Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie
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It is suspected that elementary school age children engage in "the choking game" or other asphyxial practices, but the prevalence is unknown. ⋯ The mean prevalence in elementary school (40%) appears to be higher compared to middle and high schools (5-10%). Motivation differs in elementary school children compared to older children and teenagers. Prevention of choking games should start at elementary school and determinants leading to the continuation of such practices from elementary school to high school need to be explored.