This program is one part of an Education Program for Educators about Current & Emerging Youth Risk Behaviors. Review the document "User's Guide" uploaded here to my profile for a full overview. (Ed4Ed4All program currently addressing "The Choking Game"; "EMO"; "Pharm Parties" 'Atypical Inhalants" . Please follow us on facebook, twitter and make sure to visit our web site for a video overview of "The Choking Game" ) This is the reduced file version with limited/no transitions and no embedded video files.
5. 10-24-2011
SPECIAL THANKS TO THE EDUCATORS – YOUTH LEADERS – PARENTS
INJURY PREVENTION COLLEAGUES & SPONSORS
GASP - Games Adolescents Shouldn't Play
The DB Foundation
APEAS - Association de Parents d'Enfants Accidentes par Strangulation
Chris Marceno Foundation
Jenny Morgan.org
Still Loving My Gabriel
The 8th Day Foundation
Connor's Heart
For Kevins Sake: Stop the Choking Game
Erik's Cause Help Stop the Choking Game
National Inhalant Abuse Prevention Coalition
6. 10-24-2011
TOUCHSTONE SECTION GUIDE
Introduction STATISTICS
The Choking Game RESEARCH/RESOURCES
EMO Endorsements
PHARM PARTIES Presentation Conclusions
INHALANTS Ed4Ed Program Videos
https://www.box.net/shared/evyixhithr
7. 10-24-2011
CHOKING GAME 911 CALL
PHYSIOLOGY OF THE CHOKING GAME
INDUCED SEIZURES
SURVIVORS OF THE CHOKING GAME
OUR ANGELS – VIDEO TRIBUTE
DEAREST JASON
EACH VIDEO IS IN WINDOWS MEDIA FORMAT – WHEN VIEWING THE SLIDE CONTAINING
THE VIDEO – [LEFT]CLICK THE SLIDE TITLE TO PLAY THE VIDEO
8. 10-24-2011
HIDDEN
RISKS
P
H
A
“EMO” R
M
P
A
R
“HUFFING“– “DUSTING” T
PRESCRIPTION MEDICATION ABUSE I
E
S
?
OVER THE COUNTER MEDS
ATYPICAL INHALANTS
10. 10-24-2011
THE CHOKING GAME
WHAT IS IT?
Anoxic/Hypoxic
Brain Injury & Death
11. 10-24-2011
NO MATTER WHAT THE NAME
ITS NEVER A GAME!
Flat liner Underwater Sensation
Suffocation Roulette
Space Monkey
Pass out
TAPOUT GAME Shenandoah Surprise
Airplaning
Tingling
Rising Sun Blackout The Big Lebowski
Breath Play
Funky Chicken KNOCK OUT
Space Cowboy
In & Out
California High
FLOATING Visual Ecstasy
American Dream
Gasp
LIGHTS OUT FREE FALLKevin Kline-ing
14. 10-24-2011
PEOPLE FAINT ALL THE TIME
How is this different?
P EO P L E C O M M O N LY FA I N T D U E TO LO W B LO O D
P R E S S U R E O R LO W B LO O D S U G A R
L O S S O F C O N S C I O U S N E S S C AU S E D BY A S P H Y X I A L
A C T I V I T I E S H A P P E N S B EC AU S E T H E B R A I N I S S TA R V I N G
F O R OX YG E N
YOUR B R A I N S U S TA I N S DA M A G E A N Y T I M E YO U A R E
D E P R I V E D O F OX YG E N
AS LITTLE AS A 1 0 % R E D U C T I O N I S C O N S I D E R E D “ D E P R I V AT I O N ”
YOUR B R A I N I S T H E M A S T E R C O N T RO L C E N T E R F O R
A L L YO U R B O D I E S F U N C T I O N S
16. 10-24-2011
WHY ARE THEY TWITCHING LIKE THAT?
