OBJECTIVE: The purpose of this study was to compare characteristics of youth who participate in the choking game alone versus those who participate in a group.METHODS: Lifetime prevalence estimates were obtained from the 2011 ( n = 5682) and 2013 ( n = 15?150) Oregon Healthy Teens survey. The 2011 and 2013 data sets were merged ( N = 20?832) to compare youth who participate alone versus those who participate in a group in the choking game. Multivariate modeling was conducted to examine individual characteristics of young people who engaged in the choking game alone versus those who engaged in the game in a group.RESULTS: In 2011, 3.8% of eighth-grade participants reported a lifetime prevalence of choking game participation; 3.7% reported lifetime prevalence of participation in 2013. In the merged 2011/2013 data set, 17.6% ( n = 93) of choking game participants indicated that they had participated alone. Compared with those who reported participating in a group, youth who participated alone had significantly higher rates of suicide contemplation (odds ratio: 4.58; P .001) and poor mental health (odds ratio: 2.13; P .05).CONCLUSIONS: Youth who participate alone in the choking game are a particularly high risk group, exhibiting substantially higher rates of suicidal ideation and poorer mental health compared with youth who participate in the choking game in a group. Adolescent health care providers should be aware of these associations, assess whether prevention messaging is appropriate, and be prepared to explain the high risks of morbidity and mortality associated with participation.
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机译：目的：本研究的目的是比较仅参加窒息比赛的青少年与参加集体比赛的青少年的特征。方法：根据2011年（n = 5682）和2013（n = 15？ 150）俄勒冈健康青少年调查。将2011年和2013年的数据集合并在一起（N = 20？832），以比较单独参加比赛的年轻人和参加窒息比赛的年轻人。结果：2011年，3.8％的八年级参与者报告了一生中窒息游戏的参与率; 2011年，3.8％的八年级参与者报告了其一生的窒息游戏参与率。 3.7％的人报告了其2013年的终身参与率。在合并的2011/2013年数据集中，有17.6％（n = 93）的窒息游戏参与者表示他们曾独自参加。与报告参加小组活动的人相比，单独参加活动的年轻人自杀自杀的几率（比值比：4.58; P <.001）和心理健康状况很差（比值比：2.13; P <.05）。单独参加窒息游戏的年轻人是一个特别高的风险人群，与参加窒息游戏的年轻人相比，自杀意念的发生率高得多，心理健康状况也较差。青少年保健提供者应意识到这些关联，评估预防信息是否合适，并准备解释与参与相关的发病和死亡的高风险。
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