Atypical chest suspension: An unusual case of positional asphyxia in Nepal

We report an atypical case of suspension death involving chest compression. A 41-year-old male was found suspended from the veranda of his residence by means of multiple woollen shawls tied together to form an improvised rope. Autopsy revealed mechanical asphyxia as the cause of death with no evidence of foul play. The death was accidental, most likely due to the deceased’s attempt to descend from the first floor by rope. This case highlights the need to carry out meticulous death scene investigations and autopsy examination to identify unusual suspension mechanisms, particularly in accidental deaths.