Smothering and suffocation are often used interchangeably, but the term “smothering” is best used for that form of asphyxia in which the nose and mouth are obstructed e.g. by a hand/ paper, clothes, pillow, plastic bag etc. Gagging people to keep them quiet may lead to smothering. Signs of asphyxia are commonly absent or are only slight/ and because marks of injury may be few—if any at all— homicidal smothering may be difficult to diagnose.
Fig.1 Suicidal smothering.
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