Still Loving My Gabriel

Strangulation in children and preadolescents usually results from unsafe play!
Choking Game Info
J'aimerai toujours et ā jamais mon fils GABRIEL
Schools and Police Who Are Informing
Physicians Perspectives on the Choking Game
U.S.A. and Canada Working to Stop The Choking Game!
Letter Written by Officer Scott Metheny
FRANCE: Association of Parents of Young Victims of Strangulation
Choking Game 'CINE Golden Eagle Award'
Faces of Victims: What if it was your child?
Victim Stats / Children
DoD: Department of Defense 'Safe Schools Handbook'
Homework Hotline : Parents Beware the Choking Game
Dr. Phil Show 'Deadly Teen Trends'
Deadly Game 'Geraldo at Large'
CNN: Mother missed signs of 'The Choking Game'
"Choking Game" Claims Life of One Californian Teenager
My Son
Guest Book For Gabriel Harry Mordecai
Catholic News and Views
The day this game killed my son
SaneMommy.Com TCG
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How many more kids will die before this becomes a priority concern?
Strangulation in children and preadolescents usually results from unsafe play!
Deadly Game
Links to news articles 'The Choking Game' TCG
Links Page 2
Injury Prevention 'IP' Online: Injuries among children and adolescents are often the result of thril
What Montana Says..
Dangerous Behavior Audio Guests: Elizabeth McCauley, Ph.D, Sue Eastgard,James J. Mazza, Ph.D.
Group E Mail for those of US who have lost a loved one to The Choking Game
Sarah's Notes

Please, after reading below go to the IP online link above. Do not let the words 'towel dispensers' or other terms through you off. This article directly confronts 'thrill seeking behavior' and states what is needed for effective intervention. Please educate yourself and help save a child...Sarah
Strangulation in children and preadolescents usually results from unsafe play.
1 We found no previous reports of death by hanging from cloth towels in dispensers. There were reported cases of children dying after hanging from window cords,2 drawstrings on clothing,3 and a necklace.4 Digeronimo et al described three cases of near-hanging in 1994, two of which resulted from unsafe play.5 We add to this literature five cases, one near-hanging and four deaths, all likely the result of ill considered thrill seeking or risk taking behaviour.

Partial asphyxiation by hanging is a recognized thrill seeking behavior among youths. An altered level of consciousness results from pressure altering cerebral venous and arterial blood flow, and an associated rise in carbon dioxide tension. The resulting sensation is perceived as pleasurable and promotes the (thrill seeking) behavior. In older male adolescents, autoerotic behavior involving partial strangulation is recognized to occur, usually as a solitary act, and may be mistaken for attempted suicide.1

Two of our five cases were attributed to playing a "choking/blackout game" at school and this was a possible cause in all five cases. Although suicide cannot be completely ruled out, all deaths were due to strangulation from hanging in boys 7 to 12 years old. Suicides before the age of 15 have always been rare.6 However, recent data indicate a doubling in the suicide rate among children 10 to 14 years between 1980 and 1992.7

The main limitation in this study is its retrospective nature and focus on mortality. Our inability to study morbidity resulted from information not being retrievable from other intensive care units on any children who survived after near-strangulation. For reasons of confidentiality, such information is not made available to external inquiry.

  Implications for prevention

In making recommendations for injury prevention, it is critical to make use of epidemiological data. Addressing preadolescent injury prevention through the schools may be an effective approach because schools are an important site of unintentional injury and violence (10% to 25% of all injuries to youths). Because they are also places of learning, schools can promote acquisition of lifelong attitudes to risk taking behavior relevant to injury prevention.8 Using peer counselors in the injury prevention education process may be an effective means of generating lifelong changes in risk taking behavior.9 Physicians, particularly those in emergency rooms, can contribute significantly to the health of school children if they are involved in development and organization of systems for prevention of injury.10 However, neither schools nor health care providers alone can influence the issue of preadolescent injury sufficiently to reduce an individual's risk to an acceptable level. To do this, an integrated process of educational, legislative, and environmental approaches is necessary.10

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