This program is one part of an Education Program for Educators about Current & Emerging Youth Risk Behaviors. Review the document "User's Guide" uploaded here to my profile for a full overview. (Ed4Ed4All program currently addressing "The Choking Game"; "EMO"; "Pharm Parties" 'Atypical Inhalants" . Please follow us on facebook, twitter and make sure to visit our web site for a video overview of "The Choking Game" ) This is the reduced file version with limited/no transitions and no embedded video files.

1. 10-24-2011
Youth Risk Behaviors
Injury Prevention Program

2. 10-24-2011
TEACHING THE ESSENTIAL ELEMENTS OF

3. 10-24-2011
THE MESSAGE – THE MISSION
TO KEEP KIDS SAFE!
INFORM & EDUCATE!

4. 10-24-2011
Bridging The Information Gap

5. 10-24-2011
SPECIAL THANKS TO THE EDUCATORS – YOUTH LEADERS – PARENTS
INJURY PREVENTION COLLEAGUES & SPONSORS
GASP - Games Adolescents Shouldn't Play
The DB Foundation
APEAS - Association de Parents d'Enfants Accidentes par Strangulation
Chris Marceno Foundation
Jenny Morgan.org
Still Loving My Gabriel
The 8th Day Foundation
Connor's Heart
For Kevins Sake: Stop the Choking Game
Erik's Cause Help Stop the Choking Game
National Inhalant Abuse Prevention Coalition

6. 10-24-2011
TOUCHSTONE SECTION GUIDE
Introduction STATISTICS
The Choking Game RESEARCH/RESOURCES
EMO Endorsements
PHARM PARTIES Presentation Conclusions
INHALANTS Ed4Ed Program Videos
https://www.box.net/shared/evyixhithr

7. 10-24-2011
CHOKING GAME 911 CALL
PHYSIOLOGY OF THE CHOKING GAME
INDUCED SEIZURES
SURVIVORS OF THE CHOKING GAME
OUR ANGELS – VIDEO TRIBUTE
DEAREST JASON
EACH VIDEO IS IN WINDOWS MEDIA FORMAT – WHEN VIEWING THE SLIDE CONTAINING
THE VIDEO – [LEFT]CLICK THE SLIDE TITLE TO PLAY THE VIDEO

8. 10-24-2011
HIDDEN
RISKS
P
H
A
“EMO” R
M
P
A
R
“HUFFING“– “DUSTING” T
PRESCRIPTION MEDICATION ABUSE I
E
S
?
OVER THE COUNTER MEDS
ATYPICAL INHALANTS

9. 10-24-2011

10. 10-24-2011
THE CHOKING GAME
WHAT IS IT?
Anoxic/Hypoxic
Brain Injury & Death

11. 10-24-2011
NO MATTER WHAT THE NAME
ITS NEVER A GAME!
Flat liner Underwater Sensation
Suffocation Roulette
Space Monkey
Pass out
TAPOUT GAME Shenandoah Surprise
Airplaning
Tingling
Rising Sun Blackout The Big Lebowski
Breath Play
Funky Chicken KNOCK OUT
Space Cowboy
In & Out
California High
FLOATING Visual Ecstasy
American Dream
Gasp
LIGHTS OUT FREE FALLKevin Kline-ing

12. 10-24-2011

13. 10-24-2011
http://www.onetruemedia.com/shared?p=75f454f8cdaedc38ea3bff&skin_id=1703&utm_so
urce=otm&utm_medium=text_url

14. 10-24-2011
PEOPLE FAINT ALL THE TIME
How is this different?
P EO P L E C O M M O N LY FA I N T D U E TO LO W B LO O D
P R E S S U R E O R LO W B LO O D S U G A R
L O S S O F C O N S C I O U S N E S S C AU S E D BY A S P H Y X I A L
A C T I V I T I E S H A P P E N S B EC AU S E T H E B R A I N I S S TA R V I N G
F O R OX YG E N
 YOUR B R A I N S U S TA I N S DA M A G E A N Y T I M E YO U A R E
D E P R I V E D O F OX YG E N
 AS LITTLE AS A 1 0 % R E D U C T I O N I S C O N S I D E R E D “ D E P R I V AT I O N ”
 YOUR B R A I N I S T H E M A S T E R C O N T RO L C E N T E R F O R
A L L YO U R B O D I E S F U N C T I O N S

