Background: The common modes of suicide were ingestion of agricultural chemicals, hanging, self-immolation, and drowning. The present study was conducted to assess injury pattern and analysis of its outcome in patients presenting to emergency department after near hanging. Materials & Methods:136 cases of near hanging presenting to emergency department of both genders were included and injuries diagnosed, inpatient course, mortality, and functional disability at the time of discharge was recorded. Injury severity was assessed using the ISS and the abbreviated injury score for each anatomic body region. Results: Age group 1-14 years had 46, 15-45 years had 70 and 45- 65 years had 30. Base deficit was 5.4, ISS score was 8.7, GCS 13-15% was seen in 8, 9-12% in 35, 3-8% in 90 and missing in 13. Mortality was seen among 42 subjects. The injuries reported was abrasions in 42%, brain in 28%, spinals in 10%, chest in 8%, larynx/pharynx in 5%, extremity in 4% and vascular in 3%. The mean ventilator days was 3.6, ICU stay days was 3.9, hospital stay days was 5.4. Functional outcome complete independence (FIMtot=12) was seen in 87%, complete disability (FIMtot= 3) in 4%, severe disability feeding (FIM<3) in 8%, severe disability expression (FIM<3) in 10%, severe disability locomotion (FIM<3) in 11% and discharged to rehabilitation in 18%.