“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 injury every time someone is choked.
High-risk activities such as knife play, fire play, Shibari, and play piercing can harm people, however these kink activities are not regularly killing people or harming mental and physical health. Therefore, NCSF thinks that it’s important for everyone to understand the risks involved in choking. A participant can’t give informed consent if they don’t know about the risks or the harm reduction alternatives that are available.
Many people are aware that death is a potential risk with choking, however few people realize the other serious health and psychological risks involved in choking. Research confirms that choking can cause Traumatic Brain Injury, memory problems, motor control and mental health issues. The potential for serious injury is why choking is illegal under case law and Federal law, even when there is consent.
For those who enjoy the sensations of choking but want to reduce liability and risk, there are less harmful ways to produce that sensation. The following activities reduce the risk of harm and are legal in every State and under Explicit Prior Permission:
· Breath Play where you rebreathe in each other’s mouth to get a “high.” Smothering someone is illegal.
· Role-play “choking” where you place your hand on the neck without any pressure from pressing or squeezing. This is typical in pornography depictions of “choking” and in power exchange roleplay to evoke sensations of dominance & submission.
· “Jaw holding” where a hand is placed on someone’s lower jaw instead of the neck.
· Pressing on the collar bone to simulate the pressure of choking without blocking the blood vessels or airway.
· Gags, hoods, and collars that are not intended to impede the normal breathing or circulation of the blood.
· Corseting to simulate obstruction of breathing and create a light-headed feeling.
When engaging in roleplay and power exchange, it’s important to arrange for a way to stop at any time, like a safeword or safe signal. As with any edge play, the top is legally responsible for any injury that occurs.