15. 10-24-2011

16. 10-24-2011
WHY ARE THEY TWITCHING LIKE THAT?
 NOT TWITCHING – THEY’RE SEIZING
 INCREASED PRESSURE IN YOUR BRAIN CAUSES SEIZURES -
STROKE
INSTANTLY OR LATER ON
SUDDEN & UNEXPECTED
DEATHS

17. 10-24-2011
MYTH
 MINOR B RAIN C E L L D A M A G E ( D E AT H O F L I V I N G C E L L S ) W I L L N O T
C A U S E I M M E D I AT E D E AT H O F T H E P H Y S I C A L B O D Y
 UNLIKE O T H E R C E L L S I N T H E B O D Y, T H E B R A I N C A N N O T M A K E N E W
ONES
 THE DAMAGE IS
 T HE DAMAGE IS
 E AC H T I M E YO U R B R A I N I S D E P R I V E D O F OX YG E N DA M AG E W I L L
OCCUR
 A LITTLE OR A LOT – DEPENDING ON HOW MUCH AND HOW LONG
YO U R B R A I N I S D E P R I V E D O F OX YG E N
 B R A I N D A M A G E R E S U LT S I N P H Y S I C A L A N D M E N TA L D I S A B I L I T I E S
 A LIT TLE OR A LOT – DEPENDING ON HOW M U C H DA M AG E WA S
DONE
 B RAIN DAMAGE

18. 10-24-2011

19. 10-24-2011
Russian Roulette RUMORS
 NERV ES I NS I DE YO UR NECK
R E G U L AT E Y O U R H E A R T B E AT
 P R ES UR E O N YO UR NECK
CAN CAUSE ABNORMAL
H E A R T B E AT S & C A N C A U S E
H E A R T AT TA C K
 P R ES S UR E O N YO UR CHEST
CAN CAUSE IT TOO
 R A P I D LY E X P E L L I N G A I R
A F T E R H Y P E R V E N T I L AT I O N
 T H E R E S U LT I S T H E S A M E M AY A L S O C A U S E
A B N O R M A L H E A R T B E AT S

20. 10-24-2011
Safe to Do with Friends?
SERIOUS PHYISICAL INJURIES
• FALLS - BROKEN BONES (LEGS, JAWS, SKULL FRACTURES)
• TOOTH LOSS, FACIAL LACERATIONS, PERMANENT SCARRING &
DISFIGUREMENT
• HEAD INJURIES - RETINA DETACHMENT PERMANENT
BLINDNESS, CONCUSSION, INTERNAL INJURY TO BRAIN
STRUCTURES THAT ALLOW NORMAL SIMPLE BODY FUNCTIONS
(CONTROL OVER YOUR BLADDER AND BOWELS)

21. 10-24-2011
DENY THE LIES!
LOT S O F D EA D & I N J U R E D K I D S “ H EA R D ”
A N D B E L I E V E D T H E L I ES
T H E R E I S N O “ SA F E WAY ”
 LO S S O F CO N C I O U S N ES S O C C U RS
D I F F E R E N T LY EAC H T I M E
 I T S I M P O S S I B L E TO K N OW W H E N TO
R E L EA S E P R ES S U R E “ I N T I M E ”

22. 10-24-2011
HUGE LIE – “HIGH”
I T S N OT PA S S I N G O U T
I T S N OT FA I N T I N G
A L A R M C H E M I C A L S I T S N OT A G A M E
P RO D U C E D BY I T S N OT A F R E E H I G H
DY I N G B R A I N C E L L S N OT A S A F E A LT E R E D
• CHEMICALS – S TAT E O F M I N D !
REGARDLESS OF
S O U R C E C A N C R E AT E
DEPENDENCY

