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Ligature strangulations are usually homicidal. Accidental and suicidal ligature strangulations are quite rare. In this study, an unusual case of suicidal ligature strangulation with a tourniquet method using a walking stick is presented.A 70-year-old-man was found dead in his room, a piece of cloth wrapped around the neck, knotted, and tightened by a walking stick. His hand was still on the walking stick which was seemingly used by him for a tourniquet effect. Autopsy showed bilateral sternocleidomastoid muscle hemorrhage. A thorough death scene investigation, detailed corpse examination, and autopsy are extremely important for determining the manner of death in such ligature strangulation cases.