Italy, Milan. 18 year old young man had accidentally hanged himself to death while engaging in autoerotic asphyxiation. He used his black leather belt tied to a hand weight and flipped over the door so to hold it in place and to hold his body weight. While masturbating and hanging himself by very likely standing on his tiptoes and very slightly bending his knees on the other side of the door. With the use of the hanging strangling method he must have gotten extremely aroused and lost all sense of caution and limit.
Reducing blood and oxygen flow to the brain may produce most powerful arousal and orgasms. Blissful state of orgasmic euphoria akin to some drugs. However, one can pass out instantly absolutely at any moment and if remaining in the noose, get strangled to death while being passed out (other cause of death can also be a heart attack). And even if resuscitated, but not quickly enough, it may cause a permanent brain damage.
His body was found by his twin sister, about 4 hours after death. After she saw belted hand weight on top of the door leading to his room, she had suspected something bad and slowly opened the door. Causing her brother’s dead body to slip on the floor, on the other side. He was completely naked. Wearing only some porn style open front and back “underwear” and an open top baseball hat on his head. She stretched his body and took the noosed belt off and threw it aside. But saw that her brother was long dead by now.
Before calling their parents and the police she had turned his body to lay on its stomach. Later on she had explained of why doing it like this, is because he had a hard erect penis (death erection aka angel lust) and she did not want both their parents and the police seeing him with his penis erect hard like that, as the very first sight when they would get there.
She had also admitted of thinking at first of arranging and making his death look like a hanging suicide. But had realized that she would not be able to lift and hoist his body up. Plus she also did not know what to do about his erect penis and how it could be like that if it was a suicide and that this would be an immediate give away that he was masturbating as he died (she did not know that even without any direct sexual stimulation immediately prior to death, a man’s penis sometimes can still get erected and even remain so after death, especially in young men, in many purely suicide or execution hangings).
Young man’s blood did not show any presence of alcohol, illegal drugs or tranquilizers nor were there any signs of physical violence trauma on his body. His death was ruled accidental.