10-24-2011      Youth Risk Behaviors   Injury Prevention Program
10-24-2011  TEACHING THE ESSENTIAL ELEMENTS OF
10-24-2011             THE MESSAGE – THE MISSION                          TO KEEP KIDS SAFE!                        INFORM...
10-24-2011             Bridging The Information Gap
10-24-2011                 SPECIAL THANKS TO THE EDUCATORS – YOUTH LEADERS – PARENTS                          INJURY PREVE...
10-24-2011              TOUCHSTONE SECTION GUIDE             Introduction                           STATISTICS            ...
10-24-2011                                   CHOKING GAME 911 CALL                                   PHYSIOLOGY OF THE CHO...
10-24-2011                                                              HIDDEN                                            ...
10-24-2011
10-24-2011               THE CHOKING GAME                   WHAT IS IT?               Anoxic/Hypoxic             Brain Inj...
10-24-2011             NO MATTER WHAT THE NAME                 ITS NEVER A GAME!                                Flat liner...
10-24-2011     http://www.onetruemedia.com/shared?p=75f454f8cdaedc38ea3bff&skin_id=1703&utm_so                            ...
10-24-2011                  PEOPLE FAINT ALL THE TIME                             How is this different?      P EO P L E ...
10-24-2011             WHY ARE THEY TWITCHING LIKE THAT?    NOT TWITCHING – THEY’RE SEIZING    INCREASED PRESSURE IN YOU...
10-24-2011                                                    MYTH          MINOR B RAIN            C E L L D A M A G E (...
10-24-2011                Russian Roulette RUMORS                                                     NERV ES I NS I DE Y...
10-24-2011                   Safe to Do with Friends?                     SERIOUS PHYISICAL INJURIES       • FALLS - BROKE...
10-24-2011                          DENY THE LIES!    LOT S O F D EA D & I N J U R E D K I D S “ H EA R D ”      A N D B ...
10-24-2011             DEPENDENCY                  • “INSSIDIOUS” DEPENDENCY                  • A        DEPENDENCY       ...
10-24-2011                               WARNING SIGNS                     THE HALLMARK OF BRAIN INJURY        S U D D E N...
10-24-2011             EMO - just a word – short for “emotional”
10-24-2011             For Most - Yes   For Some - No
10-24-2011
10-24-2011             Music – Expressive & Creative                        Lyrics    Hawthorne Heights                  ...
10-24-2011         A Joke?   Desperation – Mutilation – Depression –                  Suicide?
10-24-2011             NO GAME – NO JOKE – NOT ALWAYS JUST TEEN CULTURE –                  NO GLAMOR HERE – DEFINITELY NOT...
10-24-2011             PHARM PARTIES?                WHATS THAT?
10-24-2011        Nicknamed             or
10-24-2011      USA MIXED MEDS HOSPITAL ADMISSIONS             12- 17 Year Old Admitted to E.R.              ANNUALLY - 24...
10-24-2011
10-24-2011             Ages 12+ “Recreational Use” Reported
10-24-2011
10-24-2011    •O       T   C                s      Herbal Remedies    • Herbal/Energy Drinks   “Tylenol      PM”
10-24-2011• Dextromethorphan Found in more than    non-prescription
10-24-2011                                 READ THE LABELS                                                                ...
10-24-2011
10-24-2011
10-24-2011             COMPRESSED AIR               “DUST OFF”
10-24-2011             EVERY DAY USES – COMMON ABUSES
10-24-2011   • "LAUGHING GAS" (NITROUS OXIDE)   • "SNAPPERS" (AMYL NITRITE)   • "POPPERS" (AMYL NITRITE AND BUTYL NITRITE)...
10-24-2011                       INHALANTS – BY CHEMICAL ID – EXAMPLES - EFFECTS                  INHALANT                ...
10-24-2011             MORE IMMEDIATE EFFECTS OF INHALANTS                          CARDIAC ARRHYTHMIAS [HEART ATTACK!]   ...
