The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Pigolkin Yu.I.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Makarov I.Yu.

Russian Centre of Forensic Medical Expertise;
Moscow Academy of the Investigative Committee of the Russian Federation

Zakharov S.N.

I.M. Sechenov First Moscow State Medical University (Sechenov University);
Bureau of Forensic Medical Expertise of Moscow Healthcare Department

Sheptulin D.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Kazakova A.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Forensic assessment of neck organs alterations in hanging depending on the noose position

Authors:

Pigolkin Yu.I., Makarov I.Yu., Zakharov S.N., Sheptulin D.A., Kazakova A.A.

More about the authors

Journal: Forensic Medical Expertise. 2024;67(4): 16‑21

DOI: 10.17116/sudmed20246704116

Read: 828 times

Download PDF (RU)
Contact the author
Table of contents

FORENSIC ASSESSMENT OF NECK ORGANS ALTERATIONS IN HANGING DEPENDING ON THE NOOSE POSITION
FORENSIC ASSESSMENT OF NECK ORGANS ALTERATIONS IN HANGING DEPENDING ON THE NOOSE POSITION

To cite this article:

Pigolkin YuI, Makarov IYu, Zakharov SN, Sheptulin DA, Kazakova AA. Forensic assessment of neck organs alterations in hanging depending on the noose position. Forensic Medical Expertise. 2024;67(4):16‑21. (In Russ.)
https://doi.org/10.17116/sudmed20246704116

Подписка 2026 Судебно-медицинская экспертиза (Forensic Medical Expertise)
 
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Abstract:

OBJECTIVE

To reveal statistical patterns in the localization of alterations in organs and tissues of the neck in hanging depending on the noose location.

MATERIAL AND METHODS

In this study 222 forensic examination reports of corpses of those who died from hanging, conducted in the Bureau of Forensic Medical Expertise of Moscow Oblast for 2019, were investigated. Standard methods of mathematical statistics, including Mann-Whitney U Test and the Fisher’s Exact Test, were used for calculations. Sex and age characteristics of hanging cases were given.

RESULTS

Retrospective statistical analysis has shown that the pattern of injuries revealed in organs and tissues of the neck both depends (in cases of Amussat’s sign) and does not depend (in cases of hemorrhages in the legs of sternocleidomastoid muscle, fractures of the hyoid bone and thyroid cartilage, Martin’s sign) on the noose position.

CONCLUSION

The obtained results can be used to develop measures aimed at improving the quality of forensic examination of hanging cases.

Keywords:

hanging
signs of hanging
noose position

Authors:

Pigolkin Yu.I.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Makarov I.Yu.

Russian Centre of Forensic Medical Expertise;
Moscow Academy of the Investigative Committee of the Russian Federation

Zakharov S.N.

I.M. Sechenov First Moscow State Medical University (Sechenov University);
Bureau of Forensic Medical Expertise of Moscow Healthcare Department

Sheptulin D.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Kazakova A.A.

I.M. Sechenov First Moscow State Medical University (Sechenov University)

Received:

13.03.2024

Accepted:

08.04.2024

Close metadata

References:

