Examining Relationship and Abuse Tactics Associated with Nonfatal Strangulation Experiences before and after a Protective Order

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Nonfatal strangulation is associated with significant physical harm and lethal violence. The overall objective of this study was to examine relationship and abuse tactics for women with (n = 369) and without (n = 276) nonfatal strangulation experiences the year before, and the year after, a civil protective order (PO) against an abusive (ex)partner was obtained. Furthermore, this study sought to examine which abuse tactics, including nonfatal strangulation, were associated with mental health status at follow-up. In the year before the PO, 57% of women experienced nonfatal strangulation and 12.4% experienced nonfatal strangulation in the year after the PO by their abusive (ex)partner. Those with nonfatal strangulation experiences in the year before the PO were 3.5 times more likely to experience nonfatal strangulation after the PO. Additionally, death threats in the year before the PO as well as having spent any time in the relationship with the abuser after the PO were uniquely associated with post-PO nonfatal strangulation. Furthermore, abuser control tactics and severe violence after the PO were significantly associated with mental health status at follow-up after controlling for baseline mental health status. Study results also suggest that those with nonfatal strangulation experiences may have an especially difficult time initiating and maintaining separation from abusive partners. Results suggest that there are specific risk factors to consider in tailoring PO protections, safety supports, and resources for those with prior nonfatal strangulation experiences.

Original languageEnglish
Pages (from-to)95-103
Number of pages9
JournalViolence and Gender
Issue number2
StatePublished - Jun 1 2021

Bibliographical note

Funding Information:
The data collection was supported by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) Grant Number AA12735-01 and the University of Kentucky General Clinical Research Organization funded by the National Institute of Health Grant #M01RR02602.

Publisher Copyright:
© Copyright 2021, Mary Ann Liebert, Inc., publishers 2021.


  • partner abuse
  • protective orders
  • strangulation

ASJC Scopus subject areas

  • Gender Studies
  • Health(social science)
  • Social Psychology
  • Cultural Studies
  • Psychiatry and Mental health


Dive into the research topics of 'Examining Relationship and Abuse Tactics Associated with Nonfatal Strangulation Experiences before and after a Protective Order'. Together they form a unique fingerprint.

Cite this