Case ReportsAn Unusual Method of Suicide Cable TiesJackson, Nicole R. MD, MPH; Paul, Ian D. MDAuthor Information From the Office of the Medical Investigator, University of New Mexico, Albuquerque, NM. Manuscript received January 22, 2020; accepted March 28, 2020. No funding was received for this work. The authors report no conflict of interest. Reprints: Nicole R. Jackson, MD, MPH, The University of New Mexico, MSC07 4040, 1 University of New Mexico, Albuquerque, NM 87131. E-mail: [email protected]. The American Journal of Forensic Medicine and Pathology: September 2020 - Volume 41 - Issue 3 - p 223-226 doi: 10.1097/PAF.0000000000000558 Buy Metrics Abstract Suicidal ligature strangulation is a relatively rare event—far more common is suicide by hanging or homicidal ligature strangulation. With the increasing rate of suicide in the United States, use of atypical ligatures is likely to increase as well. Herein, we present such a rare case, a man who died by tightening cable ties around his own neck, and discuss the necessity of full scene and autopsy investigation to ensure proper certification of manner of death. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.