In Focus: Getting to grips with non-fatal strangulation

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Article written and contributed by Dr Jo Ann Parkin B.Ed., B.Sci (Hons), M.B.B.S., MForensMed, FFCFM (RCPA) and Dr Caroline Bolt MBChB FACEM

In Focus: A brief overview of relevant concepts and considerations

Non-fatal strangulation (NFS) is the term used to describe instances where external pressure is applied to the neck and causes compression of blood vessels and/or the airways which can impair cerebral oxygen delivery without causing death. NFS is frequently used in instances of domestic, family and sexual violence (DFSV) and other forms of assault as a mechanism of exerting power and control and occurs within a broader pattern of gender-based violence. Compression of the neck is achieved via various mechanisms:

  • manually via hand or hands,
  • other body parts – forearm, knee, foot,
  • headlock/choke hold – elbow around the neck,
  • solid objects- bats, metal bars and
  • ligatures.

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  • non-fatal strangulation