4443-Gasping for air Choking gam

Document Sample
4443-Gasping for air Choking gam Powered By Docstoc
					Gasping for Air: Choking
Game Participation
among Oregon Youth
 Sarah K Ramowski, MSW
 Oregon Public Health
 2010 CSTE Conference
 Portland, Oregon
 June 8, 2010
• What is the Choking Game?
• What we know
• Oregon’s story
• Data & Results
• Next Steps
What is the Choking Game?
 • Self-induced hypoxia by strangulation to
   achieve a non-sexual euphoria
 • Not to be confused with auto-erotic
   asphyxiation
 • Feeling of light-headedness followed by
   “rush” as pressure around carotid artery
   is released & blood flow resumes
 • Alone or in groups
Other Aliases
 • The pass out game
 • Choke out
 • Space cowboy
 • Suffocation roulette
 • 5 minutes of heaven
 • Black-out
Signs and Symptoms
 Proceed with caution
 • Physical symptoms
    − Frequent headaches
    − Marks on neck
    − Bloodshot eyes
 • Behavioral symptoms
    − Time alone in locked room
    − “Unusual” need for privacy
    − Finding belts, ties around
 • Hearing kids mention the game or its aliases
What We Know
 • Well…not a lot
 • Informal consumer statistics
    − 762 incidents between 1974 – 2004
      (deadlygameschildrenplay.com)
    − 553 deaths (chokinggame.net)
    − 51 in 2009, 21 so far in 2010
 • 2008 CDC media lit review: 82 deaths
   between 1995 – 2007
    − Mostly males between ages 11-16
Case Studies
 • Up until past year, only record of formal
   study was case studies
 • THEORIES include:
    − Participants not likely to use drugs or
      alcohol
    − Perceived as “low risk” behavior for “good
      kids”
    − May be experiencing peer rejection or
      other familial disruption
    − Younger adolescents (9-14)
Oregon’s story
 • Intermittent inquiries from members of
   public
 • Contacted by Washington physician about
   collecting surveillance data
 • Got question added onto 2008 Oregon
   Healthy Teens survey for 8th graders only
 • Internal discussions
 • Not much pushback from schools/districts
The next question refers to the “Choking Game”, also called Knock
     Out, Space Monkey, Flatlining or The Fainting Game.
This is an activity that some youth participate in to get a high by
      cutting off blood and oxygen to the brain with a belt, towel,
      rope or other item. Which of the following is true for you?
      (Please mark all that apply.)
a.   I have never heard of the Choking Game
b.   I’ve heard of someone participating in the Choking Game
c.   I have helped someone else participate in the Choking Game
d.   I have participated in the Choking Game myself
What we Found
 • 36.2% had heard of the Choking Game
 • 30.4% had heard of someone participating
   in the Choking Game
 • 5.7% had participated themselves
 • Youth in rural areas had slightly higher
   participation rates
Results
                    Choking Game Awareness & Behavior
           **   38.0%
  40%                        **
         34.2%                 32.8%
                           27.6%
  30%

                                                                           Boys
  20%
                                                                           Girls
                                                             6.1%
  10%                                                               5.3%
                                            2.8% 2.5%

  0%
        heard of choking     heard of      helped someone   participated
             game           someone          participate      myself
                           participating

   ** = p < 0.01               OHT 2008 8th graders
Choking Game & Other Risks
 Participation in choking game strongly
   associated with:
   − Mental health concerns
   − Substance use
   − Poor grades
   − Harassment & school safety
Choking Game & Other Risks
 No association between Choking
   Game participation and:
   − Screen time (TV/Computer)
   − BMI
   − Nutrition
   − Physical activity
** = p < 0.01            Participated in Choking Game
                         and
Health indicator         W/indicator   W/o indicator
Unmet physical health        9.7%           4.8%
need**
Unmet mental health         11.8%           4.7%
need**
Contemplated suicide**      14.0%           4.2%
Ever had sex**              14.5%           4.0%
Overweight/obese             5.6%           5.8%
30 day alcohol use**        12.0%           3.2%
30 day marijuana use**      22.3%           4.0%
Good grades**                4.5%           8.9%
Adult cares about            5.0%           7.9%
them**
Analytic Strategy
 • Mental health risk ONLY (25.6%)
    − Unmet MH need OR “fair”/“poor” MH
      status OR contemplated suicide OR
      gambled for money
 • Substance use risk ONLY (11.1%)
    − 30 day use of alcohol OR cigarettes OR
      marijuana OR other illegal drugs
 • Both mental health AND substance use
   risks (19.4%)
 • Neither MH nor substance use risk (43.9%)
MH & Substance Use Results
 • Youth with mental health risk ONLY 2.3x
   more likely to participate in Choking
   Game
 • Youth with substance use risk ONLY 4.6x
   more likely to participate
 • Youth with both mental health and
   substance use risks 9.2x more likely to
   participate
       Predicted Probabilities of Choking Game Participation
         based on Substance Use and Mental Health Risks


20%                                                   17.4%
                                                           14.7%
15%

                                     8.8%                              Boys
10%                                      7.3%
                                                                       Girls
                     4.2%3.5%
5%
      2.0%1.6%

0%
      No MH or SA   Mental health   Substance use   Both substance
         risks        risk only       risk only     use and MH risks
Results Consistent?
 Prior Theories

       X
   •Not likely to use drugs or alcohol


       X
   • Perceived as “low risk” behavior for
   “good kids”

        ?
    • May be experiencing peer rejection or
    other familial disruption

        ?
     • Younger adolescents (9-14)
Perceived Risk of Youth
 • 2009: survey of middle & high school
   youth in Texas & Ontario (Canada)
 • 68% knew about Choking Game
 • 6% had tried it themselves
 • 40% perceived zero risk (7% of those had
   tried it)
Prevention
 • “What would make you stop doing it?”
    − 57%: could die or have brain damage
    − BUT we need to be careful with
      prevention messaging
 • Most influential source of prevention ed:
    − Parents for pre-adolescents (43%)
    − Victim/victim’s family for older teens
      (36%), then peers
Next Steps
 • Data collection
    − 2009: added 11th grade, question about
      lifetime frequency
    − Want to confirm, dig deeper into
      results
 • Fact sheet for parents/providers
   (www.oregon.gov/dhs/ph/ah/docs/CGFa
   ctsheet.pdf)
 • Encourage other states to put on YRBS
Preliminary 2009 Results
 8th grade         11th grade
 • 28% awareness   • 41% awareness
 • 6% lifetime     • 8% lifetime
   participation     participation
 • 4% 2 or more    • 5% 2 or more
   times             times
Questions??
 Sarah Ramowski
 Adolescent Health Policy & Assessment
   Specialist
 Oregon Public Health
 Sarah.Ramowski@state.or.us
 (971) 673-0377

				
DOCUMENT INFO
Shared By:
Categories:
Tags:
Stats:
views:13
posted:10/8/2010
language:English
pages:24