23. 10-24-2011
DEPENDENCY
• “INSSIDIOUS” DEPENDENCY
• A DEPENDENCY
• PERHAPS EXPLAING WHY
IT MIGHT START AS A
GROUP CURIOSTIY
• ESCALATE TO SOLO
EXPERIMENTATION (97%
OF DEATHS REPORTED
SOLO ACTIVITIES)

24. 10-24-2011
WARNING SIGNS
THE HALLMARK OF BRAIN INJURY
S U D D E N C H A N G E S P E R S O N A L I T Y A N D / O R B E H AV I O R
  LOCKED DOORS
  S E C R AT I V E B E H AV I O R
 UN US UAL IT EMS (ANYTHING
 T H AT C O U L D B E U S E D A S A
L I G AT U R E )
 U NEXPLAINED MARKS OR  I N U N U S U A L L O C AT I O N S ( T I E D
CHAFING AROUND THE NECK TO DOORS, BEDS, OR EVEN
(SOMETIMES HIDDEN BY FOUND LOOSE IN A BED )
SCARVES OR BRUSHED
A S I D E W I T H VA G U E  W EAR MARKS ON
E X P L A N AT I O N S ) DOORS, BEDS

25. 10-24-2011
EMO - just a word – short for “emotional”

26. 10-24-2011
For Most - Yes For Some - No

27. 10-24-2011

28. 10-24-2011
Music – Expressive & Creative
Lyrics
 Hawthorne Heights
 Armor for Sleep
 Yellow Card
 Alexis on fire
 A Static Lullaby
 Brand New
 Finch
 From Autumn To Ashes
 From First To Last
 Funeral for a Friend
 Matchbook Romance
 My Chemical Romance
 The Starting Line
 Fall Out Boy
SOME MAY MISINTERPRET THE LYRICS – HANNAH BOND DID

29. 10-24-2011
A Joke?
Desperation – Mutilation – Depression –
Suicide?

30. 10-24-2011
NO GAME – NO JOKE – NOT ALWAYS JUST TEEN CULTURE –
NO GLAMOR HERE – DEFINITELY NOT FUNNY
THE BOND FAMILY IS NOT LAUGHING

31. 10-24-2011
PHARM PARTIES?
WHATS THAT?

32. 10-24-2011
Nicknamed
or

33. 10-24-2011
USA MIXED MEDS HOSPITAL ADMISSIONS
12- 17 Year Old Admitted to E.R.
ANNUALLY - 24, 418
1,200 – LIFE THREATENING & REQUIRE CRITICAL CARE

34. 10-24-2011

35. 10-24-2011
Ages 12+ “Recreational Use” Reported

36. 10-24-2011

37. 10-24-2011
•O T C s
Herbal Remedies
• Herbal/Energy Drinks “Tylenol
PM”

38. 10-24-2011
• Dextromethorphan
Found in more than
non-prescription

39. 10-24-2011
READ THE LABELS
•“BATH SALTS”
•Physiological/Psychological effects
•tachycardia (Rapid heartbeat)
• OTHER OTCs
•hypertension (High blood pressure)
•vasoconstriction (Narrowing of the blood
DXM Nicknames vessels)
• Robo • Caffeine & Herbs ,
•insomnia (Inability to sleep)
•nausea, stomach cramps, and digestive
• Skittles • Tylenol
problems
•bruxism (Grinding teeth)
• Triple C’s •increased body
• Dex • Toxic
temperature, chills, sweating
•pupil dilation
• Vitamin D • Liver
•headache
•kidney pain
• •tinnitus
Damage
• Tussin •dizziness
• DXM [abused] • •overstimulation
Irreversible
•breathing difficulty
SAME EFFECTS AS • •agitation/hypertonia
*When Abused ALL are
•severe paranoia
OPIATES •confusion
Deadly Toxins
•psychotic delusions
EMERGING TREND ATYPICAL HOUSEHOLD ITEM - •extreme anxiety/agitation, sometimes
Crossover See Slides 44 & 45 for More Images progressing to violent behavior
•suicidal thoughts/actions

