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Strangling or strangulation is compression of the neck that may lead to or by causing an increasingly hypoxic state in the brain by restricting the flow of through the . Fatal strangulation typically occurs in cases of violence, accidents, and is one of two main ways that causes death (alongside breaking the victim's neck).

Strangling does not have to be fatal; limited or interrupted strangling is practised in erotic asphyxia, in the , and is an important technique in many and systems. Strangling can be divided into three general types according to the mechanism used:

  • Hanging — Suspension from a cord wound around the neck
  • Ligature strangulation — Strangulation without suspension using some form of cord-like object (ligature) called a
  • Manual strangulation — Strangulation using the fingers, hands, or other extremity


General
Strangling involves one or several mechanisms that interfere with the normal flow of into the brain: Depending on the particular method of strangulation, one or several of these typically occur in combination; vascular obstruction is usually the main mechanism. Complete obstruction of blood flow to the brain is associated with irreversible and ,Koiwai, Karl. How Safe is Choking in Judo?. judoinfo.com. URL last accessed 3 March 2006. but during strangulation there is still unimpeded blood flow in the vertebral arteries.Reay, Donald; Eisele, John. Death from law enforcement neck holds. charlydmiller.com. URL last accessed 3 March 2006 Estimates have been made that significant occlusion of the and occurs with a pressure of around , while the trachea demands six times more at approximately .Gunther, Wendy. On Chokes (Medical), with quotations from Spitz and Fisher's Medicolegal Investigation of Death: Guidelines for the Application of Pathology to Crime Investigation. www.aikiweb.com. URL last accessed 3 March 2006.

As in all cases of strangulation, the rapidity of death can be affected by the susceptibility to carotid sinus stimulation. Carotid sinus reflex death is sometimes considered a mechanism of death in cases of strangulation, but it remains highly disputed.Passig, K. Carotid Sinus reflex death - a theory and its history . datenschlag.org. URL last accessed 28 February 2006. The reported time from application to varies from 7-14 seconds if effectively applied Koiwai, Karl. Deaths Allegedly Caused by the Use of "Choke Holds" (Shime-Waza). judoinfo.com URL last accessed 3 March 2006. to one minute in other cases, with death occurring minutes after unconsciousness.


Manual strangulation
Manual strangulation (also known as "throttling") is strangling with the hands, fingers, or other extremities and sometimes also with blunt objects, such as batons. Depending on how the strangling is performed, it may compress the , interfere with the flow of blood in the neck, or work as a combination of the two. Consequently, manual strangulation may damage the larynx and fracture the or other bones in the neck. In cases of airway compression, manual strangling leads to the frightening sensation of and may induce violent struggling.

Manual strangulation is common in situations of domestic violence, and is regarded by experts as an especially severe form of domestic violence, due to its extremely frightening and potentially lethal nature, and an observed correlation between non-fatal strangulation in domestic violence and future homicide.

Manual strangulation also has a history as a form of capital punishment, during the 18th century, a sentence of "Death by Throttling" would be passed upon the verdict of a for the crime of desertion from the British Army. Culloden. BBC Drama Documentary, 1964.

More technical variants of manual strangulation are referred to as strangleholds, or (despite the term "" more technically referring to internal airway restriction), and are extensively practised and used in various , , systems, and in military hand-to-hand combat application. In some martial arts like , Brazilian jiu-jitsu, and , when applied correctly and released promptly after loss of consciousness, strangleholds that constrict blood flow are regarded as a safer means to render an opponent unconscious, when compared to other methods, especially strikes to the head, the latter of which can cause potentially catastrophic or fatal and irreversible brain injuries much more quickly and unpredictably.


Ligature strangulation
Ligature strangulation or garroting is strangling with some form of cord such as rope, wire, chain, or shoelaces (a ) either partially or fully circumferencing the neck.Turvey, Brent (1996). A guide to the physical analysis of ligature patterns in homicide investigations . Knowledge Solutions Library, Electronic Publication. www.corpus-delicti.com. URL last accessed 1 March 2006. Even though the mechanism of strangulation is similar, it is usually distinguished from by the strangling force being something other than the person's own body weight. Incomplete occlusion of the is expected and, in cases of , the victim may struggle for a period of time, with unconsciousness typically occurring in 10 to 15 seconds. Cases of ligature strangulation generally involve homicides of women, children, and the elderly. Compared to hanging, the ligature mark will most likely be located lower on the neck of the victim.

During the Spanish Inquisition, victims who admitted their alleged sins and recanted were killed via ligature strangulation (i.e. the garrote) before their bodies were burnt during the auto-da-fé.Reston, James Jr. Dogs of God: Columbus, the Inquisition, and the Defeat of the Moors. Doubleday, 2005. . Throughout much of the 20th and 21st centuries, the used ligature strangulation as a means of murdering their victims. Confessed American used ligature strangulation in the rapes and/or murders of his victims, as did (the Green River Killer) and British serial killer .

(1985). 9780812831047, .

Incaprettamento (derived from a term meaning "to tie up like a ") is a method of strangulation in which the victim's neck is tied to their legs bent behind their back (similar to ), so that the victim effectively strangled themselves. This method was common throughout , and occurred for over two thousands years in northern and southern Europe, as evidenced by skeleton remains. It is uncertain why it was so common, but researchers speculate a person bound in this way might be considered to have strangled themselves, versus being killed by someone else. Victims may have been part of a ritual sacrifice. Rock art in Addaura Cave, , made between 16,000 and 13,000 , depict two human figures bound in the incaprettamento manner. Today, it is a method of homicide mostly associated with the , who have used it as a ritual warning or reprimand.


See also


Sources
  • (2025). 9780071475341, McGraw-Hill Education. .
    Basic reference on judo choking techniques.

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