Aim: The purpose of the present research was to assess the patterns of hanging cases in Gwalior district of Madhya Pradesh. Methodology: Present prospective study of hanging cases was carried out at Mortuary of Forensic Medicine & Toxicology department, Gajra Raja Medical College, Gwalior (M.P) between Jan 2020 – Dec 2021. A total of 4291 cases were autopsied of which 495 cases were of hanging which were included in the present research. The findings were recorded and analysis was done to find out age and sex distribution, type of hanging, level of ligature mark, type of ligature material used and reasons of suicide etc