This individual committed suicide by fastening cable ties around his neck, leading to suffocation. Each cable tie was assembled from two cable ties to make a longer one that could go around the neck. The thyroid cartilage was fractured and the tip of the tongue had bite marks on it. Strangulation is a type of mechanical asphyxia produced by constriction of the neck using ligature material, without suspending the body. Suicidal self-strangulation is rare and requires the use of a ligature that can be locked by some mechanism; in this case report a self-locking cable tie was utilized.
Fig.1
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