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Hidden Danger Signs of Family Violence: Lethality Risk Factors You Must Know
In this intense and thought-provoking episode of Cracking Addiction, Dr. Ferghal Armstrong and family violence expert Steve Herd take a deep dive into the hidden and lethal realities of domestic abuse. Together, they unpack the evidence-based risk factors outlined in the Common Risk Assessment Framework—highlighting the warning signs that can predict fatal outcomes.

The discussion begins with a sobering statistic: in Australia, more than one woman every week is killed by a current or former partner. This alarming trend underscores the urgent need to understand the patterns of escalating violence, especially those that may appear subtle at first.

Steve Herd explains how physical abuse often follows a terrifying trajectory—from a slap to a punch, and sometimes to a deadly shove. But the conversation takes a chilling turn when Dr. Armstrong identifies strangulation as the most significant predictor of lethality in family violence cases. Strangulation is not only severely underreported, but its effects are often misunderstood or dismissed—even by victims themselves.

Ferghal breaks down the medical reality:
15 seconds of pressure can lead to urinary incontinence
30 seconds can cause fecal incontinence
Long-term damage may include injury to brain arteries, the thyroid, voice box, and more

Shockingly, many victims later recall waking up disoriented or physically affected but never connect those symptoms to strangulation. This lack of awareness can delay life-saving interventions.

The episode further explores how survivors often minimise their trauma, and how healthcare professionals can miss crucial signs if they're not trained to look for them. The hosts also examine related risk amplifiers like drug misuse, unemployment, controlling behaviours, and access to weapons.

By the end of this vital discussion, viewers are left with a powerful message: recognising and responding to these high-risk factors could save lives. Whether you're a clinician, advocate, or concerned viewer, this episode offers critical knowledge about a widespread yet often silent threat.

Content Warning:
This episode contains serious discussions on domestic violence, strangulation, and potential lethality. Viewer discretion is strongly advised.