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Non-fatal sexual asphyxiation (NFS) in younger adults. Here’s what recent research and analysis reveal.

UK’s Largest Study on Non-Fatal Strangulation During Sexual Assault

Researchers at Saint Mary’s Sexual Assault Referral Centre (SARC) conducted a ground-breaking study on NFS. They analysed anonymised data from 2,198 adults who sought forensic medical examination after sexual assault. The findings:

Prevalence

There were 204 cases of NFS, making it a prevalence of one in 11—believed to be the largest cohort ever studied.

Gendered Crime

NFS disproportionately affects women. In 96.6% of the 204 NFS cases, the victim was female. Additionally, the alleged perpetrator was male in 98% of cases.

Dangerousness

NFS is likened to “waterboarding.” It leaves few immediate marks but can lead to loss of consciousness. It’s used for dominance and intimidation.

Health Risks

NFS restricts oxygen to the brain, posing immediate and long-term health risks. It can also cause psychological damage and is a predictor of future lethality.

Children Present During Non-Fatal Strangulation

The Crown Prosecution Service (CPS) analysed cases and found that children were present in more than a third of non-fatal strangulation offences. This underscores the gravity of NFS and its impact on families.

Autoerotic Asphyxiation and Younger Victims

While research on younger victims of autoerotic asphyxiation (AEAF) is rare, it’s essential to recognize this behaviour. Older adult males are typically associated with AEAF, but exceptions exist. Documented history may not always be available.

Guidelines for Clinical Management of Non-Fatal Strangulation

Clinical guidelines have been developed to guide investigation and management for adult and adolescent patients who have experienced NFS. These guidelines address both acute cases (within the last 4 weeks) and symptomatic cases presenting beyond 4 weeks.

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Remember, NFS is a serious matter with significant health implications. If you need further information or have any other requests, feel free to ask.

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