Retrospective analysis of injuries in fatal strangulation cases seen at Ga-Rankuwa Forensic Pathology Service in the period 2016 - 2021
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Keywords

Strangulation
Asphyxia
Fatal asphyxia
autopsy

How to Cite

Retrospective analysis of injuries in fatal strangulation cases seen at Ga-Rankuwa Forensic Pathology Service in the period 2016 - 2021. (2024). Undergraduate Research in Health Journal, 2(1), e1786. https://doi.org/10.1796/

Abstract

Background. Fatal strangulation victims suffer different injuries, necessitating analysis to aid forensic pathologists, yet studies from South Africa (SA) on this topic are limited.

Objective. To analyse injuries sustained by victims and the most used method of strangulation.

Methods. This retrospective cross-sectional descriptive study analysed fatal strangulation cases at the Ga-Rankuwa Forensic Pathology Service from 2016 to 2021. Victim data, including demographics, type of strangulation and injury were collected from the mortuary register and autopsy reports. Data were analysed based on sex, race, age group, type of strangulation and type of injury.

Results. Ultimately, 41 cases were analysed, representing an incidence of 0.57% of fatal strangulations. Women were twice as likely as men to suffer from strangulation. The highest incidence occurred among individuals aged ≥18 years old (76%). However, it is alarming to note that 24% of the victims were younger than 18 years. Ligature strangulation was found in 46% of cases, while manual strangulation accounted for 54%. Neck injuries were present in 95% of cases, with internal injuries more prevalent than external ones. In 78% of cases, isolated internal injuries were observed, while 22% exhibited injuries to both internal and external neck structures. The number of reported cases gradually increased from 2016 to 2021, with the highest number occurring in 2021.

Conclusion. This study contributes to the limited research in SA on injuries sustained by victims of fatal strangulation. Reported cases of strangulation are on the rise with victims sustaining different types of injuries.

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References

LindenJA.Sexualassault.EmergMedClinNorthAm1999Aug;17(3):685-697.https://doi.org/10.2310/ em.4370

Suffla S, Seedat M. Risk factors for female and male homicidal strangulation in Johannesburg, South Africa. S Afr Med J 2020 Jul 29;110(8):802. https://doi.org/10.7196/samj.2020.v110i8.14412

DemingJE,MittlemanRE,WetliCV.Forensicscienceaspectsoffatalsexualassaultsonwomen.JForensic Sci 1983 Jul;28(3):572-576. https://doi.org/10.1520/jfs11551j

Abrahams N, Mathews S, Lombard C, Martin LJ, Jewkes R. Sexual homicides in South Africa: A national cross-sectional epidemiological study of adult women and children. PLoS One 2017 Oct 1;12(10). https:// doi.org/10.1371/journal.pone.0186432

Suffla S, Van Niekerk A, Arendse N. Female homicidal strangulation in urban South Africa. BMC Public Health 2008 Oct 21;8(1). https://doi.org/10.1186/1471-2458-8-363

Srivastava AK, Gupta D, Tripathi CB. A Study of Fatal Strangulation Cases in Varanasi (India). Am J Forensic Med Pathol 1987;8(3). https://doi.org/10.1097/00000433-198708030-00005

Ligthelm AJ, Van Niekerk PJ. A comparative review of bitemark cases from Pretoria, South Africa. J Forensic Odontostomatol 1994 Dec;12(2):23-29. https://ojs.iofos.eu/index.php/Journal/issue/view/84 8. Mehmood I, Saleem K, Azeem MT, Suhail S, Khan MA, Nadir S. Autopsy based pattern of asphyxial

deaths in forensic: A retrospective study. APMC 17(3):289-292. https://apmcfmu.com/index.php/apmc/

article/view/1305/899

Thomsen AH, Leth PM, Hougen HP, Villesen P. Asphyxia homicides in Denmark 1992–2016. Int J Legal Med 2022 Nov 3;136(6):1773-1780. https://doi.org/10.1007/s00414-022-02787-0

DiMaio VJ. Homicidal asphyxia. Am J Forensic Med Pathol 2000 Mar;21(1):1-4. https://doi. org/10.1097/00000433-200003000-00001

WahlstenP,ErikssonA.AsphyxiahomicidesinFinland,1983–2012.JForensicSci2020Sep30;65(5):1548- 1556. https://doi.org/10.1111/1556-4029.14458

Rogde S, Hougen HP, Poulsen K. Asphyxial homicide in two Scandinavian capitals. Am J Forensic Med Pathol 2001 Jun;22(2):128-133. https://doi.org/10.1097/00000433-200106000-00004

Harruff RC, Johnston R, Lubin M, Perera ULMS. Analysis of female strangulation homicides in King County, Washington, from 1978 to 2022. J Forensic Sci 2023 Sep 27. https://doi.org/10.1111/1556- 4029.15384

Sharma MK, Singh JP, Kumar K, Chanana A. Ten-year autopsy study of differentiating features between hanging and strangulation. Medico-Legal Update 2020 Oct 23;20(4). https://doi.org/10.37506/mlu. v20i4.1829

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Copyright (c) 2024 T O C Sechogo, K K Hlaise, C van wyk, Y Bismilla