This paper is a synthesis of the research involving sexual choking, followed by calls to action based on the synthesis. We describe the health risks associated with sexual choking, which is often performed as a form of strangulation, along with its growing popularity in at least the Australia, Iceland, Italy, …
The Choking Survey (2026), conducted by the NCSF in collaboration with the UNC Charlotte Violence Prevention Center, presents findings from an anonymous online survey of 1,700 alt‑sex practitioners. Nearly half of respondents reported that they hadn’t gotten any safety or consent information before choking or being choked the first time. …
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“Choking“ in an erotic or sexual context is usually done as a form of strangulation by applying pressure to the neck with the hands or a ligature in order to restrict blood flow and/or air flow. Choking is considered an ultrahazardous activity because of the potential of death or permanent …
Recent research has confirmed that cutting off the blood from the brain can potentially cause physical harm, such as brain damage or cardiac arrest. Being choked is also associated with mental health issues, including feeling depressed, anxious, sad, and lonely. Repeated choking seems to compound these harms, increasing the risk …
Please participate in this Choking Survey! The survey will take approximately 15 minutes of your time. Questions will ask about your beliefs and attitudes toward sexual choking, as well as about specific experiences if you’ve engaged in choking. NCSF and UNC Charlotte will use these results to help perform its advocacy …
By Susan Wright, MA, NCSF Spokesperson The prevalence of sexual choking has grown rapidly in the past several years among adults under the age of 40. In 2021, a campus-representative survey of over 4,200 University students found that most of the choking participants (88.9%) understand that people can die from …
Last Chance to Take the 2025 NCSF Survey! https://www.surveymonkey.com/r/C9QKX62
Russell J. Stambaugh, a psychotherapist, sex therapist, and researcher, was a leading advocate for professional sex education about the kink and non-monogamy communities. Despite the stigma and marginalization of this population, Russell made it his mission to educate about consent and clinical cultural competency for professionals, a group that includes …
