Presents analysis of mortality caused by strangulation by hands, based on files and author's own observations. The principal mechanisms of compression of the neck with parts of human body are singled out: with one or two hands, with one or two forearms, with the arm and forearm, with the knee, shin, or foot. The most incident injuries to soft tissues of the neck, sublingual bone, and laryngotracheal cartilages detected by experts at autopsy and at additional fractological examination of the hyoid laryngotracheal complex are described. A conclusion about the mechanism of formation of injuries of this complex inflicted by compression of the neck by hands is made.