10-24-2011             LONG TERM EFFECTS OF INHALANTS
10-24-2011             STATISTICS                          webmaster@ed4ed4all.com
10-24-2011                                   STATISTICS "THE CHOKING GAME"     “CHOKING GAME” STATISTICS OF DEATH & INJURY...
10-24-2011                             ALL Victims To Date – 1006                                                      DEC...
10-24-2011                                      ADULTS - 51                                                               ...
10-24-2011                        YOUTH VICTIMS - 886                      800                      700           140     ...
10-24-2011                                 1.1% 1.0%     Scotland      5                                6.2%        India ...
10-24-2011                                                3%                                                           10%...
10-24-2011                                                                              32.03%                            ...
10-24-2011                                         Calendar Years                  Gender & Status         2011     2010  ...
10-24-2011                                   Calendar Years       Gender & Status             1998       1997   1996   199...
10-24-2011                                     Calendar Years         Gender & Status              1985      1984     1983...
10-24-2011                                    Calendar Years     Gender & Status                     1973      1972     19...
10-24-2011                                           WI    12   1.88%                                           MA    11  ...
10-24-2011                                     USA State Review Table                                      Incidents Total...
10-24-2011         16   USA 3TOPOGRAPHICAL MAP                                                                            ...
10-24-2011         USA CENTER FOR DISEASE CONTROL                            COMPARED TO 5,101 SUICIDE                    ...
10-24-2011                                           ED4ED REPORT MALE/FEMALE AGE & GENDER                                ...
10-24-2011                    Criteria: Deceased Victims, USA, Ages 6-19                                           Indepen...
10-24-2011              Silent Online Survey Maintained by GASP - [gaspinfo.com]             http://www.gaspinfo.com/en/in...
10-24-2011             ADOLESCENT / CHILD             HEALTH & WELLNESS
10-24-2011                  CURRENT HEALTH STUDIES                   “THE CHOKING GAME”      •      CDC - USA CENTER FOR D...
10-24-2011      AN ALARMING CDC REPORT IN 2006             SUICIDE TREND REPORT      • 5,101 “SUICIDES” BY        HANGING ...
10-24-2011             CDC MMWR REPORT - RESULTS       RESULTS              82 PROBABLE DEATHS              86.6% MALE ...
10-24-2011                   CDC HIGHLIGHTS                                  INDICATIONS                            • BEGI...
10-24-2011            PARENTS, EDUCATORS, HEALTHCARE PROVIDERS            MEs/Coroners            Better Mortality Surv...
10-24-2011             OHIO SURVEY STUDY OF 2005        
10-24-2011               http://injuryprevention.bmj.com/cgi/content/abstract/15/1/45                                 Auth...
10-24-2011             MACNAB/ANDREWS STUDY    OBJECTIVES                               Design    • To determine the      ...
10-24-2011
10-24-2011
10-24-2011             MACNAB & ANDREWS BMJ STUDY CONCLUSION                 A CALL TO ARMS TO ALL EDUCATORS
10-24-2011             “As a children’s doctor I have been             involved in many instances where             childr...
10-24-2011                     Andrew Macnab, M.D.             Professor of Pediatrics, University of British Columbia    ...
10-24-2011             https://www.box.net/shared/ov7inpeqye
10-24-2011             “The myth that this kind of behavior is engaged in             by only troubled youth must be dispe...
10-24-2011             A CLOSING TRIBUTE TO COUNTLESS LIVES LOST                                      Video Duration: 4 Mi...
10-24-2011             “Get informed, use the tools             you have been given and be             proactive. The impa...
10-24-2011             “Dearest Jason”
10-24-2011                  EDUCATION 4 EDUCATORS                  "CLOUD STORAGE" FILE SHARING             http://health....
