Dissemination Strategies of a Nonfatal Strangulation Program: Success of an Interagency Initiative

Area of Science:

• Forensic Nursing
• Public Health Initiatives
• Intimate Partner Violence Research

Background:

• Nonfatal strangulation is prevalent in intimate partner violence.
• It is linked to severe injuries and increased mortality risk.
• Victims often lack access to specialized forensic examinations.

Purpose of the Study:

• Describe a county-wide initiative to address nonfatal strangulation.
• Establish an educational program for key professionals.
• Implement a forensic nurse response program for victims.

Main Methods:

• Developed a standardized forensic evaluation tool and training courses.
• Coordinated education for police, EMS, ED staff, forensic nurses, and prosecutors.
• Forensic nurses conducted standardized examinations across 11 emergency departments.
• Utilized a secure database for data capture and a task force for assessment.

Main Results:

• Educated over 80% of first responders and 79% of ED staff within 3 months.
• Recorded 259 forensic nurse examinations for nonfatal strangulation in the first year.
• Police reported 367 arrests for felony assault by strangulation.

Conclusions:

• County collaborative programs can effectively educate professionals.
• Forensic nurse examinations for nonfatal strangulation can be rapidly implemented.
• This approach improves care for intimate partner violence victims.