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International Journal of Adolescent Medicine and Health

Editor-in-Chief: Merrick, Joav

Editorial Board: Birch, Diana ML / Blum, Robert W. / Greydanus, MD, Dr. HC (Athens), Donald E. / Hardoff, Daniel / Kerr, Mike / Levy, Howard B / Morad, Mohammed / Omar, Hatim A. / de Paul, Joaquin / Rydelius, Per-Anders / Shek, Daniel T.L. / Sher, Leo / Silber, Tomas J. / Towns, Susan / Urkin, Jacob / Verhofstadt-Deneve, Leni / Zeltzer, Lonnie / Tenenbaum, Ariel

CiteScore 2018: 0.79

SCImago Journal Rank (SJR) 2018: 0.350
Source Normalized Impact per Paper (SNIP) 2018: 0.476

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Volume 29, Issue 2


Neurogenic speech sequelae following suicide attempt by hanging: a case report

Manal Muhammed Wazeer / Sunila John
  • Corresponding author
  • Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India
  • Email
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
/ Bellur Rajashekhar
  • Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2015-09-11 | DOI: https://doi.org/10.1515/ijamh-2015-0039



Attempting suicide by hanging has become one of the most preferred means among adolescents. Individuals who survive a suicide attempt by hanging have a range of deficits, including neuropsychological, neuropsychiatric, pulmonary and even speech and language deficits. Literature regarding speech and language deficits in cases of near hanging is especially limited.


This study aimed to demonstrate the sequelae of neurogenic speech deficits following a suicide attempt by hanging, the treatment strategies, and prognostic issues in one such case.


We report of Patient X who attempted suicide by hanging. The patient was admitted and a detailed speech and language evaluation was completed.


Patient X was diagnosed with hypoxic-ischemic encephalopathy with organic amnesic syndrome. Consequent to the neurogenic insult, the patient demonstrated speech deficits that were characterized by moderate flaccid dysarthria and neurogenic stuttering. Patient X underwent a week of treatment, subsequent to which there was an improvement in certain speech subsystems. However, the neurogenic stuttering symptoms did not resolve completely even post therapy.


Individuals who survive a suicide attempt by hanging have a range of deficits, including speech deficits that need to be addressed by a speech language pathologist. This case report is an eye opener for speech language pathologists regarding their role in such cases.

Keywords: dysarthria; stuttering; suicide attempt


  • 1.

    Farmer R, Rohde J. Effect of availability and acceptability of lethal instruments on suicide mortality. An analysis of some international data. Acta Psychiatr Scand 1980;62:436–46.PubMedCrossrefGoogle Scholar

  • 2.

    World Health Organization. Mental Health. Available from: http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/. [Last accessed on March 27, 2012].

  • 3.

    Zabel TA, Slomine B, Brady K, Christensen J. Neuropsychological profile following suicide attempt by hanging: two adolescent case reports. Child Neuropsychol 2005;11:373–88.CrossrefPubMedGoogle Scholar

  • 4.

    Medalia AA, Merriam AE, Ehenreich JH. The neuropsychological sequelae of attempted hanging. J Neurol Neurosurg Psychiatry 1991;54:546–8.CrossrefPubMedGoogle Scholar

  • 5.

    Caine D, Watson JD. Neuropsychological and neuropathological sequelae of cerebral anoxia: a critical review. J Int Neuropsychol Soc 2000;6:86–9.PubMedGoogle Scholar

  • 6.

    Costache VS, Renaud C, Brouchet L, Toma T, Le Balle F, et al. Complete tracheal rupture after a failed suicide attempt. Ann Thorac Surg 2004;77:1422–3.PubMedCrossrefGoogle Scholar

  • 7.

    Kumar S, Chatterjee I, Kumar N, Kumari A. Management of flaccid dysarthria in a case of attempted suicide by hanging. East J Med 2011;16:66–71.Google Scholar

  • 8.

    Deal JL. Sudden onset of stuttering: a case report. J Speech Hear Disord 1982;47:301–4.PubMedCrossrefGoogle Scholar

  • 9.

    Martin MJ, Weng J, Demetriades D, Salim A. Patterns of injury and functional outcome after hanging: analysis of the National Trauma Data Bank. Am J Surg 2005;190:838–43.CrossrefGoogle Scholar

  • 10.

    Berlyne N, Strachan M. Neuropsychiatric sequelae of attempted hanging. Br J Psychiatry 1968;114:411–21.CrossrefPubMedGoogle Scholar

  • 11.

    Enderby P, Palmer R. Frenchay’s Dysarthria Assessment. Austin, TX: Pro-Ed, 1983.Google Scholar

  • 12.

    Riley GD. Stuttering severity instrument for children and adults. Austin, TX: Pro-Ed, 1983.Google Scholar

  • 13.

    Kertesz A. The Western Aphasia Battery. New York: Grune and Sratton, 1982.Google Scholar

  • 14.

    Hodges JR. The Addenbrooke’s cognitive examination – revised and supplementary test suggestions. In: Hodges JR, editor. Cognitive assessment for clinicians, 2nd ed. New York, NY: Oxford University Press, 2007:157–66.Google Scholar

  • 15.

    Rabinstein AA, Resinick SJ. Hypoxic-ischemic brain damage. In: Rabinstein AA, Resinick SJ, editors. Practical neuroimaging in stroke: a case-based approach. Philadelphia, PA: Elsevier, 2009:1–16.Google Scholar

About the article

Corresponding author: Sunila John, Department of Speech and Hearing, School of Allied Health Sciences, Manipal University, Manipal, Karnataka, India, E-mail: sunila.john@manipal.edu

Received: 2015-05-05

Accepted: 2015-07-02

Published Online: 2015-09-11

Published in Print: 2017-04-01

Citation Information: International Journal of Adolescent Medicine and Health, Volume 29, Issue 2, 20150039, ISSN (Online) 2191-0278, ISSN (Print) 0334-0139, DOI: https://doi.org/10.1515/ijamh-2015-0039.

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