10-24-2011
ED4ED Education for Educators Youth Risk Trends Current & Emerging
ED4ED Education for Educators Youth Risk Trends Current & Emerging
ED4ED Education for Educators Youth Risk Trends Current & Emerging
ED4ED Education for Educators Youth Risk Trends Current & Emerging
ED4ED Education for Educators Youth Risk Trends Current & Emerging
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ED4ED Education for Educators Youth Risk Trends Current & Emerging

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This program is one part of an Education Program for Educators about Current & Emerging Youth Risk Behaviors. Review the document "User's Guide" uploaded here to my profile for a full overview. (Ed4Ed4All program currently addressing "The Choking Game"; "EMO"; "Pharm Parties" 'Atypical Inhalants" . Please follow us on facebook, twitter and make sure to visit our web site for a video overview of "The Choking Game" ) This is the reduced file version with limited/no transitions and no embedded video files.

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ED4ED Education for Educators Youth Risk Trends Current & Emerging

  1. 1. 10-24-2011 Youth Risk Behaviors Injury Prevention Program
  2. 2. 10-24-2011 TEACHING THE ESSENTIAL ELEMENTS OF
  3. 3. 10-24-2011 THE MESSAGE – THE MISSION TO KEEP KIDS SAFE! INFORM & EDUCATE!
  4. 4. 10-24-2011 Bridging The Information Gap
  5. 5. 10-24-2011 SPECIAL THANKS TO THE EDUCATORS – YOUTH LEADERS – PARENTS INJURY PREVENTION COLLEAGUES & SPONSORS GASP - Games Adolescents Shouldnt Play The DB Foundation APEAS - Association de Parents dEnfants Accidentes par Strangulation Chris Marceno Foundation Jenny Morgan.org Still Loving My Gabriel The 8th Day Foundation Connors Heart For Kevins Sake: Stop the Choking Game Eriks Cause Help Stop the Choking Game National Inhalant Abuse Prevention Coalition
  6. 6. 10-24-2011 TOUCHSTONE SECTION GUIDE Introduction STATISTICS The Choking Game RESEARCH/RESOURCES EMO Endorsements PHARM PARTIES Presentation Conclusions INHALANTS Ed4Ed Program Videos https://www.box.net/shared/evyixhithr
  7. 7. 10-24-2011 CHOKING GAME 911 CALL PHYSIOLOGY OF THE CHOKING GAME INDUCED SEIZURES SURVIVORS OF THE CHOKING GAME OUR ANGELS – VIDEO TRIBUTE DEAREST JASON EACH VIDEO IS IN WINDOWS MEDIA FORMAT – WHEN VIEWING THE SLIDE CONTAINING THE VIDEO – [LEFT]CLICK THE SLIDE TITLE TO PLAY THE VIDEO
  8. 8. 10-24-2011 HIDDEN RISKS P H A “EMO” R M P A R “HUFFING“– “DUSTING” T PRESCRIPTION MEDICATION ABUSE I E S ? OVER THE COUNTER MEDS ATYPICAL INHALANTS
  9. 9. 10-24-2011
  10. 10. 10-24-2011 THE CHOKING GAME WHAT IS IT? Anoxic/Hypoxic Brain Injury & Death
