Silent Trauma: Implications of Non-Fatal Strangulation-Acquired Brain Injury - An Integrative Review

Area of Science:

• Neurology
• Psychology
• Public Health

Background:

• Non-fatal strangulation (NFS) is a severe form of intimate partner violence (IPV).
• The link between NFS and acquired brain injury (ABI) is frequently overlooked, leading to misdiagnosis and long-term health issues.
• Current protocols for identifying and managing non-fatal strangulation-acquired brain injury (NFS-ABI) are lacking, hindering standardized care.

Purpose of the Study:

• To synthesize evidence on neurological and psychological sequelae of NFS-ABI.
• To identify implications for clinical practice and policy regarding NFS-ABI.

Main Methods:

• An integrative review of 26 peer-reviewed articles.
• Comprehensive search of eight databases.

Main Results:

• NFS-ABI can cause significant cognitive, emotional, and physical impairments.
• Screening and management strategies for NFS-ABI are inconsistent.
• There is an urgent need for validated screening tools and clinical guidelines for NFS-ABI survivors.

Conclusions:

• Healthcare professionals need training, standardized assessment tools, and protocols for effective NFS-ABI recognition and management.
• Improved detection and treatment of NFS-ABI can reduce chronic morbidity and enhance survivor outcomes.
• Integrating NFS-ABI screening into healthcare pathways is crucial for policy development and clinical practice.