Abstract: The Botswana Police Pathology unit records show that a total of 368 cases of suicide were reported between 2016 and 2019. A total of 367 of these cases were suicide by hanging while only 1 was of suicide by self-strangulation. Literature shows that suicidal ligature self-strangulation is uncommon and, in most cases, common household items such as scarves, belts, neckties and rope are used. We report an instance where a 25-year-old African male used two black plastic ligatures, each...