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Sexual strangulation has become popular – but that doesn’t mean it’s wanted

Sexual strangulation has become popular – but that doesn’t mean it’s wanted

  • ● Sep, 2024
  • The Conversation
  • News Article

An act seemingly once confined to bondage and “kink” communities has become mainstream. Despite the many risks to health (including death), sexual choking is now popular, even commonplace, particularly among young people.

Non-Fatal Strangulation Campaign by the National Council of Women

Non-Fatal Strangulation Campaign by the National Council of Women

  • ● Jul, 2024
  • Website

Network 18-30 are campaigning to highlight the increasing issue of non-fatal strangulation and suffocation, particularly during consensual sex. Incidents are on the rise, and this is being associated with children’s increasing access to porn.

More than half of Australian young people are using strangulation during sex: new research

More than half of Australian young people are using strangulation during sex: new research

  • ● Jul, 2024
  • Sharman, L. S., Fitzgerald, R. & Douglas, H.
  • Academic article

A recent survey of over 4,000 young Australians, aged 18-35 years found that more than half (57%) reported being strangled by a partner during sex and about half (51%) reported that they had strangled their partner during sex.

Hundreds charged with non-fatal strangulation offences after domestic abuse law changed

Hundreds charged with non-fatal strangulation offences after domestic abuse law changed

  • ● Jul, 2023
  • ITV News
  • News Article

More than 200 people have been charged with non-fatal strangulation offences after the law was changed to protect victims of domestic abuse.

Hands off! Non-fatal strangulation could land you 14 years in prison under new legislation

Hands off! Non-fatal strangulation In NI could land you 14 years in prison under new legislation

  • ● Jun, 2023
  • Belfast Live
  • News Article

On Monday 26th June, non-fatal strangulation or asphyxiation (under The Justice Sexual Offences and Trafficking Victims Act NI 2022) has been made a specific criminal offence in Northern Ireland, punishable by up to 14 years’ imprisonment.

Non fatal strangulation: Victim speaks out as new law comes into effect

Non fatal strangulation: NI Victim speaks out as new law comes into effect

  • ● Jun, 2023
  • Belfast Live
  • News Article

“I was strangled the second time to the point where I blacked out, lost control of my bladder and bowels and honestly felt I was going to die"

New law on strangulation is making a difference

New law on strangulation is making a difference

  • ● Jun, 2023
  • Yorkshire Bylines
  • News Article

Recent legislation helps courts address a previously neglected form of violence

‘A matter of life and death’: abusers who strangle partners getting off lightly, say campaigners

Abusers who strangle partners getting off lightly, say campaigners

  • ● May, 2023
  • The Guardian
  • News Article

Offenders convicted under new law in England and Wales spared jail, analysis carried out by the Observer shows

Non–fatal strangulation in a sample of domestically violent stalkers

Non–fatal strangulation in a sample of domestically violent stalkers

  • ● May, 2023
  • Bendlin M Sheridan L
  • Academic article

Few studies have explored non–fatal strangulation and coercive control, and no studies have explored these factors within a sample of stalkers.

Are women and girls pressured in to sexual choking?

Are women and girls pressured in to sexual choking?

  • ● Jan, 2023
  • BBC
  • Podcast

Listen from 42 minutes onwards as Chanel Cantos explains why she wants to challenge the normalisation of sexual choking and writer Rachel Thompson explores why these acts are so prevalent, and whether women and girls are feeling pressured into them.

The Darker the Skin, the Greater the Disparity?

The Darker the Skin, the Greater the Disparity?

  • ● Jan, 2023
  • Brady, Patrick Q
  • Study

A study exploring how well police officers identify strangulation injuries on various skin tones.

Integrated literature review – non-fatal strangulation

Integrated literature review - non-fatal strangulation

  • ● Aug, 2022
  • Lowick V Cheyne N
  • Review article

A review of the published literature on strangulation with an emphasis on violence against women.

Building a temporal sequence for developing prevention strategies, risk assessment and perpetrator interventions

Building a temporal sequence for developing prevention strategies

  • ● Aug, 2022
  • Monkton-Smith J et al
  • Research report

A study to investigate the causes, drivers and aggravating factors of high risk coercive control and whether they can be used to anticipate escalating risk of homicide and victim suicide.

The voices of women impacted by non-fatal strangulation

The voices of women impacted by non-fatal strangulation

  • ● Aug, 2022
  • Lovatt H et al
  • Research report

Australian women’s experiences of non-fatal strangulation within abusive relationships.

