Domestic violence literally happens around the clock.
Thousands of survivors are sharing their stories on social media using the #WhyIStayed and #WhyILeft.
So after such extreme violence, why do most victims stay?
Beth Sturman with the Laurel House says outsiders need to be slow to judge.
"Until you've been in their shoes you don't know what that person is experiencing," Sturman said.
Sturman says the aggression typically starts on a low level, maybe with a tap or verbal abuse.
And by the time the abuse escalates, couples have more vested in one another.
"Over time, you've built a life together, you've built history together, you have friends in common, family in common, love," Sturman said.
Sturman says despite a person's background or income, the reasons to stay are generally the same: Love, Religious Beliefs, Children, Family Ties, and Fear.
Often the abuser threatens to harm or murder the victim, if they get out of the relationship.
"Statistically that is the most dangerous time in terms of domestic homicide, as people leave," Sturman said.
Leaving an abusive relationship is a difficult process.
Statistics show that a person leaves 7 times before actually walking away for good.
Sturman says that is why being supportive is so important.
"I don't think it's helpful to a victim or a survivor to feel judged," Sturman said. "When we start having opinions about what people should do, I never want that to be to be a deterrent for people seeking help."
The Laurel House in Norristown is one of many agencies working to end domestic violence.
If you are in an abusive relationship there is help and it can start with a phone call to The National Domestic Violence Hotline at 1-800-799-SAFE (7233).