Media reports have brought increased attention to a deadly game children are playing, often resulting in death or near-death. In the choking game, participants attempt to get “high” or experience a euphoric feeling by temporarily depriving the brain of oxygen by applying pressure to the neck until they pass out. In the study, “The Choking Game: Physician Perspectives,” published in the January issue of Pediatrics (appearing online December 14), 163 pediatricians and family practitioners were asked about their awareness of the choking game and its warning signs. Survey results indicate that close to one-third of physicians were unaware of the choking game or the warning signs, which can include bruising around the neck, headaches, bloodshot eyes, ties, belts or cords found in unusual places or tied in strange knots, or wear marks on furniture. 

The study authors and majority of all respondents agreed that reliable and accurate information should be provided so physicians can discuss the risks associated with the choking game with patients and their parents to help prevent children from playing the game. 

The American Academy of Pediatrics is an organization of 60,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. For more information, visit www.aap.org.