It’s OK to order angiography tests for strangulation victims

It’s OK to order angiography tests for strangulation victims

  • ● Jun, 2022
  • Gaddis G et al
  • Non-academic article

A response to a study by Zuberi et al. The authors advocate the use of angiographic imaging where appropriate.

A comparative analysis of non-fatal strangulation cases

A comparative analysis of non-fatal strangulation cases

  • ● Mar, 2022
  • Bettinson V
  • Academic article

An examination of the new offence of non-fatal strangulation s. 75A Serious Crime Act 2015, inserted by s. 70 Domestic Abuse Act 2021 and concludes that further re-drafting should be considered.

Describing nonfatal intimate partner strangulation presentation and evaluation in a community-based hospital

Describing nonfatal intimate partner strangulation presentation and evaluation in a community-based hospital

  • ● Jan, 2022
  • Bergin A et al
  • Study

A retrospective review of 345 female patients' records who attended an emergency department following intimate partner nonfatal strangulation.

Proving non-fatal strangulation in family violence cases

Proving non-fatal strangulation in family violence cases

  • ● Sep, 2021
  • Fitzgerald R Douglas H
  • Review article

A study in which prosecution and defence lawyers were asked to discuss the evidential obstacles to successful prosecutions in Australian non-fatal strangulation cases.

Examining relationship and abuse tactics associated with non-fatal strangulation

Examining relationship and abuse tactics associated with non-fatal strangulation

  • ● Jun, 2021
  • Logan TK
  • Academic article

A study to examine relationship and abuse tactics for women with and without NFS experiences the year before, and the year after, a civil protective order against an abusive (ex)partner was obtained.

Universal screening for blunt cerebrovascular injury

Universal screening for blunt cerebrovascular injury

  • ● Feb, 2021
  • Black J et al
  • Study

The study aimed to accurately determine the incidence of blunt cerebrovascular injury following blunt trauma injuries.

Non-fatal strangulation and suffocation

Non-fatal strangulation and suffocation

  • ● Jan, 2021
  • Kelly R Ormerod D
  • Academic article

An argument for the introduction of a specific offence of non-fatal strangulation and suffocation to be created in England and Wales.

Women’s stories of non-fatal strangulation

Women’s stories of non-fatal strangulation

  • ● Apr, 2020
  • Douglas H
  • Academic article

The experiences of 24 women who have experienced non-fatal strangulation.

Evaluation of non-fatal strangulation in alert adults

Evaluation of non-fatal strangulation in alert adults

  • ● Mar, 2020
  • Matusz EC et al
  • Study

A study to define the rate of serious injuries in alert strangled patients and determine which symptoms and examination findings, if any, predict such injuries.

‘A man tried to choke me during sex without warning’

‘A man tried to choke me during sex without warning’

  • ● Nov, 2019
  • BBC
  • News Article

Over a third of UK women under the age of 40 have experienced unwanted slapping, choking, gagging or spitting during consensual sex. Read women’s experiences of how violence during sex has become 'normalised'.

Has violence during consensual sex become ‘normalised’?

Has violence during consensual sex become 'normalised'?

  • ● Nov, 2019
  • BBC
  • Podcast

Emma Barnett meets women who experienced unwanted acts of violence during consensual sex. This episode also includes input from a psychotherapist and an activist from We Can't Consent to This.

I was strangled by my partner

I was strangled by my partner

  • ● Oct, 2019
  • BBC
  • Podcast

Sarah was strangled by her partner, but he never went to prison for it. Is the strangling law fit for purpose?

The forensic approach to plastic bag suffocation. Case reports and review of the literature

The forensic approach to plastic bag suffocation. Case reports and review of the literature.

  • ● Sep, 2019
  • Santoro P et al
  • Review article

A review of the literature relating to suffocation via plastic bags with an analysis of two case studies.

Neck MRI experience for investigation of survived strangulation victims

Neck MRI experience for investigation of survived strangulation victims

  • ● May, 2019
  • Bruguier C et al
  • Study

A retrospective analysis of medicolegal reports where patients have survived strangulation and an assessment as to the value of using an MRI examination of the neck in those cases.

Review article: Non-fatal strangulation: Hidden injuries, hidden risks

Review article: Non-fatal strangulation: Hidden injuries, hidden risks

  • ● Feb, 2019
  • De Boos J
  • Academic article

This article reviews existing literature, summarises the injuries that can occur following strangulation and discusses the quality of the evidence.