NOT TWITCHING – THEY’RE SEIZING
INCREASED PRESSURE IN YOUR BRAIN CAUSES SEIZURES -
STROKE
INSTANTLY OR LATER ON
SUDDEN & UNEXPECTED
DEATHS
17. 10-24-2011
MYTH
MINOR B RAIN C E L L D A M A G E ( D E AT H O F L I V I N G C E L L S ) W I L L N O T
C A U S E I M M E D I AT E D E AT H O F T H E P H Y S I C A L B O D Y
UNLIKE O T H E R C E L L S I N T H E B O D Y, T H E B R A I N C A N N O T M A K E N E W
ONES
THE DAMAGE IS
T HE DAMAGE IS
E AC H T I M E YO U R B R A I N I S D E P R I V E D O F OX YG E N DA M AG E W I L L
OCCUR
A LITTLE OR A LOT – DEPENDING ON HOW MUCH AND HOW LONG
YO U R B R A I N I S D E P R I V E D O F OX YG E N
B R A I N D A M A G E R E S U LT S I N P H Y S I C A L A N D M E N TA L D I S A B I L I T I E S
A LIT TLE OR A LOT – DEPENDING ON HOW M U C H DA M AG E WA S
DONE
B RAIN DAMAGE
19. 10-24-2011
Russian Roulette RUMORS
NERV ES I NS I DE YO UR NECK
R E G U L AT E Y O U R H E A R T B E AT
P R ES UR E O N YO UR NECK
CAN CAUSE ABNORMAL
H E A R T B E AT S & C A N C A U S E
H E A R T AT TA C K
P R ES S UR E O N YO UR CHEST
CAN CAUSE IT TOO
R A P I D LY E X P E L L I N G A I R
A F T E R H Y P E R V E N T I L AT I O N
T H E R E S U LT I S T H E S A M E M AY A L S O C A U S E
A B N O R M A L H E A R T B E AT S
20. 10-24-2011
Safe to Do with Friends?
SERIOUS PHYISICAL INJURIES
• FALLS - BROKEN BONES (LEGS, JAWS, SKULL FRACTURES)
• TOOTH LOSS, FACIAL LACERATIONS, PERMANENT SCARRING &
DISFIGUREMENT
• HEAD INJURIES - RETINA DETACHMENT PERMANENT
BLINDNESS, CONCUSSION, INTERNAL INJURY TO BRAIN
STRUCTURES THAT ALLOW NORMAL SIMPLE BODY FUNCTIONS
(CONTROL OVER YOUR BLADDER AND BOWELS)
21. 10-24-2011
DENY THE LIES!
LOT S O F D EA D & I N J U R E D K I D S “ H EA R D ”
A N D B E L I E V E D T H E L I ES
T H E R E I S N O “ SA F E WAY ”
LO S S O F CO N C I O U S N ES S O C C U RS
D I F F E R E N T LY EAC H T I M E
I T S I M P O S S I B L E TO K N OW W H E N TO
R E L EA S E P R ES S U R E “ I N T I M E ”
22. 10-24-2011
HUGE LIE – “HIGH”
I T S N OT PA S S I N G O U T
I T S N OT FA I N T I N G
A L A R M C H E M I C A L S I T S N OT A G A M E
P RO D U C E D BY I T S N OT A F R E E H I G H
DY I N G B R A I N C E L L S N OT A S A F E A LT E R E D
• CHEMICALS – S TAT E O F M I N D !
