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Kenneth A. Katz, MD, MSc, MSCE; Robin L. Toblin, PhD, MPH

Arch Pediatr Adolesc Med. 2009;163(1):93-94.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A recent study reported that 82 American youths aged 6 to 19 years had died of unintentional strangling while "playing the choking game" from 1995 to 2007.¹ To that article's recommendations, we propose an additional recommendation to further curtail unintentional strangulation mortality. We propose referring to behaviors that might lead to death from unintentional strangulation as strangulation activity rather than playing the choking game.

As defined in that article,¹ the choking game is "self-strangulation or strangulation by another person with the hands or a noose to achieve a brief euphoric state caused by cerebral hypoxia." Other articles in the scientific literature and news and entertainment media have referred to those same behaviors as the choking game or by such terms as space monkey or pass-out game,^2-3 because these are terms that youths who engage in these behaviors . . . [Full Text of this Article]

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