Strangulation is one of the most serious—and often misunderstood—forms of domestic violence. It can occur quickly, may leave little or no visible injury, and is frequently underreported. Increasing awareness about strangulation can help protect victims and prevent further harm.
Strangulation occurs when pressure is applied to the neck, affecting a person’s ability to breathe or restricting blood flow to the brain. This can happen in a matter of seconds. Even when the incident is brief, the effects can be significant.
Why Strangulation Is Often Missed
One of the challenges in recognizing strangulation is that it often does not leave obvious marks. Unlike other forms of physical assault, there may be no bruising or visible injury immediately after the incident. Because of this, victims, and sometimes even others responding to the situation, may not realize the seriousness of what occurred.
In some cases, individuals who have experienced strangulation may report symptoms such as difficulty speaking or swallowing, neck pain, headaches, dizziness, or confusion. There may also be memory gaps surrounding the incident. These signs can appear hours or even days later, which is why it is important to take any report of strangulation seriously.
Strangulation is often considered a significant escalation in domestic violence. It is a dangerous act that can increase the risk of serious injury or death, even if prior incidents did not involve this level of violence. For that reason, law enforcement and the courts treat these cases with particular concern.

What to Do if You Suspect Strangulation
If you or someone you know may have experienced strangulation, it is important to seek medical attention as soon as possible, even if there are no visible injuries. Medical professionals can evaluate for internal injuries and create documentation that may be important later.
Reporting the incident to law enforcement is also an important step in ensuring safety and accountability. Early reporting can help connect victims with resources, document what occurred, and prevent further violence.
As Prosecutor Rutkowski explains,
“Strangulation is a serious warning sign that violence is escalating. Even when there are no visible injuries, it is critical that victims seek medical attention and report what happened so steps can be taken to protect them.”
If you are concerned about your safety or the safety of someone else, help is available. Local organizations, including domestic violence advocates and support services, can provide confidential assistance, safety planning, and access to additional resources.
Raising awareness about strangulation is an important part of addressing domestic violence in our community. Understanding the signs and taking appropriate action can make a meaningful difference in protecting victims and preventing further harm.
Additional Resources
National / Educational Resources
Training Institute on Strangulation Prevention
National Domestic Violence Hotline
Centers for Disease Control and Prevention (CDC) – Violence Prevention
State / Michigan Resources
Michigan Domestic Violence Hotline (MiCAL)
Local/ Community Resources
