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He strangled them and then slit their throats. Some victims were also mutilated.

The theory that JTR strangled his victims first has been prevelant for over 120 years. If you look at what is left of the autopsy reports contained in the original file it is improbable that any of the victims were strangled. Strangulation is not an easy or quick way to die. It can take up to 5 minutes or longer. The Ripper was killing these women out in the open streets and sidewalks where he could be interrupted at any time. He had to get in and get out in record time. In fact, the night of the 'double event', when he killed two women, the 2nd murder was because he was interrupted and almost caught. He had to flee or be captured. So he made the 2nd kill to finish what he had started. The point being, he most likely slit their throats from behind. That would silence them immediatly and keep alot of the spurting blood off of him. The later victims took some time to finish. He had no time to waste on strangulation. His fear of discovery must have been enormous. There was some bruising on the face of at least one victim, but not from strangulation. He most lilely put a hand over the mouth and held the knife in the other hand. This method can be carried out very quickly and almost completely in silence.

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