REGARDLESS OF
S O U R C E C A N C R E AT E
DEPENDENCY
23. 10-24-2011
DEPENDENCY
• “INSSIDIOUS” DEPENDENCY
• A DEPENDENCY
• PERHAPS EXPLAING WHY
IT MIGHT START AS A
GROUP CURIOSTIY
• ESCALATE TO SOLO
EXPERIMENTATION (97%
OF DEATHS REPORTED
SOLO ACTIVITIES)
24. 10-24-2011
WARNING SIGNS
THE HALLMARK OF BRAIN INJURY
S U D D E N C H A N G E S P E R S O N A L I T Y A N D / O R B E H AV I O R
LOCKED DOORS
S E C R AT I V E B E H AV I O R
UN US UAL IT EMS (ANYTHING
T H AT C O U L D B E U S E D A S A
L I G AT U R E )
U NEXPLAINED MARKS OR I N U N U S U A L L O C AT I O N S ( T I E D
CHAFING AROUND THE NECK TO DOORS, BEDS, OR EVEN
(SOMETIMES HIDDEN BY FOUND LOOSE IN A BED )
SCARVES OR BRUSHED
A S I D E W I T H VA G U E W EAR MARKS ON
E X P L A N AT I O N S ) DOORS, BEDS
25. 10-24-2011
EMO - just a word – short for “emotional”
28. 10-24-2011
Music – Expressive & Creative
Lyrics
Hawthorne Heights
Armor for Sleep
Yellow Card
Alexis on fire
A Static Lullaby
Brand New
Finch
From Autumn To Ashes
From First To Last
Funeral for a Friend
Matchbook Romance
My Chemical Romance
The Starting Line
Fall Out Boy
SOME MAY MISINTERPRET THE LYRICS – HANNAH BOND DID
44. 10-24-2011
• "LAUGHING GAS" (NITROUS OXIDE)
• "SNAPPERS" (AMYL NITRITE)
• "POPPERS" (AMYL NITRITE AND BUTYL NITRITE)
• "WHIPPETS" (FLUORINATED HYDROCARBONS, FOUND IN WHIPPED
CREAM DISPENSERS)
• "BOLD" (NITRITES)
• "RUSH" (NITRITES)
• ‘White Lightening’, ‘Blue Magic’, ‘Blow”, ‘Snow’‘Plant food’,
‘Window Cleaner *Bath Salts”+ K-2/Spice; Incense, potpourri
more potent than 9-tetrahydrocannabinol [marijuana — and
various oxidized metabolites of each ]
45. 10-24-2011
INHALANTS – BY CHEMICAL ID – EXAMPLES - EFFECTS
INHALANT EXAMPLE EFFECTS
(JWH-018, jWH-073, Incense, potpourri Respiratory Failure; Lung Damage;
JWH-200, CP-47,497, and sudden death
cannabicyclohexanol (six different
chemicals) used to make “Fake
Pot”
Methylenedioxypyrovalerone 'White Lightening', 'Blue REFER TO OTC SECTION –
(MDPV) psychoactive Magic', 'Blow", 'Snow', 'Plant PSYCHO ACTIVE DRUG EFFECT
drug with stimulant propertie food', 'Window
s – (ingested /snorted & Cleaner ‘MDPK, MTV, Magic,
Smoked/Inhaled Maddie, Black Rob, Super
Coke and PV.
EFFECTS…
Toluene Spray paint Hearing loss
Glue Damage to spinal cord or
Dewaxer brain
Fingernail polish Liver and kidney damage
Trichloroethylene Cleaning fluid Hearing loss
Correction fluid Liver and kidney damage
Hexane Glue Limb spasms
Gasoline Blackouts
Nitrous Oxide Whipped cream dispensers Limb spasms
Gas cylinders Blackouts
Benzene Gasoline Bone marrow damage
46. 10-24-2011
MORE IMMEDIATE EFFECTS OF INHALANTS
CARDIAC ARRHYTHMIAS [HEART ATTACK!]
ASPHYXIA/SUFFOCATION/SUDDEN DEATH
DAMAGE TO THE OPTIC NERVE – CAUSING BLINDNESS
49. 10-24-2011
STATISTICS
"THE CHOKING GAME"
“CHOKING GAME” STATISTICS OF DEATH & INJURY
REPRESENT AN ASSESMENT. NO OFFICIAL
NATIONAL OR INTERNATIONAL REGISTRY
MONITORS, COLLECTS & REPORTS DATA BASED
ON EMPIRICAL METHODS OF COLLECTION. AT
PRESENT INCIDENTS ARE RECORDED BY
INDEPENDENT INJURY
PREVENTION/INTERVENTION GROUPS,
SUBSTANTIATED THROUGH SELF REPORTING BY
VICTIMS’ FAMILY MEMBERS, MEDIA, AND
SCIENTIFIC JOURNALS.
