Profile of Mechanical Asphyxia Cases: An Autopsy-based Study at a Tertiary Care Centre in Raichur

Mechanical asphyxia, a significant cause of accidental, suicidal, and homicidal deaths, merits comprehensive analysis to inform prevention strategies, medico-legal investigations, and the administration of justice. This prospective observational study profiles cases of mechanical asphyxia based on autopsy findings from a tertiary care centre in Raichur over 18 months. Out of 450 autopsied cases, 79 were identified as mechanical asphyxia deaths. Data on demographic characteristics, the manner and circumstances of death, and time of the incident were collected and analysed. The majority of the asphyxia cases involved males (60.8%) with a notable prevalence in the 21–40-year age group (55.7%). Urban residents constituted 59.5% of the cases. A significant number of victims were unmarried (58.2%) and unemployed (67.1%). Morning times saw the highest occurrence of asphyxial deaths (29.1%). Suicide was the predominant manner of death (72.2%), with hanging being the most common method employed (60.8%). Familial disputes, academic failures, and financial crises were the primary circumstances leading to these deaths. This study underscores the complex interplay of demographic and socioeconomic factors in mechanical asphyxia deaths, with a significant finding being the high incidence among young, unemployed males. The timing and methods of asphyxial deaths shed light on potential preventive measures. The data advocate for targeted public health interventions and underscore the need for comprehensive support systems to mitigate factors contributing to the high rates of mechanical asphyxia, particularly those stemming from social and economic pressures.