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The Pediatric Forum
January 5, 2009

Language Matters: Unintentional Strangulation, Strangulation Activity, and the “Choking Game”

Author Affiliations

Copyright 2009 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2009

Arch Pediatr Adolesc Med. 2009;163(1):93-94. doi:10.1001/archpediatrics.2008.517

A recent study reported that 82 American youths aged 6 to 19 years had died of unintentional strangling while “playing the choking game” from 1995 to 2007.1 To that article's recommendations, we propose an additional recommendation to further curtail unintentional strangulation mortality. We propose referring to behaviors that might lead to death from unintentional strangulation as strangulation activity rather than playing the choking game.