Risk of suicidal ideation in adolescents with both self-asphyxial risk-taking behavior and non-suicidal self-injury

Suicide Life Threat Behav. 2011 Aug;41(4):424-34. doi: 10.1111/j.1943-278X.2011.00042.x. Epub 2011 Jun 1.


This study examined adolescent participation in self-asphyxial risk-taking behaviors (SAB), sometimes known as the "choking game," and its relationship with other adolescent risk behaviors, including non-suicidal self-injury (NSSI). Researchers proposed that participation in SAB and NSSI would be associated with suicidal behavior, disordered eating, and substance use. Using a large community-based sample, results revealed preliminary associations between SAB and other risk-taking behaviors. Adolescents who had engaged in both SAB and NSSI reported more concurrent risk behaviors than adolescents who participated in only one of the behaviors or neither behavior. Results indicate that greater awareness of SAB is important, and continued research can evaluate the possible link between the behavior and risk for suicide.

MeSH terms

  • Adolescent
  • Chi-Square Distribution
  • Data Collection
  • Feeding and Eating Disorders / epidemiology
  • Feeding and Eating Disorders / psychology
  • Female
  • Humans
  • Male
  • Prevalence
  • Risk-Taking*
  • Self-Injurious Behavior / epidemiology
  • Self-Injurious Behavior / psychology*
  • Sex Factors
  • Substance-Related Disorders / epidemiology
  • Substance-Related Disorders / psychology
  • Suicidal Ideation*
  • Surveys and Questionnaires
  • Young Adult