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Didn't put a label on it: Examining intimate partner strangulation within a diagnostic framework.

Michelle Patch1, Jocelyn C Anderson2, Kamila A Alexander1

  • 1School of Nursing, Johns Hopkins University, Baltimore, Maryland, USA.

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|July 21, 2022
PubMed
Summary

Women experiencing non-fatal intimate partner strangulation often don't perceive long-term health risks beyond emotional trauma. Emergency department care, including nursing support, was vital for validation but strangulation was rarely documented in final diagnoses.

Keywords:
diagnosisintimate partner violencenursingstrangulationwomen's health

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Area of Science:

  • Medical research
  • Public health
  • Violence studies

Background:

  • Intimate partner strangulation is a dangerous mechanism of violence with potentially severe health consequences.
  • Understanding women's experiences in emergency departments after non-fatal strangulation is crucial for improving care.
  • Current diagnostic practices may not fully capture the complexities of strangulation injuries and their aftermath.

Purpose of the Study:

  • To examine women's emergency department visits and care-seeking experiences after non-fatal intimate partner strangulation.
  • To describe symptom recognition, evaluation, and communication of health risks.
  • To identify opportunities for improving clinical diagnostic processes.

Main Methods:

  • Mixed-methods study combining in-depth, semi-structured interviews with women and medical record reviews.
  • Utilized a diagnostic process framework and constant comparative approach for data analysis.
  • Data collected between March 2018 and January 2019.

Main Results:

  • Women often did not perceive long-term health risks beyond emotional trauma.
  • Forensic and emergency nursing support were perceived as validating and therapeutic.
  • Medical records documented domestic violence but rarely specifically strangulation in final diagnoses.

Conclusions:

  • Findings highlight a gap between women's experiences and the documentation of strangulation in medical records.
  • Nurses are pivotal in improving responses to strangulation through enhanced education, communication, and follow-up.
  • Further research is needed to better understand and address the long-term health impacts of non-fatal intimate partner strangulation.