40. 10-24-2011

41. 10-24-2011

42. 10-24-2011
COMPRESSED AIR
“DUST OFF”

43. 10-24-2011
EVERY DAY USES – COMMON ABUSES

44. 10-24-2011
• "LAUGHING GAS" (NITROUS OXIDE)
• "SNAPPERS" (AMYL NITRITE)
• "POPPERS" (AMYL NITRITE AND BUTYL NITRITE)
• "WHIPPETS" (FLUORINATED HYDROCARBONS, FOUND IN WHIPPED
CREAM DISPENSERS)
• "BOLD" (NITRITES)
• "RUSH" (NITRITES)
• ‘White Lightening’, ‘Blue Magic’, ‘Blow”, ‘Snow’‘Plant food’,
‘Window Cleaner *Bath Salts”+ K-2/Spice; Incense, potpourri
more potent than 9-tetrahydrocannabinol [marijuana — and
various oxidized metabolites of each ]

45. 10-24-2011
INHALANTS – BY CHEMICAL ID – EXAMPLES - EFFECTS
INHALANT EXAMPLE EFFECTS
(JWH-018, jWH-073, Incense, potpourri Respiratory Failure; Lung Damage;
JWH-200, CP-47,497, and sudden death
cannabicyclohexanol (six different
chemicals) used to make “Fake
Pot”
Methylenedioxypyrovalerone 'White Lightening', 'Blue REFER TO OTC SECTION –
(MDPV) psychoactive Magic', 'Blow", 'Snow', 'Plant PSYCHO ACTIVE DRUG EFFECT
drug with stimulant propertie food', 'Window
s – (ingested /snorted & Cleaner ‘MDPK, MTV, Magic,
Smoked/Inhaled Maddie, Black Rob, Super
Coke and PV.
EFFECTS…
Toluene Spray paint Hearing loss
Glue Damage to spinal cord or
Dewaxer brain
Fingernail polish Liver and kidney damage
Trichloroethylene Cleaning fluid Hearing loss
Correction fluid Liver and kidney damage
Hexane Glue Limb spasms
Gasoline Blackouts
Nitrous Oxide Whipped cream dispensers Limb spasms
Gas cylinders Blackouts
Benzene Gasoline Bone marrow damage

46. 10-24-2011
MORE IMMEDIATE EFFECTS OF INHALANTS
CARDIAC ARRHYTHMIAS [HEART ATTACK!]
ASPHYXIA/SUFFOCATION/SUDDEN DEATH
DAMAGE TO THE OPTIC NERVE – CAUSING BLINDNESS

47. 10-24-2011
LONG TERM EFFECTS OF INHALANTS

48. 10-24-2011
STATISTICS
webmaster@ed4ed4all.com

49. 10-24-2011
STATISTICS
"THE CHOKING GAME"
“CHOKING GAME” STATISTICS OF DEATH & INJURY
REPRESENT AN ASSESMENT. NO OFFICIAL
NATIONAL OR INTERNATIONAL REGISTRY
MONITORS, COLLECTS & REPORTS DATA BASED
ON EMPIRICAL METHODS OF COLLECTION. AT
PRESENT INCIDENTS ARE RECORDED BY
INDEPENDENT INJURY
PREVENTION/INTERVENTION GROUPS,
SUBSTANTIATED THROUGH SELF REPORTING BY
VICTIMS’ FAMILY MEMBERS, MEDIA, AND
SCIENTIFIC JOURNALS.

