Strangulation: The Overlooked Indicator of Domestic Violence

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When discussing domestic violence, many envision physical injuries such as fractures, bruises, or black eyes. However, one of the most lethal forms of abuse is often neglected in these conversations — strangulation. Dr. Joni E. Johnston emphasizes that individuals who strangle their partners are more likely to commit other acts of severe violence, signaling an alarming willingness to escalate to lethal measures. In her article in Psychology Today, she points out that the act of strangulation itself serves as a harbinger of potential homicide.

Strangulation may evoke images of visible injuries, such as bruises or marks on the neck, but the symptoms can frequently be subtle or entirely invisible. Dr. Johnston highlights that over half of strangulation cases do not exhibit clear indicators. Victims may experience symptoms such as hoarseness, difficulty swallowing, shortness of breath, lapses in memory, incontinence, mood swings, and even hearing loss.

The Experience of Lisa

Consider the experience of a woman named Lisa, who endured non-lethal strangulation at the hands of her partner. Following a felony strangulation charge against him, she initially felt compelled to keep her ordeal private, driven by a desire to maintain the façade of a perfect relationship. “I was embarrassed and wanted to project an image of a flawless life,” she recalls. Despite the warning signs, she convinced herself that his commitment was genuine.

After the police intervention, a no-contact order was put in place, yet they soon resumed communication. During these conversations, her partner attempted to manipulate her perception, claiming, “I was just trying to calm you down.” Lisa found herself doubting her own reality, momentarily believing his distorted narrative.

After enduring months of anxiety and legal troubles, she ultimately asked him to leave. Aware of his potential for violence, Lisa began to reach out to other women who might encounter him, understanding that her openness could potentially save lives. Her decision to speak out was pivotal not only for her safety but also for others who might face similar threats.

The Research

Research reported in the Training Institute on Strangulation Prevention affirms the gravity of strangulation in domestic violence contexts. A study published in the Journal of Emergency Medicine reveals that nearly half of women murdered in domestic violence incidents had previously experienced strangulation. The National Domestic Violence Hotline underscores that this form of abuse can lead to unconsciousness within seconds, with death possible in mere minutes. Survivors of non-lethal strangulation face a tenfold increased risk of future incidents.

Despite the alarming statistics, many healthcare professionals and law enforcement officers may overlook the signs of strangulation due to their often-hidden nature. However, recent strides in training have improved the identification and assessment of these cases. Law enforcement is now better equipped to ask critical questions regarding past threats and assaults, enabling a more comprehensive understanding of the victim’s situation.

A recent extensive study highlighted that domestic violence-related strangulation is a significant predictor of attempted and completed murder, raising the odds of fatality by a staggering seven times. This data is crucial not only for victims but also for friends and family who may find themselves in a position to assist someone in an abusive relationship.

Take Action

It is vital to recognize that domestic violence strangulation is a matter of life and death. If you or someone you know is in a similar situation, immediate reporting can be lifesaving. For additional insights on pregnancy and home insemination, visit CDC’s resource on reproductive health or explore this informative article for further guidance.

In summary, understanding and addressing the implications of strangulation in domestic violence is essential. The often-invisible nature of its signs can prove deadly, making awareness and timely intervention crucial.


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