EDIMIOLOGICAL STUDY ON NATURE OF ASPHYXIAL DEATH ACROSS AGE RANGE AND GENDER IN SEMI-URBAN REGION OF HARYANA: AN EXPLORATORY COHORT STUDY
Keywords:
Asphyxia, epidemiology, hanging, ligature mark, Thyroid fractureAbstract
This epidemiological study was conducted to differentiate the incidence of suicidal asphyxia death and homicidal asphyxia death in rural Haryana. It was also aimed to estimate the occurrence of asphyxia death across gender-wise and across various age categories. The retrospective study was performed among 226 medico legal cases reported for autopsy during 1st January 2016 to 30th June 2017 at two leading hospitals of Gurgaon, Haryana, using standard examination protocol. Based on descriptive analysis of the data, it was observed that hanging was the predominant mode of asphyxia. Incidence of asphyxia in males were nearly 28% higher than the females. Nonetheless, between 20 to 30 years contributed nearly 50% of the total cases of asphyxia. The findings of this study are alarming and concerning. Adequate socio personal and policy level intervention along with the awareness drive on mental health and stress management is warranted
References
Ambade, V. N., Tumram, N., Meshram, S., & Borkar, J. (2015). Ligature material in hanging deaths: The neglected area in forensic examination. Egyptian Journal of Forensic Sciences, 5(3), 109-113.
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.
Byard, R. W., & Jensen, L. L. (2007). Fatal asphyxial episodes in the very young: classification and diagnostic issues. Forensic Science, Medicine, and Pathology, 3(3), 177-181.
Cecchi, R., Sestili, C., Prosperini, G., Cecchetto, G., Vicini, E., Viel, G., & Muciaccia, B. (2014). Markers of mechanical asphyxia: immunohistochemical study on autoptic lung tissues. International Journal of Legal Medicine, 128(1), 117-125.
DiMaio, V. J. (2000). Homicidal asphyxia. The American journal of forensic medicine and pathology, 21(1), 1-4.
Feigin, G. (1999). Frequency of neck organ fractures in hanging. The American journal of forensic medicine and pathology, 20(2), 128-130.
Gurudut, K., Kumar, S. A., & Gouda, H. S. (2011). Analysis of fatal cases of mechanical asphyxia at Belgaum, Karnataka. Journal of Forensic Medicine and Toxicology, 28(2), 51-53.
Jobes, D. A., Casey, J. O., Berman, A. L., & Wright, D. G. (1991). Empirical criteria for the determination of suicide manner of death. Journal of Forensic Science, 36(1), 244-256.
Kumari L, D. A., Dogra T D, Dube R, Kumar V, Mohapatra B K, Chauhan K. (2020a). Effect of dental caries on human individualization based on Multiplex STR Typing including Amelogenin marker study. J. Punjab Acad. Forensic Med. Toxicol., 21(1), (in Press).
Kumari L, D. T. D., Dube R, Kumar V, Mohapatra B K, Chauhan K. (2020b). Comparison across grinding and broaching methods of DNA extraction from dental pulp. Int J of Allied Med Sci and Clin Res, 8(3), 505- 514.
Luke, J. L., Reay, D. T., Eisele, J. W., & Bonnell, H. J. (1985). Correlation of circumstances with pathological findings in asphyxial deaths by hanging: a prospective study of 61 cases from Seattle, WA. Journal of Forensic Science, 30(4), 1140-1147.
Mohanty, M. K., Rastogi, P., Kumar, G. P., Kumar, V., & Manipady, S. (2003). Periligature injuries in hanging. Journal of Clinical Forensic Medicine, 10(4), 255- 258.
Morild, I. (1996). Fractures of neck structures in suicidal hanging. Medicine, Science and the Law, 36(1), 80-84.
Naik, S. K. (2006). Obliquity vs. discontinuity of ligature mark in diagnosis of hanging–A comparative study. Anil Agarwal internet journal of forensic medicine and toxicology, 7(1).
Nikolic, S., Micic, J., Atanasijevic, T., Djokic, V., & Djonic, D. (2003). Analysis of neck injuries in hanging. The American journal of forensic medicine and pathology, 24(2), 179-182.
O’Halloran, R. L., & Frank, J. G. (2000). Asphyxial death during prone restraint revisited: a report of 21 cases. The American journal of forensic medicine and pathology, 21(1), 39-52.
Sauvageau, A., & Boghossian, E. (2010). Classification of asphyxia: the need for standardization. Journal of Forensic Sciences, 55(5), 1259-1267.
Sharma, B., Harish, D., Singh, V. P., & Singh, P. (2005). Ligature mark on neck: how informative. JIAFM, 27(1), 10-15.
Simonsen, J. (1988). Patho-anatomic findings in neck structures in asphyxiation due to hanging: a survey of 80 cases. Forensic Science International, 38(1-2), 83-91.
Singh, R., Singh, M., Rupani, R., Verma, A. K., Singh, H., Kumar, S., & Singh, P. (2015). A comparative study on the death of unclaimed homeless males and females based on autopsy and circumstantial findings in a large North Indian population. Journal of Public Health, 23(6), 333-340.
Suárez-Peñaranda, J. M., Alvarez, T., Miguéns, X., Rodríguez-Calvo, M. S., De Abajo, B. L., Cortesão, M., . . . Munoz, J. I. (2008). Characterization of lesions in hanging deaths. Journal of Forensic Sciences, 53(3), 720-723.
Üzün, Ý., Büyük, Y., & Gürpinar, K. (2007). Suicidal hanging: fatalities in Istanbul retrospective analysis of 761 autopsy cases. Journal of Forensic and Legal Medicine, 14(7), 406-409.
Verma, S. K., & Lal, S. (2006). Strangulation deaths during 1993–2002 in East Delhi (India). Legal Medicine, 8(1), 1-4.
Vij, K. (2011). Textbook of forensic medicine and toxicology: principles and practice, 5/e: Elsevier India.