Malaysia [1] However, hanging in combination with suicidal ligature strangulation is rather uncommon. A ligature strangulation case should be considered as a homicide unless proven otherwise. This article reports a case of suicidal strangulation by ligature, coupled with hanging, of an individual who had no previous medical or psychiatric disorder. He initiated self strangulation using a shoelace, followed by hanging using a High Definition Multimedia Interface (HDMI) cable. Scene assessment and post mortem findings concurred with suicide. The unusual case of suicidal ligature strangulation in combination with hanging using two different ligatures is reported in this case.