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A forensic autopsy and a whole\u2010body computed tomography (CT) were performed, but they did not allow the authors to determine whether the cause of death was external bleeding from the forearm wounds or asphyxia resulting from cervical compression caused by the rubber bands. To address this question, the authors carried out an experimental biomechanical analysis based on Hooke's law and other physical principles. The cumulative tension exerted by the 24 rubber bands corresponded to a mass\u2010equivalent force of 35.11\u2009kg, sufficient to occlude the carotid arteries, jugular veins, vertebral arteries, and trachea according to the literature. These findings strongly indicate that asphyxia due to cervical compression was the primary cause of death, thereby emphasizing the importance of biomechanical analysis in such cases.<\/jats:p>","DOI":"10.1111\/1556-4029.70422","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T03:04:39Z","timestamp":1785121479000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Suicide by ligature\u2010strangulation with 24 rubber bands in a bathtub and self\u2010inflicted wounds: Biomechanical determination of fatal mechanism"],"prefix":"10.1111","author":[{"given":"Flora","family":"Meghiref","sequence":"first","affiliation":[{"name":"Institut de m\u00e9decine l\u00e9gale  Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adeline","family":"Blanchot","sequence":"additional","affiliation":[{"name":"Institut de m\u00e9decine l\u00e9gale  Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexis","family":"Walch","sequence":"additional","affiliation":[{"name":"Institut de m\u00e9decine l\u00e9gale  Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Bernard","family":"Hav\u00e9","sequence":"additional","affiliation":[{"name":"Centre Hospitalier de Belfort \u2013 h\u00f4pital Nord Franche\u2010Comt\u00e9  Belfort France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Bourdet","sequence":"additional","affiliation":[{"name":"ICube UMR 7357 Laboratoire Des Sciences de L'ing\u00e9nieur, de L'informatique et de L'imagerie  Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010S\u00e9bastien","family":"Raul","sequence":"additional","affiliation":[{"name":"Institut de m\u00e9decine l\u00e9gale  Strasbourg France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,26]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Suicide. 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