50. 10-24-2011
ALL Victims To Date – 1006
DECEASED SURVIVED
661
70
140 15
5
60 0
0
2
1
2
0
Male 19 & Under 45
Female 19 &
Under Male Age 5
Unknown Female Age
Unknown Gender / Age
Unknown Adult Males 20+
Adult Females
20+
53. 10-24-2011
1.1% 1.0%
Scotland 5
6.2%
India 4
Ireland 4
New Zealand 4
Australia 3 9.7%
Germany 3
Switzerland 3
Belgium 2
Jamaica 2
Korea 2
Malaysia 2 14.0%
Peru 2
63.4%
Wales 2
Br Vir Islands 1
Brazil 1
Egypt 1
Greece 1
Holland 1
Italy 1
Russia 1
Sweden 1
54. 10-24-2011
3%
10%
5%
22%
7%
1%
2% 5%
45%
AB BC MB NB NS ON PE QC SK
*Media reports: 3 incidents Providence Withheld
55. 10-24-2011
32.03%
46.08%
3.59%
0.33% 1.63% 3.27%
0.33% 1.31%
1.31%
0.65%
0.33% 1.31%
0.65%
0.33% 0.98% 0.98%
France England S_ Africa Withheld Scotland
India Ireland New Zealand Australia Germany
Switzerland Belgium Jamaica Korea Malaysia
Peru Wales Br Vir Islands Brazil Egypt
Greece Holland Italy Russia Sweden
63. 10-24-2011
USA CENTER FOR DISEASE CONTROL
COMPARED TO 5,101 SUICIDE
DEATHS BETWEEN 1995-2007
CHOKING GAME DEATHS
REPORT RELEASED 2/15/08
64. 10-24-2011
ED4ED REPORT MALE/FEMALE AGE & GENDER
Male Female
80 70 68
57 58
55
60
35 34
40 22 18
15 17 14 14
20 20 40 22 4 1
7 9 5 5
0
8
0
0
AGE OF VICTIMS
6 8 10 12 14 16 18
INDEPENDENT REPORT SUPPORTS CDC REPORT HIGHLIGHTS (AS TO PREVELENCE OF INCIDENTS IN AGE RANGE)
65. 10-24-2011
Criteria: Deceased Victims, USA, Ages 6-19
Independent Reports 95-04 83
Independent Reports 2005 92
Independent Reports 2006 126
Independent Reports 2007 90
Independent Tracking - Many Reports Delayed Total 391
INDEPENDENT INCIDENT TRACKING SUPPORTS CDC REPORT
(UNDER REPORTING DUE TO LIMITED MEDIA REPORTS AVAILABLE AT TIME OF STUDY )
66. 10-24-2011
Silent Online Survey Maintained by GASP - [gaspinfo.com]
http://www.gaspinfo.com/en/involved-survey-results.asp
GASP SURVEY STATISTICS OVERALL % Age Group Column1 Column2 Column3 Column4
All -20 20+ M F
2720 1335 1383 610 2108
# people surveyed?
75% 84% 67% 77% 75%
Have you heard of the choking game?
35% 42% 27% 37% 34%
Did you know of the game by any other name?
59% 62% 56% 64% 57%
Do you know of someone that has played?
15% 23% 7% 22% 13%
Do you know someone that still plays?
27% 24% 30% 35% 24%
Have you played?
6% 9% 3% 11% 4%
Do you still play?
9% 11% 7% 13% 8%
Have you played alone?
