¶1The defendant was convicted of murder in the first degree on the theory of extreme atrocity or cruelty. On appeal he argues that incriminating statements made to a friend should not have been admitted in evidence without a determination by the judge that they were voluntary, and that the judge should have given an instruction to the jury under our humane practice. He also challenges the judge’s instructions on intoxication and on malice and several of her evidentiary rulings, argues that the prosecutor engaged in misconduct, and makes a claim of ineffective assistance of trial counsel. We affirm the conviction. We conclude that there is no basis for granting the defendant relief under G. L. c. 278, § 33E.
¶21. The jury could have found the following facts. The victim was killed in the early hours of Sunday, August 1, 1993. The day before and late into that Saturday evening, the defendant who was with the victim, his wife, was observed drinking substantial amounts of alcohol. There was also evidence that the defendant purchased additional alcohol during the day. Shortly *397before midnight, the defendant and the victim were observed at a restaurant. They then returned home, and some time later the victim’s teenage daughter heard the defendant speaking loudly to the victim. At about the same time, a neighbor who lived in an apartment downstairs heard noises that sounded like furniture being tossed about in the victim’s apartment. On Sunday morning the victim was discovered by her daughter. She was lying on the floor of her bedroom with a knife in her chest.
¶3A medical examiner testified that he found three stab wounds in the victim’s chest, one of which was five to six inches long and had pierced two of the victim’s ribs, her left lung, and her heart. There were bruises and cuts on the victim’s neck, and other injuries that evidenced a blow to the head with a blunt object. The cause of death was determined to be a stab wound of the chest and blunt head and neck trauma.
¶4At about 9 p.m. on Sunday evening, August 1, the defendant went to the home of a life-long friend. They talked, and when asked what had happened to his wife, the defendant replied, “We had a fight and I choked . . . her.” The defendant looked tired and disheveled, but did not appear to be under the influence of alcohol. Later that same night, the defendant telephoned his sister who told him that his wife was dead and that the police were looking for him. She testified that the defendant became “hysterical.”
¶5Several days later the defendant went to the Boston police headquarters where he met with an investigating officer. The defendant was advised of his Miranda rights, and then told the officer that he had no memory of what had happened from the afternoon of Saturday, July 31, until the following Thursday. The defendant also said he had tried to kill himself.
¶6At trial, the defendant took the stand and testified that at 2 a.m, on August 1, the victim had asked him to leave their apartment and he had done so, taking with him some beers, as well as some envelopes that needed to be mailed. He said he then walked to his sister’s house in Quincy, where he slept until 9 a.m. that Sunday morning. He admitted that he had visited his friend later that evening, but denied that he said he had choked the victim.
¶72. (a) The defendant argues that the statements to his friend, a private citizen, were involuntary because he was exhausted, *398suicidal, and hysterical at the time they were made,
¶8We have reversed a conviction because of the absence of a sua sponte inquiry only where there is a claim of involuntariness far more substantial than this. Cf. Commonwealth v. Harris, 371 Mass. 462, 469 (1976) (holding that defendant’s claim that police had beaten him required judge to conduct voir dire on voluntariness of defendant’s statements). The defendant did testify later in the trial that he had consumed alcohol during the course of the day before he visited his friend. But there was no evidence that he was inebriated when he made the incriminating statements. See Commonwealth v. Paszko, 391 Mass. 164, 176 (1984) (statements made by defendant to cellmates while experiencing symptoms of drug withdrawal were voluntary). The defendant found his way to his friend’s home without difficulty, and his answers to his friend’s questions were responsive and coherent. See Commonwealth v. Blanchette, 409 Mass. 99, 106-107 (1991) (defendant’s ability to write, address, and mail letter indicated rationality). The circumstances surrounding the statements were not inherently coercive (the home of a friend) and there is no evidence that the police were in any way connected with the visit. See Commonwealth v. Brady, supraat 50 n.2 (“We reserve the question whether the sua sponte voir dire called for in Commonwealth v. Harris, supra at 466-467, is mandated in a situation where noncustodial, uncoerced . . . inculpatory statements are made to civilian witnesses by one *399intoxicated from alcohol or drugs”). The judge did not err in failing to conduct a voir dire hearing sua sponte.
¶9(b) We also are not persuaded on this record that there is error because the judge did not instruct the jury that these statements should be disregarded unless the Commonwealth proved beyond a reasonable doubt that the statements were voluntary. Such an instruction is required only when the voluntariness of a defendant’s statements is a live issue at trial. See Commonwealth v. Ferreira, 417 Mass. 592, 600 (1994); Commonwealth v. Benoit, 410 Mass. 506, 513 (1991); Commonwealth v. Tavares, 385 Mass. 140, 152, cert. denied, 457 U.S. 1137 (1982).
