Non-fatal Strangulation and Suffocation (NFSS) is recognised as a red flag for future partner homicide and a particularly nasty form of coercive control. Victim-survivors often interact with multiple services after such an event, and each point of contact is a chance to identify the risk and provide support. However, for many reasons, including the prevalence in media (namely porn), we are seeing increasing presentations to health. Yet, the signs can be subtle, misunderstood, or entirely missed. Increasing evidence suggests that the acute and chronic health impacts of non-fatal suffocation and strangulation are significant, often undetected (50% of cases having no visible injury) and generally minimised in health. NFSS is not just a medical issue however—it is a critical safety issue. New research in NZ by Women's Refuge states 46% of the women who they spoke with were strangled or suffocated by their partner. This session unpacks what is unique about this form of violence, including the profound normalisation of 'choking' in modern culture and the psychological impacts for victim survivors, who often believe at the time of assault, that they may die. This presentation aims to highlight the urgent need for comprehensive training and systemic support for healthcare providers to recognise, document, and respond appropriately to survivors who present in clinical settings. Drawing on current research, clinical experience, and survivor testimony, this session will explore the physiological, psychological, and forensic dimensions of NFSS, while offering practical tools and systemic recommendations to discuss the importance of victim-centered, culturally safe, and trauma-informed care in clinical settings. Ensuring our health clinicians are equipped with the right knowledge, tools, and systemic support is not just beneficial—it is essential.