1 Introduction</h5> Adolescence is known to be a time of initiation of exploratory and health risk behaviors. Identification with peers begins in early adolescence and with that comes the impact of peer pressures. 1,2 Morbidity and mortality during this period are frequently due to preventable conditions, such as motor vehicle accidents and other causes of injury. 3 </P>Time and again, adolescents' exploratory nature leads them to discover new risky behaviors. In the past decade, there has been increasing reports of an emergent “game” adolescents play referred to as the Choking Game, Pass-out Game, or Suffocation Roulette, amongst others. 4–9 This game involves a non-suicidal, temporary self-asphyxiation in an effort to get a “high” or state of euphoria without the risks associated with substance use. 4 It is also seen among adolescents who accept dares or challenges in an effort to seek acceptance among peers. 5 Though these reports are relatively recent, according to anthropologists this behavior has been observed among Eskimo children since long ago. 10 </P>In 2010, the first case of self-strangulation was referred to the Suspected Child Abuse & Neglect (SCAN) team at one of the main tertiary care, academic hospitals in Riyadh, Saudi Arabia. The
Journal of Forensic and Legal Medicine – Elsevier
Published: Feb 1, 2015
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