  11. 11. 10-24-2011 NO MATTER WHAT THE NAME ITS NEVER A GAME! Flat liner Underwater Sensation Suffocation Roulette Space Monkey Pass out TAPOUT GAME Shenandoah Surprise Airplaning Tingling Rising Sun Blackout The Big Lebowski Breath Play Funky Chicken KNOCK OUT Space Cowboy In & Out California High FLOATING Visual Ecstasy American Dream Gasp LIGHTS OUT FREE FALLKevin Kline-ing
  12. 12. 10-24-2011
  13. 13. 10-24-2011 http://www.onetruemedia.com/shared?p=75f454f8cdaedc38ea3bff&skin_id=1703&utm_so urce=otm&utm_medium=text_url
  14. 14. 10-24-2011 PEOPLE FAINT ALL THE TIME How is this different? P EO P L E C O M M O N LY FA I N T D U E TO LO W B LO O D P R E S S U R E O R LO W B LO O D S U G A R L O S S O F C O N S C I O U S N E S S C AU S E D BY A S P H Y X I A L A C T I V I T I E S H A P P E N S B EC AU S E T H E B R A I N I S S TA R V I N G F O R OX YG E N  YOUR B R A I N S U S TA I N S DA M A G E A N Y T I M E YO U A R E D E P R I V E D O F OX YG E N  AS LITTLE AS A 1 0 % R E D U C T I O N I S C O N S I D E R E D “ D E P R I V AT I O N ”  YOUR B R A I N I S T H E M A S T E R C O N T RO L C E N T E R F O R A L L YO U R B O D I E S F U N C T I O N S
  15. 15. 10-24-2011
  16. 16. 10-24-2011 WHY ARE THEY TWITCHING LIKE THAT?  NOT TWITCHING – THEY’RE SEIZING  INCREASED PRESSURE IN YOUR BRAIN CAUSES SEIZURES - STROKE INSTANTLY OR LATER ON SUDDEN & UNEXPECTED DEATHS
  17. 17. 10-24-2011 MYTH  MINOR B RAIN C E L L D A M A G E ( D E AT H O F L I V I N G C E L L S ) W I L L N O T C A U S E I M M E D I AT E D E AT H O F T H E P H Y S I C A L B O D Y  UNLIKE O T H E R C E L L S I N T H E B O D Y, T H E B R A I N C A N N O T M A K E N E W ONES  THE DAMAGE IS  T HE DAMAGE IS  E AC H T I M E YO U R B R A I N I S D E P R I V E D O F OX YG E N DA M AG E W I L L OCCUR  A LITTLE OR A LOT – DEPENDING ON HOW MUCH AND HOW LONG YO U R B R A I N I S D E P R I V E D O F OX YG E N  B R A I N D A M A G E R E S U LT S I N P H Y S I C A L A N D M E N TA L D I S A B I L I T I E S  A LIT TLE OR A LOT – DEPENDING ON HOW M U C H DA M AG E WA S DONE  B RAIN DAMAGE
  18. 18. 10-24-2011
  19. 19. 10-24-2011 Russian Roulette RUMORS  NERV ES I NS I DE YO UR NECK R E G U L AT E Y O U R H E A R T B E AT  P R ES UR E O N YO UR NECK CAN CAUSE ABNORMAL H E A R T B E AT S & C A N C A U S E H E A R T AT TA C K  P R ES S UR E O N YO UR CHEST CAN CAUSE IT TOO  R A P I D LY E X P E L L I N G A I R A F T E R H Y P E R V E N T I L AT I O N  T H E R E S U LT I S T H E S A M E M AY A L S O C A U S E A B N O R M A L H E A R T B E AT S
  20. 20. 10-24-2011 Safe to Do with Friends? SERIOUS PHYISICAL INJURIES • FALLS - BROKEN BONES (LEGS, JAWS, SKULL FRACTURES) • TOOTH LOSS, FACIAL LACERATIONS, PERMANENT SCARRING & DISFIGUREMENT • HEAD INJURIES - RETINA DETACHMENT PERMANENT BLINDNESS, CONCUSSION, INTERNAL INJURY TO BRAIN STRUCTURES THAT ALLOW NORMAL SIMPLE BODY FUNCTIONS (CONTROL OVER YOUR BLADDER AND BOWELS)
