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СпутникиРНSpaceXРоскосмосNASAThere were many comments among Corrie viewers when it was confirmed Betsy Swain had suffered a stroke as a result of non-fatal strangulation
Coronation Street viewers were seen expressing their disbelief when it was revealed that Betsy Swain had suffered a stroke as a result of non-fatal strangulation. Having been rushed to the hospital, doctors told the 18-year-old that the stroke was caused by a blood clot, which was the result of neck artery damage from a temporary loss of circulation.
Doctors spoke to Betsy about the cause, which is when the teen had to explain to her mum that her boyfriend, Dylan Wilson, had strangled her during consensual sex, despite both believing the pressure applied was minimal.
The storyline highlights a worrying trend.
Home Office data shows recorded non-fatal strangulation and suffocation offences against under-18s in England and Wales increased from 2,130 in 2022–23 to 4,888 in 2024–25.
And one of the most important messages is that anyone who has experienced non-fatal strangulation should seek medical attention as soon as possible, even if they are unsure whether they wish to report the incident to the police. Serious internal injuries can occur even where there are no visible signs of injury.
Something that came as a surprise to Corrie viewers was the legal implication, as in the storyline, Dylan could have faced charges if Betsy were to provide a statement. Under the law in England and Wales, an individual can consent to being strangled or ‘choked’, but cannot consent to being seriously harmed or killed by strangulation.
So, if an individual is seriously injured during strangulation, the strangler cannot use consent as a defence. Strangulation may therefore have implications for the person doing the strangling (legally) as well as the person being strangled (medically)
Institute for Addressing Strangulation (IFAS), the UK’s leading authority on non-fatal strangulation, says: "The Strangulation/'choking' is not an assumed part of sex. Everyone has the right to say 'no' or change their mind if they want to.
On working with Coronation Street on their storyline, Professor Cath White, Medical Director at IFAS, said: "We are grateful to Coronation Street for approaching this storyline with such care and a commitment to medical accuracy.
"Non-fatal strangulation can result in life-changing injuries, including stroke, even where there are no visible external signs. There is no safe way to strangle. We hope this storyline helps increase understanding of the risks, challenges, and common misconceptions and encourages anyone affected to seek advice and support."
This week, the IFAS published the UK's first clinical guidelines specifically for the management of non-fatal strangulation in children and young people under 16, closing a significant gap in clinical practice and providing dedicated guidance for healthcare professionals for the first time.
Building on IFAS's previously published adult clinical guidelines for emergency and acute care settings, the new guidance responds to the clear need for dedicated recommendations for paediatric patients. Until now, clinicians caring for children following suspected or confirmed non-fatal strangulation have had no dedicated UK guidance and often had to rely on protocols developed for adults.
The new guidelines have been developed by a UK-wide Intercollegiate Working Group convened by IFAS, bringing together more than 60 senior clinicians, Royal Colleges, specialist societies and frontline professionals from across the UK to develop evidence-informed, consensus-based recommendations.
Professor White comments: "There simply wasn't a UK guideline for managing non-fatal strangulation in children, so clinicians were doing their best with guidance written for adults. We brought together more than 60 clinicians from across the UK – including Royal Colleges, specialist organisations and frontline professionals – to build something better. We listened, challenged one another and developed guidance that addresses a real need.
"These are the first UK guidelines, but they won't be the last. As the evidence grows, we'll continue to learn and refine them to ensure children receive the best possible care."
'Being strangled was a terrifying experience. I truly believed that I was going to die'Julie experienced a violent assault during the course of her work. She was attacked by a service user in her home, and for part of the assault, was throttled.
"Being strangled was a terrifying experience. I truly believed that I was going to die," she says as she bravely detailed her experience.
Julie was involved in a struggle with the assailant before managing to escape from the house and getting a neighbour to raise the alarm. Police and ambulance attended and Julia was taken to the hospital for treatment, having received a blow to the head that required stitches.
She says: "After hospital I gave a statement in the police station, but didn’t report that I had been strangled. I wasn’t able to recall it. It wasn’t until later on that night, whilst at my sister’s home, that I remembered, and it was terrifying. I screamed to her that I had been strangled and I was shaking."
Julia was able to offer an updated statement. "The CID visited me the next day to update me on events (his arrest) and to take this additional information," she recalls. "I still couldn't understand why I didn’t report it initially, as it was a hugely traumatising aspect of the assault.
"How could you forget something like that? It really upset me. I now understand that when we experience trauma, parts of it can be blanked out, acting like a protective feature, as it is so distressing. This is important knowledge, as an inability to recall doesn’t mean that it didn’t happen."
Julie suffered both physical and mental trauma. "The next day, I could hardly physically move," she says. "My neck ached, my head hurt, and my whole body was so stiff. To this day, I struggle with headaches/migraines, neck and shoulder problems. The doctor home visited me and prescribed me medication to manage physical and emotional symptoms. I lay on the couch for about 3 weeks, unable to move, which was more psychological than physical."
Julie was later diagnosed with post-traumatic stress disorder (PTSD) and underwent EMDR (Eye Movement Desensitisation and Reprocessing), which is an evidence-based psychotherapy designed to help people recover from trauma and PTSD, which at first wasn't as effective as Julie was "too traumatised and worried about the court case" which took nine months.
Julie says: "From sharing my experience, I want to let others know how traumatic the experience of strangulation is. It often ends with death, but when you survive it, you are left with the physical and emotional impact of having to fight for breath, which is a terrifying experience.
"By understanding how life-threatening strangulation is and the lasting physical and emotional impact of it on those who survive is important knowledge for professionals as such knowledge can influence how they support/respond to survivors, knowing the impact. I also feel that strangulation is an uncomfortable subject to talk about, as it is so violating. I don’t think it is an easy experience to share, let alone expect others to understand.
"My family and friends were affected too as they saw what I went through but I have never shared the depth of hopelessness and terror I felt. I don’t want them to hear that, hence how professional support can provide an outlet to share that family and friends can’t. Also, as the ability to recall strangulation may be delayed, because it is trauma, can provide further comprehension of it from a trauma perspective which can also inform professional responses.
"As I mentioned earlier, if it isn’t recalled immediately, it doesn’t mean it didn’t happen and being believed is important for recovery. Professionals can be a crucial part of recovery when they respond in the best way at the right time. When they know how and when to respond to such trauma, this can help you to recover."
Julie's story can be read in full here.
What you should doStrangulation can potentially lead to a stroke. A stroke is a medical emergency. The FAST test can help you recognise the most common signs.
IFAS has also developed a Victim Information Leaflet to help victims and survivors understand the potential health impacts of non-fatal strangulation, what symptoms to look out for and where to access support.
Where non-fatal strangulation has occurred as part of a rape or sexual assault, individuals may be referred to a Sexual Assault Referral Centre (SARC), which can provide specialist healthcare, forensic examination and emotional support. Information about SARCs is included within the leaflet.
Where strangulation has taken place in the context of domestic abuse or gender-based violence, IFAS would also encourage individuals to seek support from specialist domestic abuse organisations, which can provide practical advice, safety planning and emotional support.
If support is needed after an experience of strangulation:
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