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Adolescent Experiences with Self-Asphyxial Behaviors and Problematic Drinking in Emerging Adulthood
Jillian E Austin1,2, Amy C Lang3, Anna M Nacker4
1Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Engaging in the Choking Game (TCG) during adolescence, or even knowing about it, is linked to more problematic drinking in emerging adulthood. Developing resistance skills may help prevent future risky behaviors.
Area of Science:
- Psychology
- Adolescent Behavior
- Substance Use Research
Background:
- The Choking Game (TCG) is a dangerous self-asphyxial behavior often seen in early adolescence.
- TCG participants frequently engage in other high-risk activities.
- Understanding the long-term consequences of TCG is crucial for public health.
Purpose of the Study:
- To examine the association between past engagement with or knowledge of TCG and problematic drinking in emerging adulthood.
- To explore how social familiarity with TCG influences current drinking behaviors.
Main Methods:
- An online survey was administered to 1248 emerging adults (ages 18-25).
- Data collected included TCG knowledge, personal TCG engagement, and current problematic drinking behaviors.
- Statistical analyses were used to determine relationships between TCG experience and drinking patterns.
Main Results:
- Individuals who participated in TCG or were familiar with it reported significantly higher rates of problematic drinking.
- Those who witnessed TCG but did not participate showed intermediate problematic drinking levels compared to participants and non-involved individuals.
- Increased social familiarity with TCG during adolescence correlated with greater problematic drinking behaviors.
Conclusions:
- Prior involvement in or awareness of TCG is a significant predictor of problematic drinking in emerging adulthood.
- The findings suggest that resistance skills learned in adolescence may have a protective effect across different risky behaviors.
- Interventions aimed at TCG prevention may also reduce later substance use issues.
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