Background: Suicide ranks as the 13th most common cause of death globally. Up to 20 times as many people attempt suicide as actually complete suicides.The present study was conducted to assess pattern of hanging deaths. Materials & Methods:78 hanging deaths of both genders were studied. Records were kept on parameters such the time of occurrence, the kind of ligature material, the hanging technique, the hanging type, and the clinical findings. Results: Out of 78 cases, males were 41 and females were 37. The type of hanging was typical in 30 and atypical in 48. Type of ligature material was saree in 25 and towel in 9, dupatta in 16, rope in 28. Manner of hanging was suicidal in 61, homicidal in 15 and uncertain in 2 cases. Clinical findings were visceral congestion in 43, congestion of face in 42, neck muscle hemorrhage in 17, petechiae in 28 and cyanosis in 36 cases. The difference was significant (P< 0.05). Conclusion: Rope was the most common type of ligature material employed. The hanging was done in homicidal, suicidal and uncertainmanner. The kind of hanging was really unusual.