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The death was accidental, most likely due to the deceased\u2019s 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.<\/jats:p>","DOI":"10.1177\/00258172251337048","type":"journal-article","created":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T08:21:16Z","timestamp":1761812476000},"page":"57-59","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Atypical chest suspension: An unusual case of positional asphyxia in Nepal"],"prefix":"10.1177","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6657-7871","authenticated-orcid":false,"given":"Alok","family":"Atreya","sequence":"first","affiliation":[{"name":"Department of Forensic Medicine, Lumbini Medical College, Palpa, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bibek","family":"Bhandari","sequence":"additional","affiliation":[{"name":"Palpa Hospital, Palpa, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ritesh G","family":"Menezes","sequence":"additional","affiliation":[{"name":"Department of Pathology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raj Kumar","family":"Karki","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine, Kathmandu University School of Medical Sciences, Kavrepalanchowk, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lokaratna","family":"Gyawali","sequence":"additional","affiliation":[{"name":"Palpa Hospital, Palpa, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511777783"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000011041"},{"key":"e_1_3_3_4_2","volume-title":"Knight\u2019s forensic pathology","author":"Saukko P","year":"2016","unstructured":"Saukko P, Knight B. 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