Sexual Asphyxiation: An Unusual Case Involving Four Male Adolescents

Abstract

A case of sexual asphyxiation is described involving children, adolescent males, homosexuality and two bizarre strangulations. Two adolescent males (ages 13 & 10) initially engaged in homosexual activity in conjunction with sexual asphyxiation. This unusual activity was by chance observed by one of the boy's younger brother and his friend. The younger children (aged 7 & 8) expressed a desire to join in the activity, which they did by letting ligatures be tied around their necks and engaging in anal intercourse to the point of fatal asphyxiation. This case is of interest in the reported way the younger boys discovered the practice (a sexually explicit magazine) and is unusual because of the young ages of the boys involved.

An unusual case of sudden cardiac death during sexual intercourse

“…Sexual asphyxia is one of the most frequent causes of death reported in the literature with asphyxia the result of choking or strangulation. [4][5][6] Few cases of sudden death during sexual intercourse are reported in the literature. The most common cause of sudden natural death in adults is heart disease, followed by malignancies and cerebrovascular events.…”

“…Sexual asphyxia is one of the most frequent causes of death reported in the literature with asphyxia the result of choking or strangulation. 4–6…”

A Case of Auto-Erotic Asphyxia in a Long-Term Psychiatric Setting

“…Reported victims range in age from 7 to well over 60 [10,14] with the mean age of victims being around 26 years of age [15,16].…”