Best practice guidelines for blunt cerebrovascular injury

Best practice guidelines for blunt cerebrovascular injury

  • ● Oct, 2018
  • Brommeland T et al
  • Review article

A systematic review of the literature related to blunt cerebrovascular injury and best practice guidelines based on this analysis.

Coercive control between intimate partners: an application to non-fatal strangulation

Coercive control between intimate partners: an application to non-fatal strangulation

  • ● Aug, 2018
  • Stansfield R et al
  • Academic article

A study exploring the relationship between death threats and nonfatal strangulation plus an examination of the impact of recommended interventions on repeat NFS offending.

Differentiating among attempted, completed and multiple non-fatal strangulation

Differentiating among attempted, completed and multiple non-fatal strangulation

  • ● Jan, 2018
  • Messing JT et al
  • Academic article

A survey of women experiencing domestic abuse which explored the prevalence of attempted, completed and multiple non-fatal strangulations.

Does MR of the neck improve the credibility of victims after manual strangulation?

Does MR of the neck improve the credibility of victims after manual strangulation?

  • ● Jan, 2017
  • Gill J et al
  • Non-academic article

This study explores whether internal soft tissue injuries of the neck can be detected via MRI in victims of survived strangulation presenting without any external findings.

Non-fatal strangulation in sexual assault: A study of clinical and assault characteristics

Non-fatal strangulation in sexual assault: A study of clinical and assault characteristics

  • ● Jun, 2016
  • Zilkens RR et al
  • Study

The research explores the prevalence, risk factors, signs and symptoms of NFS in women referred to a Sexual Assault Resource Centre following recent sexual assault.

The choking game on YouTube

The choking game on YouTube

  • ● Mar, 2016
  • Defenderfer EK et al
  • Study

An analysis of YouTube videos displaying the "choking game."

Nonfatal strangulation as part of domestic violence: A review of research

Nonfatal strangulation as part of domestic violence: A review of research

  • ● Dec, 2015
  • Pritchard AJ et al
  • Review article

A review of the literature regarding non-fatal strangulation in domestic abuse cases, looking specifically at the research different disciplines have produced.

A systematic review of the epidemiology of nonfatal strangulation

A systematic review of the epidemiology of nonfatal strangulation

  • ● Oct, 2014
  • Sorenson S et al
  • Review article

A systematic review of the literature relating to non-fatal strangulation with the aim of understanding prevalence.

Strangulation, Domestic Violence and the Legal Response

Strangulation, Domestic Violence and the Legal Response

  • ● Jan, 2014
  • Douglas H Fitzgerald R
  • Case study

A study of court files involving domestic violence protection orders in which strangulation allegations made by those applying for protection orders are responded to by police and courts in Queensland, Australia.

“Do you know what it’s like to drown?”

“Do you know what it’s like to drown?”

  • ● May, 2013
  • Thomas KA et al
  • Study

A qualitative study to explore 17 women’s experiences of, thoughts about, and reactions to being strangled.

Prevention of the choking game: parent perspectives

Prevention of the choking game: parent perspectives

  • ● Jul, 2012
  • Bernacki JM et al
  • Study

An investigation into parents’ knowledge of the “choking game,” its risks and their attitude towards prevention methods.

An uncommon delayed sequela after pressure on the neck: An autopsy case report

An uncommon delayed sequela after pressure on the neck: An autopsy case report

  • ● Mar, 2012
  • Dayapala A et al
  • Case study

A case report on the death of a 3 year old girl who suffered delayed sequela following manual strangulation.

Can MRI of the neck compete with clinical findings in assessing danger to life?

Can MRI of the neck compete with clinical findings in assessing danger to life?

  • ● Sep, 2010
  • Christe A et al
  • Study

A study to examine the clinical forensic findings of strangulation according to their ability to differentiate between life-threatening and nonlife-threatening strangulation, compare clinical and MRI findings of the neck and discuss a scoring system.

Unexpected delayed death after manual strangulation: Need for careful examination in the ER

Unexpected delayed death after manual strangulation: Need for careful examination in the ER

  • ● Sep, 2009
  • Di Paolo M et al
  • Case study

A case report demonstrating the importance of detailed clinical assessment in victims of attempted manual strangulation, and an example of delayed death in an elderly male patient.

Life-threatening versus non-life-threatening manual strangulation: are there appropriate criteria for MR imaging of the neck?

