‘Brown was in the doorway when Townsend put a shoelace to the victim’s neck, which he used as a ligature.

Source: https://metro.co.uk/2023/08/03/prisoners-stab-inmate-in-the-neck-in-frenzied-attack-at-jail-19250680/

On February 3, 2020, 20-year-old Edwige Nsilu was found unresponsive with "bits of ligature material" on her neck in St Andrew’s Healthcare mental health unit, North Benfleet.

Source: https://www.echo-news.co.uk/news/23592617.st-andrews-healthcare-understaffed-following-20-year-olds-death/?ref=rss

Sophia (13) was discovered with a ligature around her neck in the bedroom of her home at Wellview Terrace, Mulhuddart, Co Dublin on May 6th 2021.

Source: https://carlow-nationalist.ie/2023/11/16/dublin-girl-who-took-her-own-life-was-being-bullied-at-school-over-her-weight-inquest-hears/