50. 10-24-2011
ALL Victims To Date – 1006
DECEASED SURVIVED
661
70
140 15
5
60 0
0
2
1
2
0
Male 19 & Under 45
Female 19 &
Under Male Age 5
Unknown Female Age
Unknown Gender / Age
Unknown Adult Males 20+
Adult Females
20+

51. 10-24-2011
ADULTS - 51
Adult Males 20+
45 Adult Females 20+
45
40
35
30
25
20
5
15
0
10 Adult Females 20+
5 1
Adult Males 20+
0
Deceased Survived
*Media reports: 2 Incidents Age/Gender Withheld; 65 Males Age Withheld; 5 Females Age Withheld

52. 10-24-2011
YOUTH VICTIMS - 886
800
700 140
600
500
Females 19 & Under
400
Males 19 & Under
661
300
200
15
100
70
0
DECEASED SURVIVED
*Media reports: 2 Incidents Age/Gender Withheld; 65 Males Age Withheld; 5 Females Age Withheld

53. 10-24-2011
1.1% 1.0%
Scotland 5
6.2%
India 4
Ireland 4
New Zealand 4
Australia 3 9.7%
Germany 3
Switzerland 3
Belgium 2
Jamaica 2
Korea 2
Malaysia 2 14.0%
Peru 2
63.4%
Wales 2
Br Vir Islands 1
Brazil 1
Egypt 1
Greece 1
Holland 1
Italy 1
Russia 1
Sweden 1

54. 10-24-2011
3%
10%
5%
22%
7%
1%
2% 5%
45%
AB BC MB NB NS ON PE QC SK
*Media reports: 3 incidents Providence Withheld

55. 10-24-2011
32.03%
46.08%
3.59%
0.33% 1.63% 3.27%
0.33% 1.31%
1.31%
0.65%
0.33% 1.31%
0.65%
0.33% 0.98% 0.98%
France England S_ Africa Withheld Scotland
India Ireland New Zealand Australia Germany
Switzerland Belgium Jamaica Korea Malaysia
Peru Wales Br Vir Islands Brazil Egypt
Greece Holland Italy Russia Sweden

56. 10-24-2011
Calendar Years
Gender & Status 2011 2010 2009 2008 2007 2006 2005
Females (Deceased) 0 13 15 26 29 18 18
Females (Survived) 0 3 2 1 2 2 0
Males (Deceased) 17 42 54 81 111 127 94
Males (Survived) 3 8 11 6 11 15 9
Gender Unknown (Deceased) 0 0 0 0 0 0 0
Total for Year 20 66 114 114 153 162 121
Calendar Years
Gender & Status 2004 2003 2002 2001 2000 1999
Females (Deceased) 2 4 6 5 4 1
Females (Survived) 1 0 0 1 1 0
Males (Deceased) 47 19 20 26 29 15
Males (Survived) 4 0 0 1 1 0
Gender Unknown (Deceased) 0 0 0 1 0 0
Total for Year 54 23 26 34 35 16

57. 10-24-2011
Calendar Years
Gender & Status 1998 1997 1996 1995 1994 1993
Females (Deceased) 0 2 1 0 0 0
Females (Survived) 0 0 0 0 0 0
Males (Deceased) 8 4 4 3 3 2
Males (Survived) 0 2 1 0 0 1
Gender Unknown (Deceased) 0 0 0 0 0 0
Total for Year 8 8 6 3 3 3
Calendar Years
Gender & Status 1992 1991 1990 1989 1987 1986
Females (Deceased) 0 0 0 0 0 0
Females (Survived) 0 0 0 0 0 0
Males (Deceased) 5 2 2 1 1 2
Males (Survived) 0 0 0 0 1 0
Gender Unknown (Deceased) 0 0 0 0 0 0
Total for Year 5 2 2 1 2 2

58. 10-24-2011
Calendar Years
Gender & Status 1985 1984 1983 1982 1981 1980
Females (Deceased) 0 1 0 0 0 0
Females (Survived) 0 0 0 0 1 1
Males (Deceased) 1 1 3 1 1 0
Males (Survived) 0 0 0 0 0 0
Gender Unknown (Deceased) 0 0 1 0 0 0
Total for Year 1 2 4 1 2 1
Calendar Years
Gender & Status 1979 1978 1977 1975 1974
Females (Deceased) 1 0 0 0 0
Females (Survived) 0 0 0 0 1
Males (Deceased) 0 1 1 2 1
Males (Survived) 1 0 0 0 0
Gender Unknown (Deceased) 0 0 0 0 0
Total for Year 2 1 1 2 1