  21. 21. 10-24-2011 DENY THE LIES! LOT S O F D EA D & I N J U R E D K I D S “ H EA R D ” A N D B E L I E V E D T H E L I ES T H E R E I S N O “ SA F E WAY ”  LO S S O F CO N C I O U S N ES S O C C U RS D I F F E R E N T LY EAC H T I M E  I T S I M P O S S I B L E TO K N OW W H E N TO R E L EA S E P R ES S U R E “ I N T I M E ”
  22. 22. 10-24-2011 HUGE LIE – “HIGH” I T S N OT PA S S I N G O U T I T S N OT FA I N T I N G A L A R M C H E M I C A L S I T S N OT A G A M E P RO D U C E D BY I T S N OT A F R E E H I G H DY I N G B R A I N C E L L S N OT A S A F E A LT E R E D • CHEMICALS – S TAT E O F M I N D ! REGARDLESS OF S O U R C E C A N C R E AT E DEPENDENCY
  23. 23. 10-24-2011 DEPENDENCY • “INSSIDIOUS” DEPENDENCY • A DEPENDENCY • PERHAPS EXPLAING WHY IT MIGHT START AS A GROUP CURIOSTIY • ESCALATE TO SOLO EXPERIMENTATION (97% OF DEATHS REPORTED SOLO ACTIVITIES)
  24. 24. 10-24-2011 WARNING SIGNS THE HALLMARK OF BRAIN INJURY S U D D E N C H A N G E S P E R S O N A L I T Y A N D / O R B E H AV I O R   LOCKED DOORS   S E C R AT I V E B E H AV I O R  UN US UAL IT EMS (ANYTHING  T H AT C O U L D B E U S E D A S A L I G AT U R E )  U NEXPLAINED MARKS OR  I N U N U S U A L L O C AT I O N S ( T I E D CHAFING AROUND THE NECK TO DOORS, BEDS, OR EVEN (SOMETIMES HIDDEN BY FOUND LOOSE IN A BED ) SCARVES OR BRUSHED A S I D E W I T H VA G U E  W EAR MARKS ON E X P L A N AT I O N S ) DOORS, BEDS
  25. 25. 10-24-2011 EMO - just a word – short for “emotional”
  26. 26. 10-24-2011 For Most - Yes For Some - No
  27. 27. 10-24-2011
  28. 28. 10-24-2011 Music – Expressive & Creative Lyrics  Hawthorne Heights  Armor for Sleep  Yellow Card  Alexis on fire  A Static Lullaby  Brand New  Finch  From Autumn To Ashes  From First To Last  Funeral for a Friend  Matchbook Romance  My Chemical Romance  The Starting Line  Fall Out Boy SOME MAY MISINTERPRET THE LYRICS – HANNAH BOND DID
  29. 29. 10-24-2011 A Joke? Desperation – Mutilation – Depression – Suicide?
  30. 30. 10-24-2011 NO GAME – NO JOKE – NOT ALWAYS JUST TEEN CULTURE – NO GLAMOR HERE – DEFINITELY NOT FUNNY THE BOND FAMILY IS NOT LAUGHING
  31. 31. 10-24-2011 PHARM PARTIES? WHATS THAT?
  32. 32. 10-24-2011 Nicknamed or
  33. 33. 10-24-2011 USA MIXED MEDS HOSPITAL ADMISSIONS 12- 17 Year Old Admitted to E.R. ANNUALLY - 24, 418 1,200 – LIFE THREATENING & REQUIRE CRITICAL CARE
  34. 34. 10-24-2011
  35. 35. 10-24-2011 Ages 12+ “Recreational Use” Reported
  36. 36. 10-24-2011
  37. 37. 10-24-2011 •O T C s Herbal Remedies • Herbal/Energy Drinks “Tylenol PM”
  38. 38. 10-24-2011• Dextromethorphan Found in more than non-prescription
