Failed suicide attempt. Man in his 50s, feels like the black sheep of his family, ties a rope around his neck, climbs a ladder, ties the rope to the cieling rafters, kicks the ladder out from underneath himself. Rope breaks, man falls onto concrete floor, hits his head, suffers skull fracture. Nephew finds him, calls 911 who calls the helicopter. THe irony here is somewhat amusing in a sadistic sort of way.