Homicidal strangulation and subsequent hanging of the victim to simulate suicide: Delayed elucidation based on reassessment of the autopsy findings.

In many countries, hanging is the most common suicide method. When a person is found hanged however, one always has to consider that the alleged suicide scene possibly covers up a homicide. In such cases, hanging may have been the actual method of killing or the victim may have been harmed by a different method and was subsequently hanged. Apart from the inspection of the scene, the autopsy findings are of great importance to differentiate between suicide and homicide. Up to now, a considerable number of cases have been observed in which suicide by hanging was wrongly assumed at first. In the case presented, there were some facts raising doubts about a suicidal act already at scene. Nevertheless the forensic pathologists erroneously assumed that the findings on the corpse were consistent with suicide. The later elucidation of the case as a homicide by manual strangulation with subsequent suspension of the victim was essentially based on a new assessment of the autopsy findings in a second opinion.