¶10The friend’s testimony that the defendant looked tired and spoke of suicide was not sufficient to raise the issue of voluntariness, particularly where, as established by the evidence, the defendant was coherent, and “appeared normal.” See Commonwealth v. Benoit, supra at 513-517 (injuries to defendant’s wrists did not raise issue of voluntariness, even in combination with evidence of intoxication and mental illness); Commonwealth v. Allen, 395 Mass. 448, 457-458 (1985) (defendant’s statements voluntary although he was recovering from self-inflicted gunshot wound to head). Moreover, in this case the defendant denied that he had told his friend he had cut his wrists, and denied that he had threatened to kill himself. See Commonwealth v. Anderson, 425 Mass. 685, 691 (1997); Commonwealth v. Tavares, supra at 149. Given the defendant’s strategy of disavowing those statements, an instruction on voluntariness may have undermined the defendant’s testimony. See Commonwealth v. Ferreira, supraat 600 n.ll.
¶113. There was no specific instruction to the jury on the relationship between intoxication and the ability of the defendant to act with extreme atrocity or cruelty. The defendant argues that under Commonwealth v. Doucette, 391 Mass. 443, 455 (1984), and Commonwealth v. Gould, 380 Mass. 672 (1980), he was entitled to such an instruction.
¶12Using the example of an instruction we suggested in Com*400monwealth v. Sires, 413 Mass. 292, 300 (1992), the judge gave the following instmction on intoxication: “Whenever the Commonwealth is required to prove — whether it be premeditation or intent or knowledge on the part of the defendant, you should consider all credible evidence relevant to the defendant’s knowledge or ability to premeditate or form an intent, including any credible evidence of the effect on the defendant of his alleged consumption of alcohol or drugs or both.” This instruction followed immediately her instructions on extreme atrocity or cruelty. We conclude that the instruction was adequate. In Commonwealth v. Raymond, supra at 387-388, we said that “a judge’s explanation that the jury may consider intoxication in evaluating whether an essential element of murder in the first degree has been established is equivalent to an instruction that intoxication may be considered in reducing the verdict from murder in the first degree to murder in the second degree, and satisfies our requirements for instructions on voluntary intoxication.” Here, the jury were given specific instructions on the relationship of intoxication to malice. They nevertheless found that the defendant was sufficiently sober to have acted with malice. In these circumstances, no reasonable juror could have doubted that the defendant was not “so far overcome by intoxicating substances as to be rendered incapable ... of committing murder with extreme atrocity or cruelty.” Commonwealth v. Doucette, supra at 455.
¶134. In addition to instructions referring to the three prongs of malice, Commonwealth v. Grey, 399 Mass. 469, 470 n.l (1987), *401the judge used a now obsolete definition of malice.
¶14The defendant also argues that the judge erroneously charged that the third prong of malice could be satisfied by an act that creates “a plain and strong likelihood that death or grievous bodily harm would follow.” This error was harmless, because “the evidence [did] not warrant a finding of a risk of harm less than a strong likelihood of death.” Commonwealth v. Fryar, supra at 248.
¶155. The defendant challenges various evidentiary rulings by the judge. He objected to testimony by a police officer that removing the knife from the victim “required force.” The defendant does not claim that this was a constitutional error, and we review the ruling to determine whether the testimony was both improper and prejudicial. Commonwealth v. Daggett, 416 Mass. 347, 352 n.5 (1993). The testimony was relevant to whether the defendant acted with malice, and relevant to a consideration whether the defendant acted with extreme atrocity or cruelty. It was well within the judge’s discretion to permit *402the jury to consider the relationship between the force required to remove the knife and the depth and force required to drive the knife eight inches into the victim’s body, cutting through two ribs in the process.
¶16The defendant argues that the admission of evidence that he killed the victim in the presence of their two year old son was irrelevant to the issue of extreme atrocity or cruelty, and was prejudicial. The defendant did not object to the admission of the evidence on this ground, and our review is limited to whether the admission of the evidence created a substantial likelihood of a miscarriage of justice. Commonwealth v. Mello, 420 Mass. 375, 379-380 (1995). There was no error. A defendant’s indifference to the victim’s suffering and the degree of the victim’s suffering are among the factors that are relevant to whether the defendant acted with extreme atrocity or cruelty. Commonwealth v. James, 424 Mass. 770, 790 n.33 (1997); Commonwealth v. Cunneen, 389 Mass. 216, 227 (1983). The evidence that the victim’s young son was in the bedroom and possibly witnessed her assault and death was relevant to establish the victim’s own emotional suffering. Cf. Commonwealth v. Barros, 425 Mass. 572, 581 (1997) (appropriate for jury to consider “likely emotional response that [a victim] would have in response to being beaten and stabbed to death while his wife looked on”).
¶17Nor are we persuaded that the judge abused her discretion by allowing most of a videotape of the. murder scene to be shown to the jury. A judge has broad discretion to admit visual evidence. Commonwealth v. Simmons, 419 Mass. 426, 431-432 (1995). In this case the judge properly exercised her discretion by previewing the videotape herself and by not allowing the jury to see inflammatory parts of the videotape. We have reviewed the evidence of the videotape and conclude that the judge committed no error.
