Strangulation is one of the most lethal forms of domestic violence, according to the Training Institute on Strangulation Prevention. It can result in unconsciousness within seconds and death within minutes. The National Domestic Violence Hotline reported strangulation is also a significant predictor of future lethal violence.

“There are evidence-based indicators that a case is more likely to escalate to a homicide or to a nearly fatal attack. Some of those indicators are if the abuser owns a gun, if there’s ever been strangulation in the relationship, at all, if there’s been a recent job loss, if an abuser has ever threatened suicide,” said Melissa Graves, CEO of Journey Center For Safety and Healing in Cleveland.

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