An unusual case of self-strangulation by ligature

Self-strangulation is an uncommon method of suicide. We report an unusual case of self-strangulation where the body was found in an open area with a ligature around neck and another around the feet. The case was initially taken up as homicide. The manner was determined as suicide later based on detailed investigations. The deceased had used two ligatures tied to heavy stones, one secured around the feet and the other around the neck to strangulate him. The case is reported for its rarity and the unusual method adopted by the victim to commit suicide by self-strangulation in an open area. In cases where it is difficult to reach a definitive conclusion as to manner of death, it is of utmost importance that a systematic death scene investigation, a meticulous post mortem examination and an intelligent interpretation of the findings is carried out.