Forensic Medicine · Asphyxial Deaths

Autoerotic & Cafe Coronary & Traumatic Asphyxia

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Autoerotic (Accidental) Asphyxia

Definition: Autoerotic (sexual) asphyxia is a form of accidental asphyxia in which partial asphyxiation is deliberately induced to enhance sexual excitement, orgasm or masturbation.

Characteristics

  • Usually accidental
  • Victim is commonly a male
  • Occurs during masturbation or sexual fantasy
  • Partial suspension is common
  • Escape mechanism often fails

Scene Findings

  • Body usually found in partial hanging
  • Pornographic literature/videos may be present
  • Evidence of masturbation
  • Seminal stains may be present
  • Elaborate self-rescue mechanisms may be seen
  • Female clothing or fetishistic articles may be present

Mechanism