The cause of death in cases of hanging is often due to pressure on the neck blood vessels, causing a lack of blood that carries oxygen to the brain. Because asphyxia is a process, overall in the body there will usually be general signs that are almost the same for all cases / causes. Asphyxia is a term often used to describe the cessation of effective respiration or absence of pulsation which is also used in all cases of hanging. By definitionAsphyxia is reduced oxygen saturation in the blood and tissues causing death. A case was reported to the Department of Forensic Medicine and Medicolegal Science FK USU from East Medan. A known corpse has been examined, male sex, circumcised, medium stature, body length 176 cm, tan skin color, straight hair, black mixed with gray hair. From the results of external and internal examinations, theory and the discussion above, it can be concluded thatthe cause of death of the victim was suffocation due to pressure on the neck due to the victims body weight which prevented air from entering the respiratory tract due to hanging. Review The medicolegal aspect of this case is due to ones own actions (suicide).