{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:41:16Z","timestamp":1791229276511,"version":"4.1.0"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2009,7,13]],"date-time":"2009-07-13T00:00:00Z","timestamp":1247443200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2010,3]]},"abstract":"<jats:p>Purpose: To study postings of partial asphyxiation by adolescents on YouTube and to increase awareness of this dangerous activity as well as the value of YouTube as a research tool. Methods: Videos were searched on YouTube using many terms for recreational partial asphyxiation. Data were gathered on the participants and on the occurrence of hypoxic seizure. Results: Sixty-five videos of the asphyxiation game were identified. Most (90%) participants were male. A variety of techniques were used. Hypoxic seizures were witnessed in 55% of videos, but occurred in 88% of videos that employed the \u201csleeper hold\u201d technique. The videos were collectively viewed 173550 times on YouTube. Conclusions: YouTube has enabled millions of young people to watch videos of the \u201cchoking game\u201d and other dangerous activities. Seeing videos may normalize the behavior among adolescents. Increased awareness of this activity may prevent some youths from participating and potentially harming themselves or others.<\/jats:p>","DOI":"10.1177\/0009922809339203","type":"journal-article","created":{"date-parts":[[2009,7,13]],"date-time":"2009-07-13T21:29:46Z","timestamp":1247520586000},"page":"274-279","source":"Crossref","is-referenced-by-count":67,"title":["The Choking Game and YouTube: A Dangerous Combination"],"prefix":"10.1177","volume":"49","author":[{"given":"Martha","family":"Linkletter","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Gordon","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joe","family":"Dooley","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2009,7,13]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dr.2007.08.003"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1016\/j.yebeh.2007.12.008"},{"key":"atypb3","author":"Centers for Disease Control.","year":"2008","journal-title":"MMWR Morb Mortal Wkly Rep."},{"key":"atypb4","volume-title":"YouTube Fact Sheet","year":"2007"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.4728.382"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1001\/jama.298.21.2482"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1002\/jclp.20420"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1136\/tc.2007.020024"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1097\/PAF.0b013e318148bdb2"},{"key":"atypb10","volume-title":"The mental health and well-being of Ontario students, 1991-2007: OSDUHS highlights","author":"Centre for Addiction and Mental Health.","year":"2008"},{"key":"atypb11","first-page":"52","volume":"13","author":"Deevska M.","year":"2008","journal-title":"Paediatr Child Health"},{"key":"atypb12","volume-title":"The choking game victims registry","author":"The Dylan Blake Foundation.","year":"2007"},{"key":"atypb13","volume-title":"Games adolescents shouldn\u2019t play. 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