The choking game and YouTube: a dangerous combination.
OBJECTIVE
To study postings of partial asphyxiation by adolescents on YouTube and to increase awareness of this dangerous activity as well as the value of YouTube as a research tool.


METHODS
Videos were searched on YouTube using many terms for recreational partial asphyxiation. Data were gathered on the participants and on the occurrence of hypoxic seizure.


RESULTS
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.
Linkletter
Martha
M
Department of Pediatrics, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada. marthalinkletter@yahoo.ca
Gordon
Kevin
K
Dooley
Joe
J
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000402:Airway Obstruction; D001237:Asphyxia; D002170:Canada; D002648:Child; D003617:Dangerous Behavior; D003625:Data Collection; D005260:Female; D006266:Health Education / Q000379:methods*; D006801:Humans; D000860:Hypoxia / Q000150:complications; D033181:Information Dissemination / Q000379:methods; D020407:Internet; D008297:Male; D012189:Retrospective Studies; D012309:Risk-Taking; D012640:Seizures / Q000209:etiology; D016728:Self-Injurious Behavior / Q000517:prevention & control* / Q000523:psychology; D012737:Sex Factors; D018910:Video Games / Q000523:psychology*; D055815:Young Adult