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Reading: Death due to autoerotic asphyxia


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Case Reports

Death due to autoerotic asphyxia


Janaki Warushahennadi ,

University of Ruhuna, Galle, LK
About Janaki
Senior Lecturer, Department of Forensic Medicine
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U. G. B. Jayarathna,

University of Ruhuna, Galle, LK
About U. G. B.
Postgraduate Trainee in Forensic Medicine, Department of Forensic Medicine
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L. K. C. D. Ariyarathna

Base Hospital, Alpitiya, LK
About L. K. C. D.
Consultant JMO
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Background: Auto erotic asphyxia (AEA) is described as an activity where persons intentionally induces hypoxia in order to increase the sexual excitement. This could be a group or solitary activity, observed commonly in adolescents or yo ung adult males. According to available literature deaths due to autoerotic asphyxia has not been reported in Sri Lanka. This is a case report on the death of a young adult male due to incomplete hanging with sexual paraphernalia.


Case description: A 22 year old male was found partially hanging in his bed room with the door closed. The lower half of the body was naked and he was in an upright kneeling position with a ligature around his neck. The ligature was a cotton sheet with a slipped noose on the right side of the neck and tied a wooden bar under the roof. There was a mobile phone, pieces of a shattered mirror and a chair on the floor close to the body. There was dried seminal fluid on the left hand and on the floor close to the body.


Conclusion: The state of partial hanging was used to reach the state of asphyxia. Prolonged compression of neck or failure to adopt self-rescue mechanisms may have led to death. The findings at the scene correspond to what is reported in the literature on auto erotic asphyxia. This case report highlights the importance of scene visit, in determining manner of death.
How to Cite: Warushahennadi, J., Jayarathna, U.G.B. and Ariyarathna, L.K.C.D., 2021. Death due to autoerotic asphyxia. Sri Lanka Journal of Forensic Medicine, Science & Law, 12(1), pp.17–19. DOI:
Published on 25 May 2021.
Peer Reviewed


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