Near Hanging Date Last Search Run: Jun 01, 2025 Table last updated: Nov 02, 2024 Data last added: Oct 08, 2024

Recommendation		RECOMMENDATION FOR INTERVENTION
STRENGTH OF EVIDENCE FOR INTERVENTION		SUPPORTIVE (Green)	NEUTRAL (Yellow)	AGAINST (Red)	NOT YET GRADED (White)
	1 (strong evidence exists)
	2 (fair evidence exists)		Intubation
	3 (weak evidence exists)		C-Spine immobilization

Interventions

C-Spine immobilization

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
III	Neutral (Yellow)	Incidence of c-spine fracture	Patient	PH-Paramedic	Aufderheide TP., Aprahamian C., Mateer JR. Emergency airway management in hanging victims. Ann Emerg Med 1994; 24:879-84. Medline
III	Neutral (Yellow)	Cervical spine injury	Patient		Jawaid MT., Amalnath SD., Subrahmanyam DKS. Neurological Outcomes Following Suicidal Hanging: A Prospective Study of 101 Patients. Annals of Indian Academy of Neurology 2017; 20(2):106-108. Medline

Intubation

Level	Direction	Primary Outcome	Patient/Process	Setting	Reference
II	Neutral (Yellow)	Survival with Favourable Neurological Outcome	Patient	ED-Paramedic & MD	Katabami K, Kimura T, Hirata T, Tamakoshi A. Association Between Advanced Airway Management With Adrenaline Injection and Prognosis in Adult Patients With Asystole Asphyxia Out-of-hospital Cardiac Arrest. J Epidemiol January 2024; 34(1):31-7 Medline
III	Supportive (Green)	Incidence of c-spine fracture	Patient	PH-Paramedic	Aufderheide TP., Aprahamian C., Mateer JR. Emergency airway management in hanging victims. Ann Emerg Med 1994; 24:879-84. Medline