Have you shown or told anyone how to play? 19% 24% 14% 27% 17%
67. 10-24-2011
ADOLESCENT / CHILD
HEALTH & WELLNESS
68. 10-24-2011
CURRENT HEALTH STUDIES
“THE CHOKING GAME”
• CDC - USA CENTER FOR DISEASE CONTROL
• *JOURNAL OF PEDICATRIC MEDICINE
• *BRITISH JOURNAL OF MEDICINE
• OHIO STATE
• *OREGON STATE
• *CANADIAN MENTAL HEALTH DEPARTMENT
* STUDIES & REPORTS SINCE CDC REPORT RELEASED IN 2008
69. 10-24-2011
AN ALARMING CDC REPORT IN 2006
SUICIDE TREND REPORT
• 5,101 “SUICIDES” BY
HANGING
• YOUTH & YOUNG ADULTS
• AGES 10-24
• 1990 - 2004
70. 10-24-2011
CDC MMWR REPORT - RESULTS
RESULTS
82 PROBABLE DEATHS
86.6% MALE
MEAN AGE 13.3 YEARS OLD
70 Deaths (w/sufficient detailed reporting)
67 (95.7%) Occurred while decedent was alone
42 (92.9%) Of Decedent’s Parents Were Unaware that The
Choking Game even existed, until after child’s death
71. 10-24-2011
CDC HIGHLIGHTS
INDICATIONS
• BEGIN EDUCATION EARLY
HIGHLIGHTS • HIGH SCHOOL IS TOO LATE!
– YOUNGEST VICTIMS ARE
• DEATHS RISE AT AGE 9
ONLY 6 YEARS OLD!
• SPIKE AT AGE 12 & 13
– PREDOMINENT AGE
• DECLINE AT 17 GROUP MIDDLE SCHOOL
YOUTH
75. 10-24-2011
MACNAB/ANDREWS STUDY
OBJECTIVES
Design
• To determine the
prevalence of • A collaborative
knowledge about and research model using a
participation in school-based
asphyxial games; and questionnaire at 8
how to raise awareness middle/high schools in
of this risk taking Texas (USA) and
behavior and provide Ontario (Canada).
preventive education.
78. 10-24-2011
MACNAB & ANDREWS BMJ STUDY CONCLUSION
A CALL TO ARMS TO ALL EDUCATORS
79. 10-24-2011
“As a children’s doctor I have been
involved in many instances where
children have died unnecessarily because
of ignorance or an unwise decision. The
feeling of futility that all involved
experience when this happens, and the
enormity of the pain and sense of loss on
each occasion, are difficult to
comprehend. The loss of even one child
under such circumstances is tragic, and
knowing that every year a number of
young people lose their lives, needlessly
because asphyxial games, is a call to
action for all of us.”
80. 10-24-2011
Andrew Macnab, M.D.
Professor of Pediatrics, University of British Columbia
Vancouver, Canada
“Therefore, knowing that more
children than we realized are aware
of the ‘choking game’, knowing that
some will die as a result, and
knowing that having the right
information influences choice and
behavior, I would urge you to use
these materials and every
opportunity to give children the
knowledge and ability to make
informed choices.”
82. 10-24-2011
“The myth that this kind of behavior is engaged in
by only troubled youth must be dispelled. There is
little need for me to remind parents and educators
that the adolescent brain does not process
information in the same manner as an adult brain.
Important brain development research indicates
adolescents, even those “good kids,” are hardwired
for risk-taking behavior.
In fact, the big lie promulgated to high achieving,
action oriented children is that this behavior is a
way to get a ‘drug-free high’.
Ironically, the group of children most likely to shun
tobacco and alcohol may well be the more likely
candidates to be playing this game.”
83. 10-24-2011
A CLOSING TRIBUTE TO COUNTLESS LIVES LOST
Video Duration: 4 Minutes
(In 4 minutes you can save a child’s life.)
DON’T HESITATE TO EDUCATE! Perhaps the life you save will be your own.
I invite you to share our
memories of these children, who
lost their lives due to a simple
lack of knowledge.
They didn’t know they were
risking their lives – they thought it
only a harmless “game”. We
didn’t tell them –because we
didn’t know. Before one can “do
better”, one must “know better”.
http://www.onetruemedia.com/otm_site/view_shared?p=88a2ee6d5d4a621ed96e25
84. 10-24-2011
“Get informed, use the tools
you have been given and be
proactive. The impact you
may have cannot be
measured: save by the depth
of feeling you experience
attending the funeral of a
child who dies in this most
needless, maddening fashion.”