This naked man was partially suspended by a dog collar around his neck. In the foreground is the wig that was placed on the head of a female mannequin, which probably contributed to his sexual fantasy. The victim’s genitals were tied with an insulated wire to aid penile erection. The dog collar was attached to a lock and hooked through an eyebolt inserted into the wall. The lock was open and therefore easy for the victim to remove.

Fig.1 Scene of autoerotic asphyxia.

Autoerotic death refers to the accidental death of individuals of either sex due to failure of devices, or unexpected effect of materials, that were being used to enhance the sexual experience. Although asphyxia from hanging has been described most frequently, a wide variety of other lethal situations have been reported. As there is great variability in the number and types of sexual aids that may be used by individuals, careful death scene examination is essential in helping to exclude suicide and more rarely homicide. The clandestine nature of this paraphilia may, however, make subsequent identification and diagnosis difficult unless the death scene features are typical. This is particularly so in the rare cases involving women.

Fig.2 Tied genitals.

Fig.3 Collar attached to lock.

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