Background: In India, hanging is the most popular means of suicide, accounting for 37% of all suicide cases in 2012. The present study was conducted to assess cases of hanging death. Materials & Methods: 54 victims of hanging of both genders were studied. Parameters such as type of suspension, type of ligature material used for hanging and subsequent hanging mark produced, clinical course during hospital stay and cause of death was analysed through autopsy files. Results: Out of 54 victims, 20 were males and 34 were females. Type of suspension was partial in 26 and complete in 28. Ligature material used was nylon ropein 21, cotton rope in 16, lungiin 8 and odani in 9 cases. Cause of death was aspiration pneumonia in 8, hypoxic encephalopathy in 40 and cervical cord contusion in 6 victims. The difference was significant (P< 0.05). Conclusion: The most common cause of death was hypoxic encephalopathy and commonly used material was nylon rope. Key words: hanging, death, hypoxic encephalopathy