59. 10-24-2011
Calendar Years
Gender & Status 1973 1972 1971 1969 1950 1934
Females (Deceased) 0 0 0 0 0 0
Females (Survived) 0 0 0 0 0 0
Males (Deceased) 1 1 2 1 1 1
Males (Survived) 0 0 0 0 0 0
Gender Unknown (Deceased) 0 0 0 0 0 0
Total for Year 1 1 2 1 1 1
Females (Deceased) 1 1
Females (Survived) 0 0
Males (Deceased) 28 0
Males (Survived) 1 0
Gender Unknown (Deceased) 0 0
Total For Calendar Years/Gender Unknown *30 **1
*Calendar Year Unknown and/or **Calendar Year and Gender Unknown

60. 10-24-2011
WI 12 1.88%
MA 11 1.72%
NJ 11 1.72%
OR 11 1.72%
AZ 10 1.57%
NE 10 1.57%
IA 9 1.41%
VA 9 1.41%
KS 8 1.25%
MN 7 1.10%
CA 47 7.37% CT 6 0.94%
TX 43 6.74% MD 6 0.94%
Withheld 34 5.33% MS 6 0.94%
GA 31 4.86% NH 6 0.94%
NV 6 0.94%
MI 31 4.86%
AR 0.78%
5
OH 31 4.86%
ME 5 0.78%
FL 29 4.55% ASSESMENT UT 5 0.78%
PA 28 4.39% NO GEOGRAPHIC ID 4 0.63%
NY 24 3.76% LA 4 0.63%
CLUSTERING NM 4 0.63%
IL 23 3.61%
OK 4 0.63%
NC 23 3.61%
MT 3 0.47%
CO 19 2.98% WV 3 0.47%
MO 18 2.82% AK 2 0.31%
IN 16 2.51% DE 2 0.31%
WA 16 2.51% ND 2 0.31%
WY 2 0.31%
TN 13 2.04%
DC 1 0.16%
AL 12 1.88%
HI 1 0.16%
KY 12 1.88% SD 1 0.16%
SC 12 1.88% RI 0 0.00%
VT 0 0.00%

61. 10-24-2011
USA State Review Table
Incidents Total - 638
OH 31 4.86%
Incident Rank 1-5 (Highlighted Text) OK 4 0.63%
OR 11 1.72%
MD 6 0.94% PA 28 4.39%
Incident Rank 6-10 (Highlighted Text) ME 5 0.78% RI 0 0.00%
MI 31 4.86% SC 12 1.88%
AK 2 0.31% HI 1 0.16%
MN 7 1.10% SD 1 0.16%
AL 12 1.88% IA 9 1.41% MO 18 2.82% TN 13 2.04%
AR 5 0.78%
ID 0.63% MS 6 0.94% TX 6.74%
4 43
AZ 10 1.57% MT 3 0.47% UT 0.78%
IL 23 3.61% 5
CA 47 7.37% NC 23 3.61% VA 9 1.41%
CO 19 2.98% IN 16 2.51% ND 2 0.31% VT 0 0.00%
CT 6 0.94% KS 8 1.25% NE 10 1.57% WA 16 2.51%
DC 1 0.16%
KY 1.88% NH 6 0.94% WI 12 1.88%
12
DE 2 0.31% NJ 11 1.72%
FL 29 4.55% LA 4 0.63%
NM 4 0.63%
Withheld 34 5.33%
GA 31 4.86% MA 11 1.72% NV 6 0.94% WV 3 0.47%
NY 24 3.76% WY 2 0.31%

