Which statement about strangulation is true?

• A. Strangulation is accidental
• B. Strangulation is intentional
• C. Strangulation rarely results in harm
• D. Strangulation only occurs outdoors

Answer: (B)

Strangulation in the setting of abuse is a purposeful act designed to harm or control the victim. It involves deliberate pressure to the neck to restrict air or blood flow, often used to intimidate, threaten, or establish dominance. The act is not accidental; it reflects intentional violence and control. The danger is high—hypoxia, brain injury, or death can occur quickly, and injuries may not always be visible. Because of the clear intent and serious risk, the true statement is that strangulation is intentional. It can happen anywhere, not just outdoors, and it is a significant red flag in domestic violence.