Choking Game Instructions



A few years ago the Centers for Disease Control and Prevention sounded the alarm about the “choking game,” a bizarre adolescent ritual which involves intentionally trying to choke oneself to create a brief high. Deaths from the game, it appears, are on the rise.

But as Dr. Pauline Chen reports in today’s Doctor and Patient column, many doctors and parents are still in the dark about the game itself, as well as the obvious signs that a child is playing it.

This month in the journal Pediatrics, researchers from the Rainbow Babies and Children’s Hospital in Cleveland reported that almost a third of physicians surveyed were unaware of the choking game. These physicians could not describe any of the 11 warning signs, which include bloodshot eyes and frequent and often severe headaches. And they failed to identify any one of the 10 alternative names for the choking game, startlingly benign monikers like “Rush,” “Space Monkey,” “Purple Dragon” and “Funky Chicken.”

“Doctors have a unique opportunity to see and prevent this,” said Dr. Nancy E. Bass, an associate professor of pediatrics and neurology at Case Western Reserve University and senior author of the study. “But how are they going to educate parents and patients if they don’t know about it?”

To learn more about the choking game, and Dr. Chen’s first encounter with the grisly result of the practice, read the full column, “A Surgeon Learns of the Choking Game,” and then please join the discussion below.


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