Life-threatening versus non-life-threatening manual strangulation

  • ● Mar, 2009
  • Christe A et al
  • Study

A study to determine objective radiological signs of danger to life in survivors of manual strangulation and to establish a radiological scoring system for the differentiation between life-threatening and non-life-threatening strangulation.

Unintentional strangulation deaths from the “Choking Game” among youths aged 6-19 years

Unintentional strangulation deaths from the “Choking Game” among youths aged 6-19 years

  • ● Feb, 2008
  • US Center for Disease Control and Prevention
  • Research report

A report on the role of the “choking game” in deaths of children aged 6-19 in the USA between 1995 and 2007.

Asphyxial games in children and adults

Asphyxial games in children and adults

  • ● Dec, 2007
  • Thomas A et al
  • Study

Cases studies of children who have self-asphyxiated via strangulation plus difficulties in differentiating suicide from death caused by asphyxiation “games.”

Women’s stories of non-fatal strangulation: Informing the criminal justice response

Women’s stories of non-fatal strangulation: Informing the criminal justice response

  • ● Nov, 2007
  • Glass N et al
  • Study

This study examines non-fatal strangulation by an intimate partner as a risk factor for major assault, or attempted or completed homicide of women. The analysis concludes that non-fatal strangulation is an important risk factor for homicide of women.

Traumatic bilateral common carotid artery dissection due to strangulation

Traumatic bilateral common carotid artery dissection due to strangulation

  • ● Jul, 2006
  • Chokyu I et al
  • Case study

The successful treatment via stent placement of a 61 year old woman following bilateral common carotid artery dissection.

Fatal and non-fatal bilateral delayed carotid artery dissection after manual strangulation

Fatal and non-fatal bilateral delayed carotid artery dissection after manual strangulation

  • ● May, 2005
  • Clarot F et al
  • Case study

Description of two cases of carotid artery dissection following strangulation with delayed symptoms as well as discussion of medical diagnostic problems and their forensic implications.

A review of 300 attempted strangulation cases part II: clinical evaluation of the surviving victim

A review of 300 attempted strangulation cases part II: clinical evaluation of the surviving victim

  • ● Oct, 2001
  • McClane GE et al
  • Review article

A review of the clinical literature relating to injuries of strangulation victims and the creation of an emergency room protocol.

Survey results of women who have been strangled while in an abusive relationship

Survey results of women who have been strangled while in an abusive relationship

  • ● Oct, 2001
  • Wilbur L et al
  • Study

A survey of NFS survivors to investigate incidence of NFS, medical symptoms, and survivors’ use of medical service post NFS.

Asphyxial homicide in two Scandinavian capitals

Asphyxial homicide in two Scandinavian capitals

  • ● Jun, 2001
  • Rogde S et al
  • Study

An analysis of asphyxiation homicides via autopsy reports in Copenhagen and Oslo between 1985 and 1994.

Homicidal Asphyxia

Homicidal Asphyxia

  • ● Mar, 2000
  • Di Maio V
  • Study

The case files of a US medical examiner’s office were reviewed to better understand homicides via asphyxiation.

Patient presentation, angiographic features, and treatment of strangulation-induced dissection of the internal carotid artery

Patient presentation, angiographic features, and treatment of strangulation-induced dissection

  • ● Mar, 2000
  • Malek AM et al
  • Case study

An analysis of three cases in which women were strangled by their partner and later suffered a delayed stroke.

Homicide and the babysitter

Homicide and the babysitter

  • ● Dec, 1998
  • Dix J
  • Case study

A case study of two suffocation homicides committed by a babysitter and ways to differentiate homicide from sudden infant death syndrome (SIDS).

Disabling stroke arising five months after internal carotid artery dissection

Disabling stroke arising five months after internal carotid artery dissection

  • ● Jan, 1998
  • Martin PJ et al
  • Letter

A letter describing a man who experienced stroke five months after an internal carotid artery dissection.

Delayed airway obstruction and neck abscesses following manual strangulation injury

Delayed airway obstruction and neck abscesses following manual strangulation injury

  • ● Oct, 1989
  • Kuriloff D et al
  • Case study

Description of a patient who 36 hours following manual strangulation developed acute upper airway obstruction and neck abscess necessitating tracheotomy, neck exploration, and drainage.

Conjugal Disharmony: a hitherto unrecognised cause of strokes

Conjugal Disharmony: a hitherto unrecognised cause of strokes

  • ● Aug, 1980
  • Milligan N et al
  • Case study

Description of two cases in which women were strangled by their partners and then suffered a stroke.

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