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Euphoria-inducing asphyxiation has become especially deadly as youths use ligatures that allow
them to play alone. The "choking game," a type of asphyxiation practiced by children
and adolescents seeking a euphoric rush, has killed at least 82 children since 1995, according
to the first U.S. government study to quantify the deaths.
The Centers for Disease Control and Prevention scoured news reports to tally deaths from the
game — also known as the "pass-out game" or "space monkey" —
because no official, nationwide records exist. The first report came in 1995, with three or
fewer deaths annually until 2004. There were 22 deaths in 2005, 35 in 2006 and nine in 2007,
with victims ranging in age from 6 to 19, the agency said. "The choking game involves
intentionally trying to choke oneself or someone else with one's hand or a noose to obtain a
brief euphoric state, or a high," said Robin L. Toblin of the CDC's National Center for
Injury Prevention and Control. "If the strangulation is prolonged ... death or serious
injury can result."
Public health officials are calling attention to the practice because most parents were
unaware of it until their children died. Nearly 90% of those who died were boys playing alone.
Signs of the game include bloodshot eyes, marks on the neck, severe headaches, and ropes,
scarves or belts tied to bedroom furniture, according to a CDC report. The activity cuts off
the blood supply to the brain, which deprives it of oxygen and can kill brain cells. Children
typically lose consciousness, followed by a floating and tingling feeling as oxygen-rich blood
rushes back to the brain. Permanent disability can develop. The practice also puts children at
risk of concussions, fractures, hemorrhaging in the eyes and coma.
The game has been played for decades but has become more deadly as children use ligatures that
allow them to play alone. In the study, 67 of 70 deaths that were detailed in news reports
occurred when children were by themselves. It is also widespread, with deaths reported in 31
states. The number of choking-game fatalities is probably underreported, Toblin said, and
there is no way to get an accurate national total since they aren't regularly reported or
listed on death certificates.
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Children dying as a result of trying to get high by choking themselves
