Young Risk-Takers Drawn to Dangerous ‘Choking Game’

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
Pediatrics.

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 violence.

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 hold up.

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 noted.

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 consequences.”

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.

More information

To learn more about the choking game, visit the U.S. Centers for Disease Control and Prevention.

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