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"Choking Game" Awareness and Participation Among 8th Graders --- Oregon, 2008
Morbidity and Mortality Weekly Report (MMWR),U.S. Centers for Disease Control and Prevention
January 15, 2010  (Accessed Jan 15, 2010)
"This study represents the first systematic assessment at the state level for awareness of and participation in strangulationactivities among youths. Results from the 2008 Oregon Healthy Teens survey indicated that nearly one third of 8th-grade students were aware of someone who participated in the choking game, and nearly 6% acknowledged trying it."
"Choking Game and YouTube: A Dangerous Combination"
SAGE Journals Online, Clinical Pediatrics.
July 13, 2009  (Accessed Dec 01, 2009)
"Sixty-five videos of the asphyxiation game were identified. Most (90%) participants were male. A variety of techniques were used. Hypoxic seizures were witnessed in 55% of videos, but occurred in 88% of videos that employed the “sleeper hold” technique. The videos were collectively viewed 173550 times on YouTube.
Conclusions: YouTube has enabled millions of young people to watch videos of the “choking game” and other dangerous activities. Seeing videos may normalize the behavior among adolescents. Increased awareness of this activity may prevent some youths from participating and potentially harming themselves or others."
"Unintentional Strangulation Deaths from the "Choking Game" Among Youths Aged 6--19 Years --- United States, 1995--2007"
Morbidity and Mortality Weekly Report (MMWR), U.S. Centers for Disease Control and Prevention
February 15, 2008 (Accessed Feb, 15, 2008)
CDC officials urged parents to be aware the fad exists, and to watch for possible warningsigns like bloodshot eyes, marks on the neck, frequent and severe headaches, disorientation after spending time alone, and ropes, scarves or belts tied to bedroom furniture or doorknobs or found knotted on the floor. The authors acknowledged that 82 is probably an undercount.
Press Play to listen to this CDC Podcast [Running time = 4:48]
William's County Ohio Youth Health Risk Behavioral Survey
Reports 11% of youth played the choking game, increasing to 14% of females and 19% of those over 17 years of age.
Injury Prevention 2009;15:45-49; doi:10.1136/ip.2008.018523
A study taken in Canada and Texas Middle/High schools reports: 45% knew somebody who played it, and 6.6% had tried it, 93.9% of those with someone else. Forty percent of children perceived no risk.
Julie L. McClave, MDa, Patricia J. Russell, MDb, Anne Lyren, MD, MScc,d, Mary Ann O'Riordan, MSe, Nancy E. Bass, MDf
"Close to one third of physicians surveyed were unaware of the choking game, a potentially life-threatening activity practiced by adolescents. Despite acknowledging that the choking game should be included in adolescent anticipatory guidance, few physicians reported actually discussing it. To provide better care for their adolescent patients, pediatricians and family practitioners should be knowledgable about risky behaviors encountered by their patients, including the choking game, and provide timely guidance about its dangers. "
"Adolescent Shorts"  
Daryl A Lynch, MD Chief, Section of Adolescent Medicine, Children’s Mercy Hospital Missouri
Endorsed by the Missouri American Academy of Pediatrics and the MidWest Chapter of Adolescent Medicine
On The Choking Game: Child's Play (Jan 2006)
ABC's 20/20 Q & A with Dr. Andrew
The Medical Examiner; Findings by Dr. Thomas Andrew - Choking Game/ Asphyxia
Dr. Thomas A. Andrew, M.D., FCAP, FAAP (Chief Medical Examiner of New Hampshire & Pediatrician)
Injury Prevention 2001;7:231-233
Dr. McNab - Canada
Dr. Ronald Petersis an assistant professor of behavioral sciences at the UT School of Public Health.
Read More......
Preteenagers Today; iParenting
Gina Roberts-Grey
Traumatic Brain Injury
The Guidance Channel Online
Julie Rosenbluth, MPH, CHES American Council For Drug Education
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