Suspension without a knot in the noose.

Most deaths by hanging are due to self-suspension. This may be carried out by a wide variety of methods, but a typical method of self-suspension is to attach a thin rope to a high point such as a ceiling beam. A 35-year-old woman committed suicide by hanging, where the ligature employed was not a typical knotted noose but instead an open iron chain anchored to the ceiling above.