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THE ATTIC : Strangulation

Date Added
FEB 2003

Strangulation - Strangulation with a Ligature
Death is caused by constricting force around the neck exerted by means of some pliable strip, such as a rope, neckties, etc., but unlike hanging is not dependent on the suspended weight of the victim's body. The ligature may have been knotted, tied into a running noose, or simply had the ends crossed over, in any event, in cases of homicide some agent other than the victim will need to have pulled the ligature tight in order for strangulation to occur. Death is by asphyxia, and can result from accident, suicide or homicide.


Ligature marks usually consist of a furrow (or furrows) impressed horizontally around the neck, because the weight of the body has not been pulling against the noose, the mark will be lower than that characterizing hanging and will be less defined. The nature of the ligature and the degree of pressure exerted will dictate the physical appearance of the marks - a wire noose will produce a deep mark, while the mark made by a soft scarf may be hardly noticeable.


Suicidal strangulation is effected by the victim themselves tying and tightening the ligature, and it is common to find a double knot used, or the ligature wound round the neck more than once - this ensures that pressure is maintained even when the victim has passed into unconsciousness.


It is vitally important that any ligature is photographed in situ around the victims neck at the scene of the 'crime', it is equally important that in removing the ligature it is cut in such a way that the knot is preserved intact to give what clues it might - for example, in the notorious case of the 'Boston Strangler' thirteen-times killer Albert DeSalvo tied knots in such a characteristic way that it was immediately obvious when a murder was the Strangler's handiwork.
Manual Strangulation
Sometimes described as 'throttling', manual strangulation is caused by compression of the throat by the hands and fingers of an assailant. There are three ways in which the natural functions of the body are impeded by strangulation - the obstruction of respiration, obstruction of the blood supply to the brain, and pressure on the carotid nerve plexuses. Although they may put up a struggle - and the physical signs of that struggle may be observed on the body - throttling renders victims helpless very quickly as they fall into unconsciousness.
Post Mortem Appearance - Ligature Strangulation
The nature and extent of injury will depend on the degree of force exerted, and little damage may be caused to the underlying muscles, except that they may show blood due to ruptured vessels. The cartilages of the trachea and larynx are generally intact, except in cases of homicide where it is frequently the case that an assailant will exert for more pressure than is required and fractures in the cartilages result. Homicidal strangulation will almost always cause fracture of the hyoid, suicide and accident almost never.


Other post mortem appearances, both external and internal, will be consistent with forms of death by asphyxia.
Post Mortem Appearance - Manual Strangulation
Bruising of the victim's neck will depend upon the way in which the attack was made and the relative positions of the victim and assailant. Marks are produced by the fingers and thumbs at the points where pressure is exerted and appear as roundish bruises about half an inch in diameter. If the attacker has long fingernails, these may inflict crescent-shaped indentation marks. There may be damage to the tongue through pressure on, or being trapped between the teeth. A victim's face may exhibit other signs of bruising and abrasion received during a struggle.


Internal appearances will be a greater or lesser degree of muscle bruising depending on the severity of the attack and the amount of violence used, likely damage to the thyroid and crocoid cartilages, and almost certainly fracture of the hyoid bone. In addition, there may be bruising to the tongue and the floor of the mouth, epiglottis and lining of the larynx. The usual signs consistent with asphyxial death will be found.

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