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Strangulation

Strangulation Isn’t Harmless.

What’s often dismissed as “just choking” is one of the strongest predictors of intimate partner homicide. Even without bruises. Even if it lasted seconds.
Strangulation occurs when external pressure to the neck restricts airflow or blood flow to the brain.

What is Strangulation?

Strangulation is external pressure applied to the neck that restricts airflow or blood flow to the brain. It can cause unconsciousness in seconds and serious medical complications hours or even days later. Many people assume strangulation is only dangerous if someone loses consciousness or shows visible injury. In reality, serious harm can occur even when the assault lasts only a few seconds. The brain cannot distinguish between “consensual” and non-consensual oxygen deprivation.

When oxygen or blood flow is restricted, the body enters a life-threatening state.

Key Facts:

  • Loss of consciousness can happen in 6–9 seconds
  • Brain damage can begin within minutes
  • Stroke can occur hours or days later
  • Injuries may appear without visible marks
woman having neck examined by doctor for signs of trauma

Why We’re Talking About This Now?

Strangulation — sometimes referred to as “choking” — has become increasingly normalized in media, pornography, and sexual content. Many people are exposed to this behaviour before fully understanding the medical risks involved. Even when pressure to the neck is described as consensual, the medical danger remains.
There is no safe amount of oxygen deprivation.

How Strangulation Shows Up In Relationships

Often Described as "Consensual" Abuse Context
Occurs with partners, friends or “situationships” Used to intimidate or control
Framed as “just choking” Demonstrates power
Risk often minimized Major escalation indicator
Consent may be discussed Often coercive or non-consensual
Regardless of context, strangulation carries serious medical risks. Loss of consciousness can happen quickly, and brain injury can occur without visible marks.

If Pressure Was Applied to Your Neck - Seek Medical Care

Strangulation injuries are often invisible.
Serious complications can develop hours or days after the assault.
Seek medical care if you experience:

  • difficulty breathing
  • hoarseness or voice changes
  • headaches
  • dizziness or confusion
  • memory gaps
  • trouble swallowing
  • vision changes

Learn the Risks

Even brief strangulation can have serious, sometimes hidden consequences. The danger is real even without visible injuries or loss of consciousness.

Key Risks

  • Loss of consciousness
    Can happen in 6–9 seconds
  • Brain damage
    Can begin within minutes
  • Stroke
    May occur hours or days later
  • Invisible Injuries
    Harm often occurs without visible marks
Strangulation is a major indicator of escalating violence. If you or someone you know has experienced it, seek medical care immediately—even if no marks are visible.

How At Risk Are You?

0%
Of women in Canada who have been in an intimate relationship report experiencing strangulation by a partner.
0%
Survivors of strangulation are 750% more likely to be killed by their abuser.
30 -0%
Of domestic violence survivors report being strangled during abuse.
6 -0 Sec.
Carotid artery compression can cause unconsciousness in seconds.
Carotid artery compression can cause unconsciousness in seconds.
Take the Quiz

How Strangulation Appears in Media

Strangulation is increasingly portrayed in movies, television, music and pornography as normal or harmless behaviour. These portrayals often ignore the medical risks and the role strangulation plays in intimate partner violence.  Understanding these messages helps us make safer and more informed choices.

Social Media

Memes and short-form content often present strangulation as humorous, flirtatious, or desirable.
These posts can minimize the seriousness of restricting someone’s breathing or blood flow, framing it as a normal part of attraction or intimacy.
Repeated exposure to this type of content can desensitize viewers to the risks and reinforce the idea that strangulation is harmless or expected—especially among younger audiences.

The images in the section below will be obscured unless you hover over them for a few seconds.

Music

In some popular songs, strangulation is referenced in a sexual or casual way, without acknowledging the danger involved. Lyrics may frame “choking” as part of intimacy, reinforcing the idea that it is a normal or desirable behaviour.  When these messages are repeated in mainstream music, they can shape perceptions—especially when listeners are not given any context about the real medical risks or potential for harm.
“I'm vanilla, baby, I'll choke you, but I ain't no killer, baby (I don't like no whips and chains)
“My kind of love
Force me and choke me 'til I pass out”
“Tear me down, snuff me out
Hands on my neck while you push it up
And I'm screamin' now”

TV and Movies

Film and television often depict strangulation in ways that either normalize it in intimate relationships or use it as a dramatic device without showing the full consequences.

Euphoria - Season 1, Episode 4

In this episode of Euphoria, a scene between Maddy and Nate includes strangulation during a moment of conflict and control. The portrayal highlights power and intensity but does not fully explore the lasting physical and psychological consequences. This can contribute to normalizing strangulation as part of volatile or passionate relationships.

