Few studies attempt to examine individual methods of domestic abuse. The ob
jectives of this study are to evaluate strangulation as a method of domesti
c violence abuse: to determine the incidence of strangulation occurrence wi
thin the cycle of domestic violence, the subjective medical symptoms experi
enced by victims of intimate partner strangulation, and the elective utiliz
ation of health care following a strangulation incident. Sixty-two women we
re surveyed at two women's shelters in Dallas, Texas and Los Angeles, Calif
ornia and the Parkland Health & Hospital (PHHS) Violence Intervention Preve
ntion (VIP) Center in Dallas, Texas. Each patient was individually intervie
wed and verbal responses were recorded. Statistics were performed using the
SPSS program. Of the 62 surveyed, 42 (68%) had been strangled by their int
imate partner who was a husband (23, 55%), boyfriend (13, 31%), or fiance (
2, 5%), by a mother, stranger, or friend (1 each). Strangulation, as a meth
od of domestic violence, is quite common in women seeking medical help or s
helter in a large urban city. This study suggests that strangulation occurs
late in the abusive relationship; thus, women presenting with complaints c
onsistent with strangulation probably represent women at higher risk for ma
jor morbidity or mortality. (C) 2001 Elsevier Science Inc.