Sexual choking

Sexual Choking (sometimes called erotic asphyxiation or breath play) involves intentionally restricting airflow or blood flow to the brain by applying pressure to the neck with hands, forearms, or objects during sexual activity. It has become increasingly common amongst young people.

There is no risk-free way to choke someone.

Because it reduces/blocks oxygen to the brain, sexual choking can

  • cause bruising, headaches, loss of consciousness, seizures

  • damage neurons and impair brain functioning

… especially when practiced repeatedly/regularly.


To decrease risks associated with choking:

Avoid choking…

  • to loss of consciousness

  • when there is history of head injury

  • when using drugs or alcohol

  • with ligatures (something tied/tightened around the throat

  • make sure there is clear, enthusiastic consent

  • establish a safe signal (safe word is not enough, as speech can be limited during choking)

  • use light pressure

  • limit to short durations

  • Engage in this behavior less frequently

Informational Flyer
informational brochure

Thank you to Dr. Randi Smith (MSU Denver Professor and Researcher) and her students for their support in researching and providing the educational content and materials for this webpage and attached documents!

For more information about this research please contact Dr. Randi Smith at rsmith216@msudenver.edu