Young Risk-Takers Drawn to Dangerous 'Choking
MONDAY, April 16 (HealthDay News) -- In a new study, about 6
percent of eighth graders admitted they had participated in the
"choking game," in which blood and oxygen to the brain are cut off
with a rope or belt to produce a euphoric "high."
What's more, the researchers found that two-thirds of those kids
had played the dangerous game multiple times and many practiced
other risky behaviors.
"If kids do participate, they are likely to do it more than once," said lead researcher Robert Nystrom, adolescent health manager at the Oregon Public Health Division in Portland. Of the 6.1 percent who admitted to trying the game, about two-thirds had done so more than once and nearly 27 percent had done it more than five times.
The study is published online April 16 in the journal
Nystrom's team did not gather data on deaths, but the U.S.
Centers for Disease Control and Prevention has reported that 82
children died from the activity in the years 1995 through 2007.
Those who play the game, also called Knock Out, Space Monkey,
Flatlining or the Fainting Game, can lose consciousness within
seconds, according to the CDC. Within three minutes of continued
strangulation, such as hanging, basic body functions such as
memory, balance and the central nervous system can fail. Death can
occur shortly after, according to the CDC.
For the new survey, Nystrom and his colleagues obtained data
from the 2009 Oregon Healthy Teens survey. It included nearly 5,400
eighth graders -- ages 12 to 15 -- who answered questions about the
choking game as well as questions about their physical health,
sexual activity, exercise, nutrition, body image, substance abuse
and exposure to violence.
"Males and females seem to participate equally [in the game]," Nystrom said.
Those who did participate tended to engage in other risky
behaviors, Nystrom's team found. They were more likely to be
sexually active and to be substance abusers.
Girls who engaged in the game were more likely to gamble and
have poor nutrition; boys were more likely to be exposed to
Black boys were more likely to have played the game than white
boys, and Pacific Islanders of both genders were more likely than
whites to have tried playing, the researchers found.
However, Nystrom cautioned, there may not have been enough
ethnic diversity in the sample to be sure that those findings would
Dr. Dennis Woo, a staff pediatrician at the UCLA Medical Center
in Santa Monica, said he was surprised that the number of kids
participating was that high. "Six percent is quite a few kids," he
Parents can help their children avoid problems, he said, by
being aware that age 13 is a time when youth are transitioning to
adulthood, and trying to find themselves.
Be aware, Woo said, of your children's friends and their
activities. Be alert to behavior changes, such as suddenly not
doing well in school, because that might indicate they are getting
involved in risky behaviors.
"I think it's still OK to have an open door policy," he said, striking a balance between giving them "alone time" in their room but also having access. "Remind them they are still subject to random searches."
Some parents are casual about risk-taking behavior in their
pre-teens and teens, he said, reasoning that "kids will be kids."
But he would tell those parents that "you really do want to be
vigilant because some of the behaviors can have tragic
Nystrom agreed that parents need to talk to their children and
stay aware of any warning signs of the game activity. That could
include marks on the neck, red dots around the eyelid (reflecting
hemorrhage) and unexplained headaches, he said.
Contact the child's health care provider right away if you
suspect something, he said. At the child's annual wellness visit,
the pediatrician should do a comprehensive physical and include a
risk assessment, he added.
To learn more about the choking game, visit the
U.S. Centers for Disease Control and
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