We would like to thank Christopher Saville for the contribution to this article.

Choking during sex has moved from the margins to the mainstream for many young adults, but the risks have not changed. New research shows how common the practice has become, and how confused many people are about what makes it dangerous.

A survey commissioned by the Institute for Addressing Strangulation (IfAS) has found that more than one-third of people aged 18 to 34 have been choked or strangled at least once during consensual sex. IfAS is a UK-based organisation that aims to reduce harms from strangulation in domestic abuse , sexual contexts and forensic settings – environments where injuries are examined for legal, evidential or investigative purposes.

The survey findings suggest that pornography fe

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