Abstract
The concept of autoerotic asphyxiation refers to the use of devices or substances intended to enhance one’s arousal by inducing cerebral hypoxia, which can involuntarily lead to death. Although in most cases death occurs accidentally, it is nonetheless true that the same devices might be used by the practitioners in order to attempt suicide. The case of a 34-year-old practitioner of autoerotic asphyxiation found dead in his apartment with bondage-like ligatures and masking is reported here. The case raised some issues concerning the accidental or suicidal nature of the act. The aspects taken into account in the management of the case are discussed, along with a compared approach to the data provided by literature.
Similar content being viewed by others
References
Tough SC, Butt JC, Sandres GL. Autoerotic asphyxial deaths: analysis of nineteen fatalities in Alberta, 1978 to 1989. Can J Psychiatr. 1994;39:157–60.
Breitmeier D, Mansouria F, Albrecht K, Bohm U, Troger HD, Kleemann WJ. Accidental autoerotic deaths between 1978 and 1997 – Institute of Legal Medicine, Medical School Hannover. Forensic Sci Int. 2003;137:41–4.
Shields LBE, Hunsaker DM, Hunsaker JC. Autoerotic asphyxia – part I. Am J Forensic Med Pathol. 2005;26:45–52.
Focardi M, Gualco B, Norelli GA. Accidental death in autoerotic maneuvers. Am J Forensic Med Pathol. 2008;29:64–8.
Coluccia A, Gabbrielli M, Gualtieri G, Ferretti F, Pozza A, Fagiolini A. Sexual masochism disorder with asphyxiophilia: a deadly yet underrecognized disease. Case Rep Psychiatry. 2016:1–4.
Byard RW. Autoerotic death – characteristic features and diagnostic difficulties. J Clin Forensic Med. 1994;1:71–8.
Sheehan W, Garfinkel BD. Adolescent autoerotic deaths. J Am Acad Child Adolesc Psychiatry. 1988;3:367–70.
Brainova-Michich I, Goshev M, Alexandrov A, Hristov S. A case of accidental death due to autoerotic asphyxiation. Medicine. 2015;5:320–2.
Sauvageau A, Racette S. Aqua-Eroticum: an unusual autoerotic fatality in a lake involving a home-made diving apparatus. J Forensic Sci. 2006;51:137–9.
Benomran FA, Masood SE, Hassan AI, Mohammad AA. Masking and bondage in suicidal hanging: a case report. Med Sci Law. 2007;47:177–80.
Sauvageau A. Autoerotic deaths – a 25-year retrospective epidemiological study. Am J Forensic Med Pathol. 2012;33:143–6.
Capatina C, Hostiuc S, Dragoteanu C, Curca GC. Autoerotic asphyxial hanging – case presentation. Rom J Leg Med. 2009;27:193–8.
Byard RW, Bramwell NH. Autoerotic death – a definition. Am J Forensic Med Pathol. 1991;12:74–6.
Tournel G, Hubert N, Rougé C, Hédouin V, Gosset D. Complete autoerotic asphyxiation – suicide or accident? Am J Forensic Med Pathol. 2001;22:180–3.
Ikeda N, Harada A, Umetsu K, Suzuki T. A case of fatal suffocation during an unusual auto-erotic practice. Med Sci Law. 1988;28:131–4.
Fedakar R, Akan O, Eren B. Autoerotic asphyxia by hanging. J Pak Med Assoc. 2008;58:462–4.
Idota N, Nakamura M, Tsuboi H, Ichioka H, Shintani-Ishida K, Ikegaya H. Autoerotic asphyxia using a plastic bag loosely covering the head over a gas mask. Legal Med. 2019;38:69–72.
Uenoa Y, Asanoa M, Nushidaa H, Nakagawaa K, Adachia J, Nagasaki Y. Sexual asphyxia by hanging – a case report and a review of the literature. Legal Med. 2003;5:175–80.
Blanchard R, Hucker SJ. Age, transvestism, bondage, and concurrent paraphilic activities in 117 fatal cases of autoerotic asphyxia. Br J Psychiatry. 1991;159:371–7.
Byard RW. Female autoerotic asphyxial death – features and issues. Forensic Sci Med Pathol. 2017;13:107–9.
Gosink PD, Jumelic MI. Autoerotic asphyxiation in a female. Am J Forensic Med Pathol. 2000;21:114–8.
Beherendt N, Buhl N, Seidl S. The lethal paraphiliac syndrome: accidental autoerotic deaths in four women and a review of the literature. Int J Legal Med. 2002;116:148–52.
Cooke CT, Cadden GA, Margolius KA. Autoerotic deaths: four cases. Pathology. 1994;26:276–80.
Tattoli L, Solarino B, Tsokos M, Buschmann C, Oesterhelweg L. Two extraordinary autoerotic fatalities. Forensic Sci Med Pathol. 2017;13:102–6.
Leadbeatter S. Dental anesthetic death – an unusual autoerotic episode. Am J Forensic Med Pathol. 1988;9:60–3.
Sauvageau A, Geberth VJ. Elderly victim: an unusual autoerotic fatality involving an 87-year-old male. Forensic Sci Med Pathol. 2009;5:233–5.
Janssen W, Koops E, Anders S, Kuhn S, Puschel K. Forensic aspects of 40 accidental autoerotic deaths in northern Germany. Forensic Sci Int. 2005;147:61–4.
Arkuszewski P, Meissner E, Szram S. Autoerotic death due to electrocution. Arch Med Sadowej Kryminol. 2014;64:44–9.
Pajunen T, Vuori E, Lunetta P. Epidemiology of alcohol-related unintentional drowning: is post-mortem ethanol production a real challenge? Inj Epidemiol. 2018;5:39.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Alongi, A., Stassi, C., Mondello, C. et al. Hanging disguised as bondage: accidental or suicidal death?. Forensic Sci Med Pathol 16, 724–727 (2020). https://doi.org/10.1007/s12024-020-00261-0
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12024-020-00261-0