Strangulation in domestic violence: A deadly, often overlooked threat

October is Domestic Violence Awareness Month, an important time to raise awareness about the serious, often hidden dangers of domestic violence (DV), including one of its deadliest forms: strangulation. Strangulation is not only a violent act but also a major health emergency with both immediate and long-term risks.

Strangulation occurs when external pressure is applied to the neck, cutting off blood flow to the brain and preventing breathing. This act can lead to unconsciousness in as little as five to 10 seconds, and death can follow within minutes.

“Strangulation is a medical emergency,” says Amy Riegert, Registered Nurse and Sexual Assault Nurse Examiner (SANE) Coordinator at Aspirus Health. “If someone has been strangled, they need to seek medical attention right away.”

The consequences of strangulation extend far beyond the immediate danger. Victims who survive are 750 percent more likely to be killed by the same partner in the future, according to the National Domestic Violence Hotline (NDVH). Additionally, many victims don’t show external signs of injury—50 percent of strangulation survivors have no visible marks, making it a hidden but severe risk.

Aspirus Health’s SANE Program provides critical care and support to survivors of both domestic violence and sexual assault. Available at multiple Aspirus locations, the SANE program offers comprehensive medical evaluations, forensic evidence collection, and referrals to community resources. Strangulation is a significant concern for those treated by the SANE program, as “about 30 percent of our patients who have experienced sexual assault also have some type of strangulation aspect to their case,” says Riegert.

“Our SANE program is designed to give survivors options,” Riegert continues. “We work closely with law enforcement and advocacy groups to ensure that survivors receive the medical care, legal support, and community resources they need to recover.”

For those affected, Aspirus Health’s SANE Program is available at the following locations:

• Aspirus Medford Hospital: (715) 748-8100 • Aspirus Wausau Hospital: (715) 847-2121

• Howard Young Medical Center: (715) 356-8000

• Aspirus Ironwood Hospital: (906) 932-2525

• Aspirus Langlade Hospital: (715) 623-2331

• Aspirus Rhinelander Hospital: (715) 361-2000

• Aspirus Riverview Hospital: (715) 423-6060

• Aspirus Stevens Point Hospital: (715) 346-5000 Survivors are encouraged to visit the Emergency Department at any time for care. If a child has been sexually assaulted, please call for more information. Law enforcement can assist in locating a closer SANE program.