Children are posting videos on the internet showing them choking other youngsters to the point of collapse, in a craze that doctors warn has led to brain damage and death.
In one, a group of teenagers set out clear guidelines to the practice in an "instructional video", while in several others British voices can be heard.
The problem has been increasingly acknowledged in the United States, Canada and France but campaigners warn that Britain is turning a blind eye. The craze is spreading on the internet largely without the knowledge of adults.
Known by a variety of names from funky chicken to space monkey, the "game" involves hyperventilating or squeezing the carotid artery in the neck for a few seconds to achieve a high. Constricting the artery cuts blood flow to the brain; when the pressure is released, the resulting rush of oxygen causes the high. Experts say it is most prevalent among high-achieving adolescents who do not want to get in trouble by taking drugs or drink. The practice is different to autoerotic asphyxiation because it is not done for sexual gratification.
In footage on YouTube, British teenagers can be seen losing consciousness, their eyes rolled back, as they collapse to the ground to the sound of their friends' laughter.
The videos show teenagers applying pressure to the necks of friends. Others try to create the high on their own, using a ligature, with a greater risk of killing themselves if anything goes wrong and help is not at hand.
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