The term “harness suspension” was originally used to describe STS, but it is not really the harness that is at issue. It can evolve rapidly leading to the state of unconsciousness and eventually death. This syndrome can occur in people who practise activities using harness systems with a dorsal or chest point of attachment as used by painters and builders of high-rise buildings, towers, bridges, marine platforms, power plants, or with a frontal waist point of attachment in sports and recreational activities such as mountaineering, rock climbing, skydiving, paragliding, via ferrata, canyoning, and caving.
People with prolonged suspension in a harness can die in an expedited fashion and without significantly associated trauma. It is defined as the development of presyncope symptoms and loss of consciousness if the human body is held motionless in a vertical position forsome time. STS is also known as harness hang syndrome, harness-induced trauma, harness-induced pathology, and orthostatic shock while suspended. There were minimal findings related to traumatic injuries, and it was therefore concluded that the cause of death was due to shock. Suspension trauma syndrome (STS) was first described in a report of autopsies of people who died suspended by a harness in Austria and Spain.
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