Sexual asphyxia: a lesser epidemic

Area of Science:

• Forensic Psychology
• Sexual Health
• Medical Law

Background:

• Sexual asphyxia is a paraphilia characterized by hypoxia-induced arousal.
• This behavior can involve strangulation, smothering, chest compression, or volatile substance inhalation.
• An auto-erotic variant leading to accidental death is noted.

Observation:

• A study surveyed female prostitutes in Durban, South Africa, to assess the prevalence of sexual asphyxia.
• The observed prevalence was significantly higher than previously estimated.
• The research highlights an auto-erotic variant resulting in accidental fatalities.

Findings:

• The prevalence of sexual asphyxia among sex workers in Durban is an order of magnitude higher than previously imagined.
• Insurance companies often contest full compensation for victims of sexual asphyxia.
• Legal and psychiatric interpretations of 'accident,' 'mental infirmity,' and 'natural consequences' are critical.

Implications:

• Medicolegal ramifications extend to police, courts, and societal norms regarding sexual asphyxia.
• Decisions in these cases set precedents influencing public perception and acceptance.
• The study underscores the need for clarity in legal and psychiatric definitions related to sexual asphyxia deaths.