“And then I got strangled”: Dangerous trends of sexual choking among young people;




Kero, Katja; Lauerma, Hannu; Wahlsten, Pia

PublisherWiley

2026

 Acta Obstetricia et Gynecologica Scandinavica

aogs.70193

0001-6349

1600-0412

DOIhttps://doi.org/10.1111/aogs.70193

https://doi.org/10.1111/aogs.70193

https://research.utu.fi/converis/portal/detail/Publication/523074817



Sexual choking has become increasingly normalized among young people, largely driven by media, pornography, and peer norms. Although often framed as consensual, breath-control practices are physiologically unpredictable and can cause rapid loss of consciousness, brain injury, or even death within seconds. Once consciousness is lost, consent cannot be given or verified. Clinical and forensic experience in Finland indicates that choking is frequently reported in younger patients, yet national prevalence data are lacking. We argue that sexual choking is never medically safe, that clinicians should routinely ask about it, assess for injury, and provide clear risk counseling, and that medical ethics require engagement with harmful trends in patient care. Further research is needed to quantify prevalence and harms in Finland.



asphyxia-related risksBDSMbreath-controlsexual chokingStrangulation


Open access publishing facilitated by Turun yliopisto, as part of the Wiley - FinELib agreement.


Last updated on 04/05/2026 05:25:40 PM