¶18The defendant challenges the admission of a statement by his sister, not objected to at trial, that she had sought a lawyer for him. There was no prejudice to the defendant. The prosecutor did not attempt to elicit that statement,
¶19The defendant argues that a witness’s repetition of the *403defendant’s statement that he earlier had threatened to “cut [the victim] up” was improper and overly prejudicial. We disagree. A single repetition of a detail is not excessive. Commonwealth v. Kirkpatrick, 423 Mass. 436, 445 n.5, cert. denied, 519 U.S. 1015 (1996). Nor was it reversible error for the judge to admit in evidence testimony by the victim’s sister that she had observed that the victim appeared to be afraid while she was engaged in a telephone conversation with the defendant. The evidence was arguably relevant as circumstantial evidence of a hostile relationship between the victim and the defendant, or that the defendant had threatened the victim over the telephone. Compare Commonwealth v. Rodriguez, 425 Mass. 361, 369-371 (1997) (evidence of hostile relationship between defendant and victim relevant to show intent), with Commonwealth v. Cyr, 425 Mass. 89, 94 (1997) (victim’s fear of defendant irrelevant, particularly where only issue at trial was defendant’s degree of culpability). Even if the testimony were improperly admitted, there was no prejudice to the defendant because the testimony was cumulative of other evidence, admitted for a limited purpose, that the defendant had threatened the victim. Commonwealth v. Andrade, 422 Mass. 236, 239-242 (1996).
¶20After the defendant testified that he was the father of a child with a woman other than his wife, the prosecutor asked the defendant to give the reason for the termination of that relationship. The defendant objected, and the objection was sustained. The defendant argues that the question improperly suggested an abusive relationship between the defendant and the woman. We do not agree. Although the defendant’s request for a sidebar conference immediately after the ruling was denied, the defendant had other opportunities to ask for a mistrial and failed to do so. Because the defendant failed to preserve this issue, on appeal our review is limited to whether the question created a substantial likelihood of a miscarriage of justice. Commonwealth v. Mello, supra at 379-380. Here the judge took more than adequate precautions to ensure that the jury would not consider any possible inference that the defendant had abused the woman. In addition to sustaining, immediately, the defendant’s objection to the question, the judge instructed the jury that questions by attorneys were not evidence. The jury are presumed to have followed that instruction. Commonwealth v. Robicheau, 421 Mass. 176, 180 (1995). There was no substantial likelihood of a miscarriage of justice. See Commonwealth v. Fordham, 417 Mass. 10, 20-21 (1994).
¶21*404The defendant claims error for statements made by the prosecutor in his closing argument that the victim was “defenseless,” and that the defendant had killed her “three different ways.” The defendant did not object at trial, and argues now that the prosecutor’s summation created a substantial likelihood of a miscarriage of justice. We disagree. The prosecutor properly summarized the testimony of the medical examiner on both points.
¶226. We have reviewed the record in accordance with our statutory obligation under G. L. c. 278, § 33E, and have determined that there is no substantial likelihood of a miscarriage of justice in our affirmance of the conviction. The defendant argues that his trial counsel was ineffective, as demonstrated by his repeated failure to make required or appropriate objections. The defense counsel’s performance did not deprive the defendant of an otherwise available defense. See Commonwealth v. Saferian, 366 Mass. 89, 96 (1974) (stating two-prong test for ineffectiveness of counsel claim). Our standard of review under G. L. c. 278, § 33E, is more favorable to a defendant than our review of an ineffective assistance of counsel claim. Commonwealth v. Carter, 423 Mass. 506, 514 (1996). Having failed to show that any of the alleged errors warrants reversal under G. L. c. 278, § 33E, the defendant cannot succeed on his ineffective assistance of counsel claim by basing the claim on counsel’s failure to object to those same errors. Commonwealth v. Waite, 422 Mass. 792, 807 (1996).
¶23Judgment affirmed.
¶24He does not argue that the statements were involuntary because he was intoxicated. In any event, the friend testified that the defendant did not appear to be intoxicated.
¶25The defendant did object to the intoxication instructions and requested additional instruction.
¶26We are fortified in our conclusion because here the defendant’s own testimony substantiated that at the time of the murder he was not debilitated by alcohol or the “pain pills” that he said he had ingested. See Commonwealth v. Morgan, 422 Mass. 373, 377 (1996) (using standard of debilitating intoxication to judge voluntariness). The defendant recalled in great detail the events of that night, both before and after the time of the murder. He made clear that he was aware of his circumstances and capable of making rational decisions. Cf. Commonwealth v. Parker, 420 Mass. 242, 248 (1995) (defendant’s ability to recall details of murder was “indicative of his clarity of mind”).
¶27The judge instructed that “[m]alice aforethought refers to a state of mind which includes not only anger, hatred and revenge but also every other unlawful and unjustifiable motive” and that “[a]ny intentional killing of a human being without legal justification or excuse with no extenuating circumstances sufficient in law to reduce a crime to manslaughter is malicious within the meaning of malice aforethought.” In Commonwealth v. Eagles, 419 Mass. 825, 836 (1995), decided four months after the defendant’s trial, we said that “frame of mind” language such as this is “not helpful and ought in the future to be omitted.”
¶28The prosecutor had asked whether the defendant’s sister had informed another brother that the defendant was in her apartment.