Tracheal perforation from non-fatal manual strangulation

Boos, Julia De

doi:10.1016/j.jflm.2019.05.020

Cited by 10 publications

(9 citation statements)

References 39 publications

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“…Only one case report mentioned an immediate cognitive outcome, which was amnesia for the strangulation incident (De Boos, 2019). Five studies reported delayed cognitive outcomes, all of which cited amnesia.…”

Section: Cognitive Outcomesmentioning

confidence: 99%

“…Only four studies reported on psychological distress in the immediate aftermath of the strangulation, which all hinged on a sense of existential threat, the firm conviction that they were about to die (De Boos, 2019;Funk & Schuppel, 2003;Shields et al, 2010;Strack et al, 2001). A further 13 studies reported on delayed psychological outcomes.…”

Section: Psychological Outcomesmentioning

confidence: 99%

“…This can be achieved with a ligature (garrotting), by body weight (throttling, or positional strangulation), or manually. Evidence largely gleaned from autopsies, and from assessing the risk of the 'choke hold' carotid restraint used by police, has been able to show the pathophysiology of strangulation, as set out below (Clarot, Vaz, Papin & Proust, 2005; de Boos, 2019;; Monahan, Purushotham & Biegon, 2019). Figure 1 serves as reference for the location of the relevant anatomical structures.…”

Section: Introductionmentioning

confidence: 99%

“…In the notorious Red Wing studies (Kabat & Anderson, 1943), in which psychiatric inmates and prisoners were strangled in order to increase the US military's understanding of why wartime airmen were blacking out, consciousness (and therefore memory of, and control over, events) was lost within four to ten seconds of arterial pressure, followed by anoxic seizures at six to eight seconds. Bladder control can be lost after 15 seconds, and bowels after 30, with decerebrate posturing after 20 seconds, indicating damage at a brain stem level, and, finally, brain death at between one and six minutes (de Boos, 2019). For asphyxiation only (so breathing prevented, but blood still flowing to the brain), the course depends on how much oxygen is present in the blood and lungs.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The neuropsychological outcomes of non-fatal strangulation in domestic and sexual violence: A systematic review

Bichard

Byrne

Saville

et al. 2021

Neuropsychological Rehabilitation

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This paper reviews the neurological, cognitive, psychological, and behavioural outcomes of non-fatal strangulation and, given shared physiological mechanisms, asks whether the hypoxic-ischaemic literature can serve as a proxy. 27 empirical, peer-reviewed studies were found which met the inclusion criteria. Neurological consequences included loss of consciousness, indicating at least mild acquired brain injury, stroke, seizures, motor and speech disorders, and paralysis. Psychological outcomes included PTSD, depression, suicidality, and dissociation. Cognitive and behavioural sequelae were described less frequently, but included amnesia and compliance. Overall, the evidence suggested strangulation in domestic violence and sexual assault can share all the serious consequences of hypoxic-ischaemic injury, but carries additional neuropsychological burden. However, no papers used formal neuropsychological assessment: the majority were medical case studies, or based on self-report. There is therefore a need for further neuropsychological research, focusing on cognitive and behavioural outcomes, using standardised tools, and control groups where possible. This is urgent, given societal normalisation of strangulation, and consent to 'rough sex' being used as a legal defence. We also discuss broader implications: the popularity of the 'choking game' with teenagers, and carotid injuries within mixed martial arts.

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Section: Cognitive Outcomesmentioning

confidence: 99%

Section: Psychological Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The neuropsychological outcomes of non-fatal strangulation in domestic and sexual violence: A systematic review

Bichard

Byrne

Saville

et al. 2021

Neuropsychological Rehabilitation

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

The neuropsychological outcomes of non-fatal strangulation in domestic and sexual violence: A systematic review.

Bichard¹,

Byrne²,

Saville³

et al. 2020

Preprint

View full text Add to dashboard Cite

This paper reviews the neurological, cognitive, psychological, and behavioural outcomes of non-fatal strangulation and, given shared physiological mechanisms, asks whether the hypoxic-ischaemic literature can serve as a proxy. 27 empirical, peer-reviewed studies meeting the inclusion criteria were found. Neurological consequences included loss of consciousness, indicating at least mild acquired brain injury, stroke, seizures, motor and speech disorders, and paralysis. Psychological outcomes included PTSD, depression, suicidality, and dissociation. Cognitive and behavioural sequelae were described less frequently, but included amnesia and compliance. Overall, the evidence suggested strangulation in IPV and sexual assault can share all the serious consequences of hypoxic-ischaemic injury, but carries additional neuropsychological burden. However, no papers used formal neuropsychological assessment: the majority were medical case studies, or based on self-report. There is therefore a need for further neuropsychological research, focusing on cognitive and behavioural outcomes, using standardised tools, and control groups where possible. This is urgent, given societal normalisation of strangulation, and consent to ‘rough sex’ being used as a legal defence. We also discuss broader implications: the popularity of the ‘choking game’ with teenagers, and carotid injuries within mixed martial arts.

show abstract

Manual strangulation: When the laryngeal “colossus” gives way. A case report and literature review

Celo,

Iwaz,

Boucher

et al. 2024

Forensic Science International: Reports

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Tracheal perforation from non-fatal manual strangulation

Cited by 10 publications

References 39 publications

The neuropsychological outcomes of non-fatal strangulation in domestic and sexual violence: A systematic review

The neuropsychological outcomes of non-fatal strangulation in domestic and sexual violence: A systematic review

The neuropsychological outcomes of non-fatal strangulation in domestic and sexual violence: A systematic review.

Manual strangulation: When the laryngeal “colossus” gives way. A case report and literature review

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