Big Little Lies

In Big Little Lies, strangulation is depicted within an abusive relationship dynamic. While the show addresses intimate partner violence more directly than many others, these scenes can still be difficult to contextualize without an understanding of how strongly strangulation is linked to increased homicide risk.

Fifty Shades of Grey

Fifty Shades of Grey portrays sexual relationships that include elements of control and power. While framed as consensual, the broader cultural impact has contributed to the normalization of behaviours that carry real physical risk, without clearly communicating the potential for harm, especially when replicated outside of controlled contexts.

X-Men: Apocalypse (Trailer Imagery)

In promotional material for X-Men: Apocalypse, a character is shown being lifted and choked using force. Although presented in a fictional, action-based context, repeated imagery of strangulation as visually dramatic or normalized violence can reduce the perceived seriousness of the act in real life.

You're Not Alone - Support Is Available

Find Support

St. Joseph’s Health Care London

A team of specialized nurses, doctors and social workers provide care to people of any age, gender or sexual identity experiencing sexual assault and/or domestic violence living in Oxford, Elgin, Huron-Perth and Middlesex counties.

There is no cost to the patient/client.

Phone Number:
519-646-6100 ext. 64224

Website:
https://www.sjhc.london.on.ca/areas-of-care/sexual-assault-and-domestic-violence-treatment-program

Location:
268 Grosvenor St. London, ON Room B0-644

Domestic Abuse Services Oxford (DASO)

Contact DASO if you are in crisis or if you need help, support or advice about Intimate Partner Violence/Gender-Based Violence.

Services:

  • 24/7 Crisis/Help/Information Line - 519-539-4811 or text 519-788-9993
  • Shelter Services
  • Outreach Programs
  • Family Court Support

Phone Number:
519-539-4811

Website:
www.daso.ca

Location:
975 James St.
Woodstock, ON

Victim Services (VASoc)

Offers immediate, short term crisis intervention 24/7 to individuals impacted by crime or tragedy. Trained staff and volunteers are available to provide emotional support, practical assistance and information on site or by telephone. Services are voluntary and free of charge. Available during business hours or through emergency services after-hours.

 

Phone Number:
519-537-2824

Website:
www.vasoc.on.ca

Police

The Domestic Violence Unit investigates offences, assists victims, and makes referrals to community partners. Victims are supported with safety planning and risk assessments.

Woodstock: 519-421-2800 ext. 236 or 1-800-537-6277

Ontario Provincial Police (OPP): 519-688-6540 or 1-888-310-1122

Oxford Sexual Assault Services (OSAS)

OSAS is a specialized, free, and confidential program in Oxford County providing trauma-informed counseling, advocacy, and support for individuals impacted by sexual violence.

Office Phone:
519.539.1111 x270

Cell Phone:
226.232.6149 (call or text)

Email:
[email protected]

Note: Please note, OSAS is not an urgent or crisis service.

Learn More About Our Campaign

Throughout May 2026, we are raising awareness about the dangers of strangulation and the role it plays in intimate partner violence across Oxford County. This campaign brings together healthcare, law enforcement, and community organizations to educate, prevent harm, and improve responses to survivors.  Join us by learning more, sharing resources, and participating in events happening throughout the month. Please contact [email protected] if you have any questions or would like to register for one of our upcoming campaign events.

 

Upcoming Events

May 2026

Understanding Strangulation: A Frontline Response Conversation

Join us for an in-person learning session designed for frontline workers across Oxford County. This session brings together a healthcare professional from St. Joseph’s Health Care and a detective from the Ontario Provincial Police to share their perspectives on identifying and responding to strangulation in the context of gender-based violence. Through presentations and a moderated […]
04 May
1:00 pm - 4:00 pm
Woodstock Theatre
22 Reeve St
No event found!

Campaign Resources

Throughout the month, we will be releasing educational resources to increase awareness and support informed decision-making.

These include:

  • Infographics on risks, symptoms, and response
  • A Can We Talk About That? podcast episode featuring frontline expertise
  • A community quiz to test your knowledge
  • Downloadable materials for community partners

Check back regularly as new resources are added.

Follow Along: Weekly Awareness Series

Throughout May, we’ll be sharing a weekly social media series to break down key topics:

Week 1: What is Strangulation?
Understanding what it is, how it happens, and how it’s often described.

Week 2: The Risks
Exploring the hidden and delayed dangers, including brain injury and fatal outcomes.

Week 3: Media & Normalization
Challenging how strangulation is portrayed in media, pornography, and online culture.

Week 4: Consent & Legal Realities
Understanding the legal implications and what true informed consent means in this context.

➡ Follow us on social media to stay updated and share these messages within your networks.

Instagram: @oxforddart

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