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This Men's Health story on chokingspecifically, has been viewed nearly half a million times. It carries some real risks, especially if people do it without thoughtful discussion of consent, health, and safety.

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One mother did, and as many as 1, Americans each year stumble upon the bodies of their loved asphyxiations in similar situations. These people die accidentally while practicing what's known as autoerotic asphyxiation--strangling or suffocating themselves to heighten sexual arousal and orgasm. When you rob your brain of kink asphyxiayou experience a high -- euphoriadizzinessand lowered inhibition -- before you lose consciousness.

To make their sexual experience more thrilling, autoerotic asphyxiators masturbate while strangling themselves with cords, ropes, scarves, and ties, or they suffocate by sealing their he in plastic bags. The vast majority don't mean to kill themselves.

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They usually devise some kind of rescue kink to stop the asphyxiation once they've climaxed. But the fail-safe often fails. For example, they may tie a slip-knot or hang themselves from something that's shorter than they are, so they can simply stand up to stop the strangulation.

But they may get so weak and disoriented from lack of oxygen that they can't pull out the knot or stand up, and they pass out and die. Kathrin Passig, a German journalist, has been conducting an informal survey to find out why people get into asphyxiation. Many in her survey were inspired by the Alfred Hitchcock movie Frenzywhich has scenes of women being strangled, and Westerns on TV in which outlaws are hanged.

But TV and movies are not always the inspiration: "When I was 12 asphyxiations old, I tried holding my breath for as long as possible and found it sexually stimulating," one person said.

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Another said: "My girlfriend and I were 13 years old. We had a pillow fight for fun.

She suddenly got on top of me and as a of victory put her hands around my neck and cried, 'I win! Autoerotic asphyxiation is one of the few sexual practices that remain hush-hush, mainly because forensic scientists and psychologists won't talk about it outside their professional circles.

Everything you need to know about erotic asphyxiation

They're afraid of giving kids ideas. They are worried about kids in particular because teenage boys are the ones who most often die from it.

Suicide is one of the most common causes of death for teensand it's believed that many deaths ruled as suicide are actually autoerotic asphyxiation accidents. Police investigators may miss s that might lead them to conclude it was a sexual accident, or family members may "sanitize" the scene before the police show up -- removing the pornographic materials, lubrication, sex toys, and in cases where cross-dressing is involved, women's clothes.

Not all autoerotic asphyxiators like to put on women's clothes, but it's common enough to have become a stereotype.

What is sexual asphyxiation?

Mark Clark, a detective sergeant with the Scottsdale, Ariz. Clark had a younger brother who died from autoerotic asphyxiation in and also says he has just seen too many ghastly sexual asphyxiation death scenes while on the job. He says a good way to educate kids would be to approach asphyxiation in a nonsexual way: A lot of kids learn that it arouses them as a result of trying it because they've heard the practice can get them "high. You don't have to talk about the sexual end of it," he says.

Even if you don't have an accident and die, asphyxia causes permanent brain damage over time. They may be under the false impression that it's safe if someone is there to cut the rope.

One of the dangers of sexual asphyxiation is that it can trigger a heart attack. Deprived of oxygen, the chemistry of your blood changes.

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Those chemical changes can throw the heart into deadly heart rhythm abnormalities or cause and cardiac arrest. So you can die even if a partner loosens the noose.

There are as many sexual turn-ons as there are things in the world, and no one can keep you from feeling the way you do. If asphyxiation is your thing, however, it's best left to fantasy. Jenkins puts it in no uncertain terms: "This practice is not an acceptable variation of sexual behavior.

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Sexual asphyxiation is the act of choking someone for sexual pleasure.

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But how did strangling ever become normalised?

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Posted May 14, Reviewed by Devon Frye.

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This type of sexual activity involves intentionally cutting off the air supply for you or your partner with choking, suffocating, and other acts.

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Michael Gaffney, 21, was charged with manslaughter in the death of Francis Garcia in November.