  39. 39. 10-24-2011 READ THE LABELS •“BATH SALTS” •Physiological/Psychological effects •tachycardia (Rapid heartbeat) • OTHER OTCs •hypertension (High blood pressure) •vasoconstriction (Narrowing of the blood DXM Nicknames vessels) • Robo • Caffeine & Herbs , •insomnia (Inability to sleep) •nausea, stomach cramps, and digestive • Skittles • Tylenol problems •bruxism (Grinding teeth) • Triple C’s •increased body • Dex • Toxic temperature, chills, sweating •pupil dilation • Vitamin D • Liver •headache •kidney pain • •tinnitus Damage • Tussin •dizziness • DXM [abused] • •overstimulation Irreversible •breathing difficulty SAME EFFECTS AS • •agitation/hypertonia *When Abused ALL are •severe paranoia OPIATES •confusion Deadly Toxins •psychotic delusions EMERGING TREND ATYPICAL HOUSEHOLD ITEM - •extreme anxiety/agitation, sometimes Crossover See Slides 44 & 45 for More Images progressing to violent behavior •suicidal thoughts/actions
  40. 40. 10-24-2011
  41. 41. 10-24-2011
  42. 42. 10-24-2011 COMPRESSED AIR “DUST OFF”
  43. 43. 10-24-2011 EVERY DAY USES – COMMON ABUSES
  44. 44. 10-24-2011 • "LAUGHING GAS" (NITROUS OXIDE) • "SNAPPERS" (AMYL NITRITE) • "POPPERS" (AMYL NITRITE AND BUTYL NITRITE) • "WHIPPETS" (FLUORINATED HYDROCARBONS, FOUND IN WHIPPED CREAM DISPENSERS) • "BOLD" (NITRITES) • "RUSH" (NITRITES) • ‘White Lightening’, ‘Blue Magic’, ‘Blow”, ‘Snow’‘Plant food’, ‘Window Cleaner *Bath Salts”+ K-2/Spice; Incense, potpourri more potent than 9-tetrahydrocannabinol [marijuana — and various oxidized metabolites of each ]
  45. 45. 10-24-2011 INHALANTS – BY CHEMICAL ID – EXAMPLES - EFFECTS INHALANT EXAMPLE EFFECTS (JWH-018, jWH-073, Incense, potpourri Respiratory Failure; Lung Damage; JWH-200, CP-47,497, and sudden death cannabicyclohexanol (six different chemicals) used to make “Fake Pot” Methylenedioxypyrovalerone White Lightening, Blue REFER TO OTC SECTION – (MDPV) psychoactive Magic, Blow", Snow, Plant PSYCHO ACTIVE DRUG EFFECT drug with stimulant propertie food, Window s – (ingested /snorted & Cleaner ‘MDPK, MTV, Magic, Smoked/Inhaled Maddie, Black Rob, Super Coke and PV. EFFECTS… Toluene Spray paint Hearing loss Glue Damage to spinal cord or Dewaxer brain Fingernail polish Liver and kidney damage Trichloroethylene Cleaning fluid Hearing loss Correction fluid Liver and kidney damage Hexane Glue Limb spasms Gasoline Blackouts Nitrous Oxide Whipped cream dispensers Limb spasms Gas cylinders Blackouts Benzene Gasoline Bone marrow damage
  46. 46. 10-24-2011 MORE IMMEDIATE EFFECTS OF INHALANTS CARDIAC ARRHYTHMIAS [HEART ATTACK!] ASPHYXIA/SUFFOCATION/SUDDEN DEATH DAMAGE TO THE OPTIC NERVE – CAUSING BLINDNESS
  47. 47. 10-24-2011 LONG TERM EFFECTS OF INHALANTS
  48. 48. 10-24-2011 STATISTICS webmaster@ed4ed4all.com
  49. 49. 10-24-2011 STATISTICS "THE CHOKING GAME" “CHOKING GAME” STATISTICS OF DEATH & INJURY REPRESENT AN ASSESMENT. NO OFFICIAL NATIONAL OR INTERNATIONAL REGISTRY MONITORS, COLLECTS & REPORTS DATA BASED ON EMPIRICAL METHODS OF COLLECTION. AT PRESENT INCIDENTS ARE RECORDED BY INDEPENDENT INJURY PREVENTION/INTERVENTION GROUPS, SUBSTANTIATED THROUGH SELF REPORTING BY VICTIMS’ FAMILY MEMBERS, MEDIA, AND SCIENTIFIC JOURNALS.
