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Abstract: 

Strangulation is a common cause of violent death in the U.S., and the risk of fatal strangulation is higher for women and children. Although common, strangulation is often not identified in cases involving child abuse, domestic violence, or sexual assault. In this article, the author describes the physical mechanisms of strangulation and why it is so dangerous. Symptoms of strangulation are frequently missed in emergency departments and by prosecutors. The author provides guidelines and physical signs for investigating strangulation, describes the state of the law, and stresses the urgency of prevention.

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Affiliations:  1: U.S. Department of Justice SMART Office.