  1. Molin JuA. Sudebno-meditsinskaya ekspertiza povesheniya: Monografiya. SPb.: NPO «Mir i semya-95»; 1996. (In Russ.).
  2. Wu Y, Schwebel DC, Huang Y, Ning P, Cheng P, Hu G. Sex-specific and age-specific suicide mortality by method in 58 countries between 2000 and 2015. Injury Prevention. 2021;27(1):61-70.  https://doi.org/10.1136/injuryprev-2019-043601
  3. Ekhalov VV, Khobotova NV, Krishtafor DA. Hanging: pathophysiological and clinical aspects, routing of the victim (clinical lecture). Meditsina neotlozhnikh sostoyaniy. 2020;16(1):100-108 (In Russ.). https://doi.org/10.22141/2224-0586.16.1.2020.196937
  4. Pigolkin YuI, Gornostaev DV, Shigeev SV, Yagmurov OD, Sheptulin DA. Forensic medical characteristic of hanging incidents among juvenile. Forensic Medical Expertise. 2023;66(4):9-13. (In Russ.). https://doi.org/10.17116/sudmed2023660419
  5. Maiese A, Del Duca F, Santoro P, Pellegrini L, De Matteis A, La Russa R, Frati P, Fineschi V. An Overview on Actual Knowledge About Immunohistochemical and Molecular Features of Vitality, Focusing on the Growing Evidence and Analysis to Distinguish Between Suicidal and Simulated Hanging. Front Med (Lausanne). 2022;8:793539. https://doi.org/10.3389/fmed.2021.793539
  6. Geisenberger D, Pollak S, Thierauf-Emberger A. Homicidal strangulation and subsequent hanging of the victim to simulate suicide: Delayed elucidation based on reassessment of the autopsy findings. Forensic Sci Int. 2019;298:419-423.  https://doi.org/10.1016/j.forsciint.2019.02.037
  7. Pigolkin YuI, Zhandarov KA, Gornostaev DV, Yagmurov OD, Sheptulin DA. Dissection technique for organs of the neck in hanging. Forensic Medical Expertise. 2023;66(3):52-55 (In Russ.). https://doi.org/10.17116/sudmed20236603152
  8. Bogomolov DV, Zbrueva IuV, Putintsev VA, Denisova OP. Forensic medical diagnostics of intra-vitality of the strangulation mark by morphological methods. Forensic Medical Expertise. 2016;59(2):40-43 (In Russ.). https://doi.org/10.17116/sudmed201659240-43
  9. Bogomolov DV, Putintsev VA, Zbrueva IuV, Denisova OP. Certain immunohistochemical markers of the intravitality of strangulation mechanical asphyxia. Forensic Medical Expertise. 2017;60(1):8-10. (In Russ.). https://doi.org/10.17116/sudmed20176018-10
  10. Bogomolov DV, Fetisov VA, Denisova OP, Zbrueva IuV, Semenov GG. The principal and auxiliary immunohistochemical markers of intravital mechanical strangulation asphyxia. Forensic Medical Expertise. 2018;61(2):11-13 (In Russ.). https://doi.org/10.17116/sudmed201861211-13
  11. Gratteri S, Ricci P, Tarzia P, Fineschi V, Sacco MA, Aquila I. When a suicide becomes a forensic enigma: The role of hanging marks and tools of suspension. Med Leg J. 2017;85(3):141-144.  https://doi.org/10.1177/0025817217694528
  12. Galakhova EA. Actual problems of forensic medical examination of mechanical asphyxia. Children’s Medicine of the North-West. 2023;11(S):134-135. (In Russ.).
  13. Nikolić S, Živković V, Babić D, Juković F, Atanasijević T, Popović V. Hyoid-laryngeal fractures in hanging: where was the knot in the noose? Medicine, Science and the Law. 2011;51(1):21-25.  https://doi.org/10.1258/msl.2010.010016
  14. Sashko SIu, Krut’ MI, Zaraf’yants GN, Lebedeva TV. Forensic medical diagnostics of the impact of the ligatures made from different materials in the cases of strangulation asphyxia. Forensic Medical Expertise. 2015;58(5):9-11. (In Russ.). https://doi.org/10.17116/sudmed20155859-11
  15. Wilson R, McFadden C, Rowbotham S. A meta-analytic review of the frequency and patterning of laryngohyoid and cervical fractures in cases of suicide by hanging. J Forensic Sci. 2023;68(3):731-742.  https://doi.org/10.1111/1556-4029.15234
  16. Zátopková L, Janík M, Urbanová P, Mottlová J, Hejna P. Laryngohyoid fractures in suicidal hanging: A prospective autopsy study with an updated review and critical appraisal. Forensic Sci Int. 2018;290:70-84.  https://doi.org/10.1016/j.forsciint.2018.05.043
  17. Suárez-Peñaranda JM, Alvarez T, Miguéns X, Rodríguez-Calvo MS, de Abajo BL, Cortesão M, Cordeiro C, Vieira DN, Muñoz JI. Characterization of lesions in hanging deaths. J Forensic Sci. 2008;53(3):720-723.  https://doi.org/10.1111/j.1556-4029.2008.00700.x
  18. Akber EB, Sultana S, Jahan I, Mahmud MA. Hanging: Commonly Encountered by Forensic Experts at Autopsy. Mymensingh Med J. 2023;32(4):1058-1063.
  19. Jegadheeshwararaj J, Thejaswi H, Murari A. A study of bony and cartilaginous neck structures in deaths due to suicidal hanging at New Delhi. Med Legal Update. 2017;17(2):233-236.  https://doi.org/10.5958/0974-1283.2017.00107.4
  20. Talukder MA, Mansur MA, Kadir MM. Incidence of typical and atypical hanging among 66 hanging cases. Mymensingh Med J. 2008;17(2):149-151. 
  21. Sharma BR, Harish D, Sharma A, Sharma S, Singh H. Injuries to neck structures in deaths due to constriction of neck, with a special reference to hanging. J Forensic Leg Med. 2008;15(5):298-305.  https://doi.org/10.1016/j.jflm.2007.12.002
  22. Nikolic S, Micic J, Atanasijevic T, Djokic V, Djonic D. Analysis of neck injuries in hanging. Am J Forensic Med Pathol. 2003;24(2):179-182.  https://doi.org/10.1097/01.PAF.0681069550.31660.f5
  23. Hejna P, Zátopková L. Significance of hemorrhages at the origin of the sternocleidomastoid muscles in hanging. Am J Forensic Med Pathol. 2012;33(2):124-127.  https://doi.org/10.1097/PAF.0b013e31820b8fb8
  24. Keil W, Forster A, Meyer HJ, Peschel O. Characterization of haemorrhages at the origin of the sternocleidomastoid muscles in hanging. Int J Legal Med. 1995;108(3):140-144.  https://doi.org/10.1007/BF01844825
  25. Morild I. Fractures of neck structures in suicidal hanging. Med Sci Law. 1996;36(1):80-84.  https://doi.org/10.1177/002580249603600115
  26. Charoonnate N, Narongchai P, Vongvaivet S. Fractures of the hyoid bone and thyroid cartilage in suicidal hanging. J Med Assoc Thai. 2010;93(10):1211-1216.
  27. Hejna P. Amussat’s sign in hanging — A prospective autopsy study. J Forensic Sci. 2011;56(1):132-135.  https://doi.org/10.1111/j.1556-4029.2010.01548.x
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.