{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:12:05Z","timestamp":1787062325989,"version":"build-2736575974"},"reference-count":15,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Sexual choking has become increasingly normalized among young people, largely driven by media, pornography, and peer norms. Although often framed as consensual, breath\u2010control practices are physiologically unpredictable and can cause rapid loss of consciousness, brain injury, or even death within seconds. Once consciousness is lost, consent cannot be given or verified. Clinical and forensic experience in Finland indicates that choking is frequently reported in younger patients, yet national prevalence data are lacking. We argue that sexual choking is never medically safe, that clinicians should routinely ask about it, assess for injury, and provide clear risk counseling, and that medical ethics require engagement with harmful trends in patient care. Further research is needed to quantify prevalence and harms in Finland.<\/jats:p>","DOI":"10.1111\/aogs.70193","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T12:24:18Z","timestamp":1776687858000},"page":"975-978","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cAnd then I got strangled\u201d: Dangerous trends of sexual choking among young people"],"prefix":"10.1111","volume":"105","author":[{"given":"Katja","family":"Kero","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Center for Victims of Sexual Assault, Turku University Hospital University of Turku  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannu","family":"Lauerma","sequence":"additional","affiliation":[{"name":"Department of Forensic Psychiatry, Psychiatric Hospital for Prisoners, Turku University Hospital University of Turku  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia","family":"Wahlsten","sequence":"additional","affiliation":[{"name":"Department of Forensic Medicine Finnish Institute for Health and Welfare  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-022-02502-5"},{"key":"e_1_2_14_3_1","unstructured":"DaveyM.Risk of serious injury as strangling during sex becomes normalised among young Australians.2024. The Guardian [Internet]. Jul 1 [cited 2025 Jun 10]. Available from:https:\/\/www.theguardian.com\/society\/article\/2024\/jul\/02\/risk\u2010of\u2010serious\u2010injury\u2010as\u2010strangling\u2010during\u2010sex\u2010becomes\u2010normalised\u2010among\u2010young\u2010australians"},{"key":"e_1_2_14_4_1","volume-title":"Understanding and Treating Sex and Pornography Addiction","author":"Hall P","year":"2019"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-024-02937-y"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.2021.1920599"},{"key":"e_1_2_14_7_1","unstructured":"Vilhj\u00e1lmsd\u00f3ttirA ForbergT.Sexual asphyxia: The state of choking during sex in Iceland [Internet]. [PhD dissertation]. Reykjavik (Iceland) Reykjavik University Department of Psychology1993."},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118570654"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1196\/annals.1441.030"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.3160"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2022.0146"},{"key":"e_1_2_14_12_1","volume-title":"ICD\u201011","author":"World Health Organization","year":"2019"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/0092623X.2021.1985025"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-022-02347-y"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/10720169908400191"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.70012"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.70193","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/aogs.70193","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.70193","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T08:56:30Z","timestamp":1779353790000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.70193"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,20]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/aogs.70193"],"URL":"https:\/\/doi.org\/10.1111\/aogs.70193","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,20]]},"assertion":[{"value":"2025-11-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}