Abstract
This report summarizes the current understanding of a risk-taking behavior by older children and young adolescents. Asphyxial games, often referred to as “the choking game” by the media and in the medical literature, are now a recognized thrill-seeking behavior among young people.1 Recent reports indicate that knowledge of and participation in such activities is more common than previously recognized by most adults, and that death can occur, particularly when the activity is solitary in nature. Most pediatricians recognize that the behavior itself is not new, but there are critical differences in how this “game” is played by some youth today.
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