Near hanging is one of the common modes of suicidal methods presenting to the A&E department. Despite hanging having high fatality rate, survival is possible with early prompt intervention & resuscitation of the victim. To study the injury pattern & analysis of its outcome innear hanging victims presenting to emergency department. Medical records of 30 patients aged between 15&50 years was reviewed retrospectively. Information regarding age, gender, marital status & material used was noted. Outcome of those patients were analyzed maintaining strict confidentiality. Female gender accounted for 16 patients & 14 were males. 54% of patients presented to ED with complete hanging & 46% with partial hanging. 80% (24) patients had a coma scale of (GCS) <8 & all of them required mechanical ventilator support. 60% (18) required <2days of ventilation, 4 patients for 3- 6 days & 2 patients had >7days of ventilator support. Co-morbidities associated were alcohol abuse, seizure disorder, drug abuse, & opioid dependence with uncomplicated withdrawal. Outcome in 66% of patients was good were discharged with minimal or no neurological deficits, 10% died & 24% got discharged against medical advice. Probable cause of death was post near hanging cardiac arrest, hypoxic ischemic injury, seizures, severe metabolic acidosis & brain death. Longer hanging time with severe injury pattern had bad prognosis with increase in morbidity & mortality. However, in spite of low GCS active intervention, resuscitation & aggressive management improved the outcome.