  50. 50. 10-24-2011 ALL Victims To Date – 1006 DECEASED SURVIVED 661 70 140 15 5 60 0 0 2 1 2 0 Male 19 & Under 45 Female 19 & Under Male Age 5 Unknown Female Age Unknown Gender / Age Unknown Adult Males 20+ Adult Females 20+
  51. 51. 10-24-2011 ADULTS - 51 Adult Males 20+ 45 Adult Females 20+ 45 40 35 30 25 20 5 15 0 10 Adult Females 20+ 5 1 Adult Males 20+ 0 Deceased Survived *Media reports: 2 Incidents Age/Gender Withheld; 65 Males Age Withheld; 5 Females Age Withheld
  52. 52. 10-24-2011 YOUTH VICTIMS - 886 800 700 140 600 500 Females 19 & Under 400 Males 19 & Under 661 300 200 15 100 70 0 DECEASED SURVIVED *Media reports: 2 Incidents Age/Gender Withheld; 65 Males Age Withheld; 5 Females Age Withheld
  53. 53. 10-24-2011 1.1% 1.0% Scotland 5 6.2% India 4 Ireland 4 New Zealand 4 Australia 3 9.7% Germany 3 Switzerland 3 Belgium 2 Jamaica 2 Korea 2 Malaysia 2 14.0% Peru 2 63.4% Wales 2 Br Vir Islands 1 Brazil 1 Egypt 1 Greece 1 Holland 1 Italy 1 Russia 1 Sweden 1
  54. 54. 10-24-2011 3% 10% 5% 22% 7% 1% 2% 5% 45% AB BC MB NB NS ON PE QC SK *Media reports: 3 incidents Providence Withheld
  55. 55. 10-24-2011 32.03% 46.08% 3.59% 0.33% 1.63% 3.27% 0.33% 1.31% 1.31% 0.65% 0.33% 1.31% 0.65% 0.33% 0.98% 0.98% France England S_ Africa Withheld Scotland India Ireland New Zealand Australia Germany Switzerland Belgium Jamaica Korea Malaysia Peru Wales Br Vir Islands Brazil Egypt Greece Holland Italy Russia Sweden
  56. 56. 10-24-2011 Calendar Years Gender & Status 2011 2010 2009 2008 2007 2006 2005 Females (Deceased) 0 13 15 26 29 18 18 Females (Survived) 0 3 2 1 2 2 0 Males (Deceased) 17 42 54 81 111 127 94 Males (Survived) 3 8 11 6 11 15 9 Gender Unknown (Deceased) 0 0 0 0 0 0 0 Total for Year 20 66 114 114 153 162 121 Calendar Years Gender & Status 2004 2003 2002 2001 2000 1999 Females (Deceased) 2 4 6 5 4 1 Females (Survived) 1 0 0 1 1 0 Males (Deceased) 47 19 20 26 29 15 Males (Survived) 4 0 0 1 1 0 Gender Unknown (Deceased) 0 0 0 1 0 0 Total for Year 54 23 26 34 35 16
  57. 57. 10-24-2011 Calendar Years Gender & Status 1998 1997 1996 1995 1994 1993 Females (Deceased) 0 2 1 0 0 0 Females (Survived) 0 0 0 0 0 0 Males (Deceased) 8 4 4 3 3 2 Males (Survived) 0 2 1 0 0 1 Gender Unknown (Deceased) 0 0 0 0 0 0 Total for Year 8 8 6 3 3 3 Calendar Years Gender & Status 1992 1991 1990 1989 1987 1986 Females (Deceased) 0 0 0 0 0 0 Females (Survived) 0 0 0 0 0 0 Males (Deceased) 5 2 2 1 1 2 Males (Survived) 0 0 0 0 1 0 Gender Unknown (Deceased) 0 0 0 0 0 0 Total for Year 5 2 2 1 2 2
