Introduction: The overall death by hanging has increased recently. A detailed post-mortem examination of deaths due to hanging plays an important role in determining the manner of death especially if there is a doubt whether the cause is suicidal, accidental, or homicide. We in the current study tried to determine the various predisposing factors and different methods adopted for hanging. Methods: This retrospective study was conducted in the Department of Forensic Medicine and Toxicology, Rajiv Gandhi Institute of Medical Sciences, [RIMS] Adilabad A total of n=75 cases were identified and included in the study. Data from the autopsy reports along with police investigation reports along with History obtained from relatives were analyzed. Results: The present study included n=75 cases out it n=57(76%) were males and n=18(24%) were females. The most common type of ligature material used was a rope in 56% of cases followed by saree in 16% and dupatta in 12% cases. The color of ligature marks was dark brown in 52% of cases marks were red in appearance in 21.33% of cases. Pale color ligature marks were found in 14.67% of cases. Fracture of hyoid bone was found in 42.67% of cases. Fracture of thyroid cartilage was found in 9.33% of cases. Conclusion: Married males are more likely to commit suicide by hanging. Socioeconomically weaker sections and lower literacy rates in tribal/rural areas are more likely to commit suicide by hanging due to financial problems/loans/debts etc. Chronic physical pain and psychiatric problems are also likely to drive victims to commit suicide by hanging.