62. 10-24-2011
16 USA 3TOPOGRAPHICAL MAP 5
2 7 0
11 12 31 24
4 6
2 1
9 28 11
47 6 10 23 31
5 6
19 18 3
8 2 6
11
10 4 16
5 6
4 12 9
23 1
43 [D.C.]
12
2 31 13
6
4
1
12 29
34 - USA Geographic Location Withheld In Media Reporting

63. 10-24-2011
USA CENTER FOR DISEASE CONTROL
COMPARED TO 5,101 SUICIDE
DEATHS BETWEEN 1995-2007
CHOKING GAME DEATHS
REPORT RELEASED 2/15/08

64. 10-24-2011
ED4ED REPORT MALE/FEMALE AGE & GENDER
Male Female
80 70 68
57 58
55
60
35 34
40 22 18
15 17 14 14
20 20 40 22 4 1
7 9 5 5
0
8
0
0
AGE OF VICTIMS
6 8 10 12 14 16 18
INDEPENDENT REPORT SUPPORTS CDC REPORT HIGHLIGHTS (AS TO PREVELENCE OF INCIDENTS IN AGE RANGE)

65. 10-24-2011
Criteria: Deceased Victims, USA, Ages 6-19
Independent Reports 95-04 83
Independent Reports 2005 92
Independent Reports 2006 126
Independent Reports 2007 90
Independent Tracking - Many Reports Delayed Total 391
INDEPENDENT INCIDENT TRACKING SUPPORTS CDC REPORT
(UNDER REPORTING DUE TO LIMITED MEDIA REPORTS AVAILABLE AT TIME OF STUDY )

66. 10-24-2011
Silent Online Survey Maintained by GASP - [gaspinfo.com]
http://www.gaspinfo.com/en/involved-survey-results.asp
GASP SURVEY STATISTICS OVERALL % Age Group Column1 Column2 Column3 Column4
All -20 20+ M F
2720 1335 1383 610 2108
# people surveyed?
75% 84% 67% 77% 75%
Have you heard of the choking game?
35% 42% 27% 37% 34%
Did you know of the game by any other name?
59% 62% 56% 64% 57%
Do you know of someone that has played?
15% 23% 7% 22% 13%
Do you know someone that still plays?
27% 24% 30% 35% 24%
Have you played?
6% 9% 3% 11% 4%
Do you still play?
9% 11% 7% 13% 8%
Have you played alone?
Have you shown or told anyone how to play? 19% 24% 14% 27% 17%

67. 10-24-2011
ADOLESCENT / CHILD
HEALTH & WELLNESS

68. 10-24-2011
CURRENT HEALTH STUDIES
“THE CHOKING GAME”
• CDC - USA CENTER FOR DISEASE CONTROL
• *JOURNAL OF PEDICATRIC MEDICINE
• *BRITISH JOURNAL OF MEDICINE
• OHIO STATE
• *OREGON STATE
• *CANADIAN MENTAL HEALTH DEPARTMENT
* STUDIES & REPORTS SINCE CDC REPORT RELEASED IN 2008

69. 10-24-2011
AN ALARMING CDC REPORT IN 2006
SUICIDE TREND REPORT
• 5,101 “SUICIDES” BY
HANGING
• YOUTH & YOUNG ADULTS
• AGES 10-24
• 1990 - 2004

70. 10-24-2011
CDC MMWR REPORT - RESULTS
 RESULTS
 82 PROBABLE DEATHS
 86.6% MALE
 MEAN AGE 13.3 YEARS OLD
 70 Deaths (w/sufficient detailed reporting)
 67 (95.7%) Occurred while decedent was alone
 42 (92.9%) Of Decedent’s Parents Were Unaware that The
Choking Game even existed, until after child’s death

71. 10-24-2011
CDC HIGHLIGHTS
INDICATIONS
• BEGIN EDUCATION EARLY
HIGHLIGHTS • HIGH SCHOOL IS TOO LATE!
– YOUNGEST VICTIMS ARE
• DEATHS RISE AT AGE 9
ONLY 6 YEARS OLD!
• SPIKE AT AGE 12 & 13
– PREDOMINENT AGE
• DECLINE AT 17 GROUP MIDDLE SCHOOL
YOUTH

72. 10-24-2011
 PARENTS, EDUCATORS, HEALTHCARE PROVIDERS
 MEs/Coroners
 Better Mortality Surveillance & Research
SUMMATION!
IMMEDIATE & EFFECTIVE INTERVENTION!

