6, Reference Taylor, Kingdom and Jenkins7 A review of 162 completed hangings found that the majority occurred in private households, and in 90% of cases the ligatures and ligature points used were everyday items. Reference Gunnell, Bennewith, Hawton, Simkin and Kapur5 Second, hanging poses a challenge to current suicide prevention strategies, which place emphasis on restricting access to commonly used methods such as reducing paracetamol pack size and safety measures at regular jumping sites. ![]() ![]() First, hanging is a lethal method with an estimated fatality rate of over 70%. Reference Wilkinson and Gunnell3, Reference Beautrais4 This increase is of concern for two reasons. Reference Biddle, Brock, Brookes and Gunnell2 Similar trends, particularly among young men, have been reported internationally. Reference Brock and Griffiths1 This trend is most apparent among men but in the past few years, hanging has also eclipsed self-poisoning as the most common method used by women aged 15–34 years. It is now the most common single method of suicide, accounting for about 2000 deaths per year. A striking feature of recent suicide trends in England has been a marked increase in suicide by hanging.
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