Although it is called a game, it is far from being considered a sport. This game is called the “Choking Game”, a dangerous activity intended to induce a partial or complete loss of consciousness for a period of time, brought on by the deliberate lack of oxygen, which can cause a long-term disability and death.
As defined by the CDC, the “Choking Game,” uses self-strangulation or strangulation by another person with the hands, arms, or a ligament (noose). This game is also known as the Fainting Game, Suffocation Roulette, Flat Liner, Pass-Out-Game, Space Cowboy, California Choke, Airplaning, Space Monkey, Dream Game, Blackout, Purple Dragon, Breath Play or Choke Out.
The Choking Game is popular and most commonly played by middle school students who may practice other risky behaviors.
However, secure, high achieving students looking to have a thrilling experience have often been known to participate in the Choking Game. Males, ages 9 to 16 are the main participants; although, it is not uncommon to see younger and older youth as well as females participating in the Choking Game. Teens who play this game try to find a quick high without using drugs. Most youth get involved because of peer pressure and curiosity.
Parents and others working closely with youth should be on alert for warning signs such as bloodshot eyes bruising or red marks around the neck, frequently wearing a scarf or a permanently turned-up collar, experiencing frequent and severe headaches, tying bed sheets, belts, tee-shirts, ties, ropes in knots, wear marks on furniture from previous incidences, tying scarves or belts to bedroom furniture or doorknobs, disorientation after being alone, unusual need for privacy, or curiosity about asphyxiation.
Awareness of the “Choking Game” may not be widely known among adults because youth usually pass this game on to other youth privately and through the internet. Being aware of this game and discussing the game openly with youth are very important measures. If a youth is suspected of engaging in Choking Game activities, quick actions should be taken to address this behavior including seeking directions from a health care provider.