73. 10-24-2011
OHIO SURVEY STUDY OF 2005


74. 10-24-2011
http://injuryprevention.bmj.com/cgi/content/abstract/15/1/45
Authors
1A J Macnab, M Deevska, F Gagnon, W G Cannon, 2T Andrew
Injury Prevention 2009: 15:45-49; doi:10.1136/ip.2008.018523
Reprint with permission - Copyright © 2009 by the BMJ Publishing Group Ltd.
1Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada
2Chief Medical Examiner, Concord, New Hampshire, USA

75. 10-24-2011
MACNAB/ANDREWS STUDY
OBJECTIVES
Design
• To determine the
prevalence of • A collaborative
knowledge about and research model using a
participation in school-based
asphyxial games; and questionnaire at 8
how to raise awareness middle/high schools in
of this risk taking Texas (USA) and
behavior and provide Ontario (Canada).
preventive education.

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77. 10-24-2011

78. 10-24-2011
MACNAB & ANDREWS BMJ STUDY CONCLUSION
A CALL TO ARMS TO ALL EDUCATORS

79. 10-24-2011
“As a children’s doctor I have been
involved in many instances where
children have died unnecessarily because
of ignorance or an unwise decision. The
feeling of futility that all involved
experience when this happens, and the
enormity of the pain and sense of loss on
each occasion, are difficult to
comprehend. The loss of even one child
under such circumstances is tragic, and
knowing that every year a number of
young people lose their lives, needlessly
because asphyxial games, is a call to
action for all of us.”

80. 10-24-2011
Andrew Macnab, M.D.
Professor of Pediatrics, University of British Columbia
Vancouver, Canada
“Therefore, knowing that more
children than we realized are aware
of the ‘choking game’, knowing that
some will die as a result, and
knowing that having the right
information influences choice and
behavior, I would urge you to use
these materials and every
opportunity to give children the
knowledge and ability to make
informed choices.”

81. 10-24-2011
https://www.box.net/shared/ov7inpeqye

82. 10-24-2011
“The myth that this kind of behavior is engaged in
by only troubled youth must be dispelled. There is
little need for me to remind parents and educators
that the adolescent brain does not process
information in the same manner as an adult brain.
Important brain development research indicates
adolescents, even those “good kids,” are hardwired
for risk-taking behavior.
In fact, the big lie promulgated to high achieving,
action oriented children is that this behavior is a
way to get a ‘drug-free high’.
Ironically, the group of children most likely to shun
tobacco and alcohol may well be the more likely
candidates to be playing this game.”

83. 10-24-2011
A CLOSING TRIBUTE TO COUNTLESS LIVES LOST
Video Duration: 4 Minutes
(In 4 minutes you can save a child’s life.)
DON’T HESITATE TO EDUCATE! Perhaps the life you save will be your own.
I invite you to share our
memories of these children, who
lost their lives due to a simple
lack of knowledge.
They didn’t know they were
risking their lives – they thought it
only a harmless “game”. We
didn’t tell them –because we
didn’t know. Before one can “do
better”, one must “know better”.
http://www.onetruemedia.com/otm_site/view_shared?p=88a2ee6d5d4a621ed96e25

84. 10-24-2011
“Get informed, use the tools
you have been given and be
proactive. The impact you
may have cannot be
measured: save by the depth
of feeling you experience
attending the funeral of a
child who dies in this most
needless, maddening fashion.”

85. 10-24-2011
“Dearest Jason”

86. 10-24-2011
EDUCATION 4 EDUCATORS
"CLOUD STORAGE" FILE SHARING
http://health.groups.yahoo.com/group/Ed4Ed/join

87. 10-24-2011

88. 10-24-2011