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Non-Fatal Strangulation Documentation Toolkit - forensicnurses 2026

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The 'Non-Fatal Strangulation Documentation Toolkit' developed by the International Association of Forensic Nurses provides comprehensive guidelines for assessing, documenting, and collecting evidence related to non-fatal strangulation cases. It includes protocols for clinical evaluation, documentation forms, discharge instructions, and policy examples aimed at improving care for victims of strangulation, particularly in the context of intimate partner violence. The toolkit emphasizes the importance of thorough assessment and documentation due to the often invisible nature of injuries associated with strangulation.

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Click ‘Get Form’ to open the Non-Fatal Strangulation Documentation Toolkit in the editor.
Begin with Section I, where you will assess and document the strangulation event. Fill in the patient's description of the incident, including their emotional state and any visible injuries.
Proceed to Section II, which contains policy and procedure guidelines. Ensure that you adapt these policies to fit your institution's practices.
In Section III, complete the clinical evaluation by documenting physical findings. Use diagrams for injury mapping and include measurements where applicable.
Finally, review Section IV for discharge instructions. Make sure to provide clear guidance on follow-up care and resources available for the patient.

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What are the elements of non-fatal strangulation?

Non-fatal strangulation occurs when a person intentionally strangles or affects their victims ability to breathe in an attempt to control or intimidate them, for example using a headlock or a ligature around the neck.

Is non-fatal strangulation hard to prove?

The accused must have intended to strangle the victim, although prosecutors dont need to prove that the accused meant to cause harm or death. As with any crime, testimony provided by the victim will form a key part of the prosecutions case. Any witness testimony will also be integral.

What are the autopsy findings for strangulation?

Excoriation marks on the face and various body surfaces may indicate a struggle, either as the patient attempts to remove a ligature or another object causing strangulation or as a result of an assailants actions. Burns and musculoskeletal trauma may also be present on autopsy, depending on the circumstances.

What is the STL for non-fatal strangulation?

Section 70(1) of the Domestic Abuse Act 2021 inserted section 75A into Part 5 of the Serious Crime Act 2015 (SCA 2015) creating an offence of non-fatal strangulation (section75A(1)(a)) and a separate offence of non-fatal suffocation (section 75A(1)(b)).

What are the different types of strangulation in forensics?

The three forms of strangulation are: hanging, ligature, and manual. Hanging occurs when a person is suspended with a ligature around his or her neck, which constricts due to the gravitational pull of the persons own body weight.

strangulation documentation

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What evidence is needed to prove strangulation?

Proving Impairment of Breathing or Circulation Potential evidence may include witness testimony, physical marks on the victims neck, medical records showing injury to the throat or neck, or the victims account of struggling to breathe during the incident.

What kind of evidence is used in strangulation cases?

In addition to the blunt force injuries of the neck, strangulation produces evidence of regional venous obstruction in the neck, recognized as pinpoint hemorrhages (petechiae) in the skin, conjunctiva of the eyes, and deep internal organs of the head and neck, geographically located above the point of constriction in

What are the forensic evidence of strangulation?

Visible injuries on the neck and mastoid: Ligature marks/edema/abrasions (scratches and scrapes)/erythema/contusions. Petechiae: Eyelids/peri-orbital region/face/scalp/neck/ears/soft palate/under tongue. Subconjunctival/Scleral hemorrhage/Scleral edema (eyes)