https://www.foxnews.com/us/jeffrey-epste...-pending-report

Homicide folks, the adams apple bone breaks from an extreme weight hang, not the style of hanging that happened to Epstein. Hanging yourself from a bunk bed when you are 6 feet tall is a "strangulation hang", the feet are touching the ground and the individual leans forward to put all of his weight on the rope, no broken bones in this type of hanging.

Seen it a half dozen times and never seen a broken neck bone as a result, on the other hand I have seen a couple of hangings where people tied themselves to a rafter and then kicked the chair out from themselves which did result in a broken adams apple bone.