The time it takes to be strangled to death is pure torture for the victim. With the lack of blood and oxygen flow, the head feels like it’s about to explode with pressure. The loss of bladder and bowel control is also possible in less than a minute of being strangled, per Metro Nashville Office of Family Safety. When pressure is applied to the carotid arteries — the major arteries that supply blood to the brain — death may come quickly.

Panic is one of the most common responses to being strangled. With the lack of oxygen, signals are sent to the brain to remove the source of pain or jump into defense. A panic attack is expected soon after. Some physical signs of the strangulation include bloodshot eyes, ringing in the ears, and bruising on the neck area, as reported by Prince Edward Island Family Violence Prevention Services. Strangulation also causes internal injuries, and there have been instances where victims survive strangulation only to die days or weeks later due to internal damage to the body (via Domestic Shelters).