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Nonfatal Strangulation Injuries: Improving Physician Knowledge and Attitudes.

Sarah Pankratz¹, Margie Clouse², Christine Motzkus³

¹Indiana University School of Medicine, Indianapolis, USA.

Journal of Interpersonal Violence

|December 24, 2024

Summary

A brief educational intervention significantly improved emergency department physicians' knowledge and confidence in treating nonfatal strangulation injuries. This training enhances care for survivors of sexual assault and intimate partner violence.

Keywords:

nonfatal strangulation survey

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Area of Science:

Medical Education
Emergency Medicine
Forensic Medicine

Background:

Nonfatal strangulation is a serious injury often linked to sexual assault and intimate partner violence.
Physicians require enhanced knowledge and confidence for effective patient evaluation and treatment.
Existing educational interventions have not specifically targeted nonfatal strangulation injuries.

Purpose of the Study:

To assess the effectiveness of a brief educational intervention in improving physician knowledge and confidence regarding nonfatal strangulation injuries.
To evaluate physician comfort and decision-making in treating survivors of sexual assault, intimate partner violence, and nonfatal strangulation.
To determine if a targeted educational program can enhance clinical vignette performance in emergency department settings.

Main Methods:

A pre- and post-intervention survey design was employed.
Participants included physicians from four south-central Indiana emergency departments.
A 15-minute interactive educational presentation was delivered between surveys, including clinical vignette questions.

Main Results:

Post-intervention participants reported higher awareness of imaging, resources, decision-making, history taking, and trauma-informed care.
The post-intervention group achieved a higher average score (92%) on clinical vignette questions compared to the pre-intervention group (76%).
The educational intervention demonstrated a significant positive impact on physician knowledge and confidence.

Conclusions:

A concise 15-minute educational intervention effectively improved physician knowledge, confidence, and comfort in managing nonfatal strangulation injuries.
This intervention is suitable for small, community-based emergency department settings.
Similar educational programs could be implemented broadly to improve care for strangulation survivors.