Suspension, like the short drop, causes death by using the weight of the body to tighten around the trachea and neck structure with the noose. Prisoners are reported to have little or no struggle before they go limp because their jugular vein and carotid arteries are blocked and blood flow to the brain is reduced.However, the person slowly dies of strangulation, which typically takes between ten and twenty minutes, resulting in a considerably more elongated and painful death as compared to the standard or long drop hanging. "If the airway is constricted, and full suspension achieved (feet fully off the floor), this method, at least initially, is likely to be very painful, as the person struggles for air against the compression of the noose and against the weight of their own body, being supported entirely by the neck and jaw.