Part 8

Who Is Most At Risk

Unfortunately, there is no available statistically viable research that is specifically targeted at living practitioners of this type of play. We are left to extrapolate from research on other things or on similar things done under different circumstances. Therefore, the information below is based upon information taken from studies on police choke holds (where the police apply pressure to the carotid arteries) and Mountain sickness (a form of high elevation hypoxia suffered by climbers). Here is what these two types of asphyxiation have taught us about who tends to be injured or has the highest mortality rate in reference to lack of oxygen:

  • Men over age 40
  • People with a history of a seizure disorder
  • People suffering from mental illness, especially manic-depressives in the manic phase
  • Anyone under the influence of drugs or alcohol (even prescription drugs)
  • Anyone talking any form of digitalis or tricyclic antidepressants
  • Anyone with a history of respiratory, heart, or blood pressure problems
  • People who are overweight (especially if they have high cholesterol levels)
  • Anyone who has a cold or other respiratory problem at the time of the incident

Note: I am not a doctor and this data DOES contain inherent flaws. I fully recognize that different factors are involved during a police choke hold. The act is nonconsensual, the victim is struggling, and the police officer is most likely very angry. I can easily see how that might skew the research so that it does not apply as well to those of us involved in consensual play that is carefully thought out and executed in passion. I also recognize that mountain climbing involves a lot of physical activity that may mean that those involved are more fit than average and thus the research in that area is probably best applied to those in good condition. All I can say is that this is the best research we have to work with.


Suggested reading materials or sources

Here are two new links to suggested health sites. I want to stress that they cannot replace proper hands on training, but they are excellent sources of information.

Supporting Life (various excellent health links):

Less Stress Training (CPR and First Aid Simulators- REALLY good source of info):


    • Forensic Pathology (CRC Series in Fractical Aspects of Criminal and Forensic Investigations) by Dominick J. Di Maio, Vincent J. M. Di Maio.
      CRC Pr; ISBN: 0849395038;
      Hardcover (January 1993).


    • “Death from Law Enforcement Choke Holds”
      American Journal of Forensic Medicine and Pathology,
      Volume 3, Number 3, September 1982, pages 253-258.


    • Taber’s Cyclopedic Medical Dictionary: Thumb Indexed (18th Ed)
      Clayton L. Thomas (Editor), Robert H. Craven, Jr.
      Hardcover – 2439 pages 18th edition (February 1997)
      F A Davis Co; ISBN: 0803601948
      Also Available:
      Paperback – 2704 pages 19th edition (February 2001); F A Davis Co; ISBN: 0803606540
      Software – 19 edition (January 2001); Unknown; ISBN: 0803606575


    • Medical Self-Care and Assessment
      Brent Q. Hafen, Ph.D., Molly J. Brogg, Ph.D., Kathryn J. Frandsen, Ed. D.


    • “The Breathless Orgasm: A Lovemap Biography of Asphyxiaphilia”
      by John Money, Gordon Wainwright, David Hingsburger
      Hardcover – 178 pages (April 1991)
      Promethean Press; ISBN: 0879756640


  • Jujutsu Shimete Strangulation techniques
    Dr. Colin D. Mathers and John R. Bear
    1998; IJJIA Research and Publications Division
  • “Autoerotic Asphyxia: A Case Report”
    Journal of Sex and Marital Therapy
    Volume 23, Issue 4 – Publication date (expected/actual): October 27, 1997
    Johnstone and Huws; pp. 326-332

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