Background: The word asphyxia is of Greek derivation and means “a stopping of the pulse”. Any death is asphyxial in nature. But forensic pathology understands asphyxia as the interference with the exchange of oxygen and carbon dioxide in the body. Hanging and strangulation constitute asphyxia by compressing vital structures within the neck. Hanging is one of the ten leading causes of death in the world accounting for more than a million deaths annually. In India, hanging is one of the common methods of committing suicide. 2021 NCRB report also depicts the alarming rate of increase of suicide in the country. Over the past 30 years specially during and after the COVID-era the incidence of suicide by hanging is on increase, especially among young adults. 2021 NCRB report also depicts the alarming rate of increase of suicide in the country.