As deadly as some of the risky behaviors today’s adolescents engage in, like drunk driving and drug use, is the much lesser known “choking game” that some physicians have never heard of. Amina Khan writes in The Los Angeles Times that the choking game, also known as “space monkey,” “sleeper hold” and “funky chicken,” can be played two ways: One can be a solo operation, using a necktie, belt or other type of binding to put pressure on the carotid artery in the neck. The other method involves a partner, who can apply pressure to the neck or chest until the subject passes out, cutting off blood flow to the brain.

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