Other Titles

The Extremely High Risk Category (EHRiC) Conceptual Model for Non-Fatal Strangulation: A Novel Framework for Risk Assessment and Intervention [Title Slide]

Abstract

Abstract Text: Background: Non-fatal strangulation (NFS) is a critical yet often overlooked form of violence, frequently occurring within sexual assault and domestic violence contexts. Despite its severity and prevalence, significant gaps remain in understanding NFS risk factors, hindering effective prevention and intervention strategies.

Purpose: This study aims to synthesize current literature on NFS risk factors and develop a novel conceptual model to aid in identifying high-risk individuals, informing clinical practice and policy-making in nursing and healthcare.

Methods: A comprehensive literature review was conducted using MEDLINE and CINAHL databases, with the keyword 'non-fatal strangulation', up to August 2024. The search was limited to English-language articles with free full text. References from reviewed articles were scrutinized, and a hand search was conducted. In total, 32 sources were selected to inform the conceptual model development. The evaluation process involved rigorous analysis of the selected literature, focusing on the validity and reliability of reported methods and outcomes.

Results: The Extremely High Risk Category (EHRiC) Conceptual Model for Non-Fatal Strangulation emerged as a novel framework synthesizing current literature on NFS risk factors. The model is conceptualized as a Venn diagram comprising three distinct Moderate Risk Categories (MRCs): individual characteristics, direct exposure to acute physical violence, and occurrence of sexual assault. The intersection of these categories represents domains of high and extremely high risk for NFS. This approach provides a visual representation of the complex interplay between various risk factors, offering a nuanced understanding of their cumulative and interactive nature.

Conclusion: The EHRiC Model offers a groundbreaking approach to understanding NFS risk, with significant implications for nursing practice, education, and research. By providing a comprehensive framework for risk assessment, the model has the potential to inform more effective prevention, identification, and intervention strategies in clinical settings. Future research should focus on validating this model across diverse populations and exploring its application in various healthcare contexts. This work contributes significantly to advancing nursing science and improving patient outcomes in violence prevention and response.

Description

Discover the innovative EHRiC Conceptual Model for Non-Fatal Strangulation, a groundbreaking framework synthesizing current literature on risk factors. This presentation unveils a novel approach to understanding and assessing non-fatal strangulation risk, with significant implications for nursing practice, education, and research. Discover how this model can enhance prevention, identification, and intervention strategies, potentially transforming patient care in violence prevention and response.

Author Details

Chelsea Knutson, PhDc, RN, CNE, CA-SANE, CP-SANE, SANE-A, SANE-P, CHSE; Patricia Ann Carter, PhD, RN, CNS

Sigma Membership

Phi Iota

Type

Presentation

Format Type

Text-based Document

Study Design/Type

Other

Research Approach

Other

Keywords:

Acute Care, Policy and Advocacy, Instrument and Tool Development, Non-Fatal Strangulation

Conference Name

36th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Seattle, Washington, USA

Conference Year

2025

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

Click on the above link to access the slide deck.

Additional Files

References.pdf (153 kB)

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EHRiC Model for Non-Fatal Strangulation: A Novel Risk Assessment Framework

Seattle, Washington, USA

Abstract Text: Background: Non-fatal strangulation (NFS) is a critical yet often overlooked form of violence, frequently occurring within sexual assault and domestic violence contexts. Despite its severity and prevalence, significant gaps remain in understanding NFS risk factors, hindering effective prevention and intervention strategies.

Purpose: This study aims to synthesize current literature on NFS risk factors and develop a novel conceptual model to aid in identifying high-risk individuals, informing clinical practice and policy-making in nursing and healthcare.

Methods: A comprehensive literature review was conducted using MEDLINE and CINAHL databases, with the keyword 'non-fatal strangulation', up to August 2024. The search was limited to English-language articles with free full text. References from reviewed articles were scrutinized, and a hand search was conducted. In total, 32 sources were selected to inform the conceptual model development. The evaluation process involved rigorous analysis of the selected literature, focusing on the validity and reliability of reported methods and outcomes.

Results: The Extremely High Risk Category (EHRiC) Conceptual Model for Non-Fatal Strangulation emerged as a novel framework synthesizing current literature on NFS risk factors. The model is conceptualized as a Venn diagram comprising three distinct Moderate Risk Categories (MRCs): individual characteristics, direct exposure to acute physical violence, and occurrence of sexual assault. The intersection of these categories represents domains of high and extremely high risk for NFS. This approach provides a visual representation of the complex interplay between various risk factors, offering a nuanced understanding of their cumulative and interactive nature.

Conclusion: The EHRiC Model offers a groundbreaking approach to understanding NFS risk, with significant implications for nursing practice, education, and research. By providing a comprehensive framework for risk assessment, the model has the potential to inform more effective prevention, identification, and intervention strategies in clinical settings. Future research should focus on validating this model across diverse populations and exploring its application in various healthcare contexts. This work contributes significantly to advancing nursing science and improving patient outcomes in violence prevention and response.