  58. 58. 10-24-2011 Calendar Years Gender & Status 1985 1984 1983 1982 1981 1980 Females (Deceased) 0 1 0 0 0 0 Females (Survived) 0 0 0 0 1 1 Males (Deceased) 1 1 3 1 1 0 Males (Survived) 0 0 0 0 0 0 Gender Unknown (Deceased) 0 0 1 0 0 0 Total for Year 1 2 4 1 2 1 Calendar Years Gender & Status 1979 1978 1977 1975 1974 Females (Deceased) 1 0 0 0 0 Females (Survived) 0 0 0 0 1 Males (Deceased) 0 1 1 2 1 Males (Survived) 1 0 0 0 0 Gender Unknown (Deceased) 0 0 0 0 0 Total for Year 2 1 1 2 1
  59. 59. 10-24-2011 Calendar Years Gender & Status 1973 1972 1971 1969 1950 1934 Females (Deceased) 0 0 0 0 0 0 Females (Survived) 0 0 0 0 0 0 Males (Deceased) 1 1 2 1 1 1 Males (Survived) 0 0 0 0 0 0 Gender Unknown (Deceased) 0 0 0 0 0 0 Total for Year 1 1 2 1 1 1 Females (Deceased) 1 1 Females (Survived) 0 0 Males (Deceased) 28 0 Males (Survived) 1 0 Gender Unknown (Deceased) 0 0 Total For Calendar Years/Gender Unknown *30 **1 *Calendar Year Unknown and/or **Calendar Year and Gender Unknown
  60. 60. 10-24-2011 WI 12 1.88% MA 11 1.72% NJ 11 1.72% OR 11 1.72% AZ 10 1.57% NE 10 1.57% IA 9 1.41% VA 9 1.41% KS 8 1.25% MN 7 1.10% CA 47 7.37% CT 6 0.94% TX 43 6.74% MD 6 0.94% Withheld 34 5.33% MS 6 0.94% GA 31 4.86% NH 6 0.94% NV 6 0.94% MI 31 4.86% AR 0.78% 5 OH 31 4.86% ME 5 0.78% FL 29 4.55% ASSESMENT UT 5 0.78% PA 28 4.39% NO GEOGRAPHIC ID 4 0.63% NY 24 3.76% LA 4 0.63% CLUSTERING NM 4 0.63% IL 23 3.61% OK 4 0.63% NC 23 3.61% MT 3 0.47% CO 19 2.98% WV 3 0.47% MO 18 2.82% AK 2 0.31% IN 16 2.51% DE 2 0.31% WA 16 2.51% ND 2 0.31% WY 2 0.31% TN 13 2.04% DC 1 0.16% AL 12 1.88% HI 1 0.16% KY 12 1.88% SD 1 0.16% SC 12 1.88% RI 0 0.00% VT 0 0.00%
  61. 61. 10-24-2011 USA State Review Table Incidents Total - 638 OH 31 4.86% Incident Rank 1-5 (Highlighted Text) OK 4 0.63% OR 11 1.72% MD 6 0.94% PA 28 4.39% Incident Rank 6-10 (Highlighted Text) ME 5 0.78% RI 0 0.00% MI 31 4.86% SC 12 1.88% AK 2 0.31% HI 1 0.16% MN 7 1.10% SD 1 0.16% AL 12 1.88% IA 9 1.41% MO 18 2.82% TN 13 2.04% AR 5 0.78% ID 0.63% MS 6 0.94% TX 6.74% 4 43 AZ 10 1.57% MT 3 0.47% UT 0.78% IL 23 3.61% 5 CA 47 7.37% NC 23 3.61% VA 9 1.41% CO 19 2.98% IN 16 2.51% ND 2 0.31% VT 0 0.00% CT 6 0.94% KS 8 1.25% NE 10 1.57% WA 16 2.51% DC 1 0.16% KY 1.88% NH 6 0.94% WI 12 1.88% 12 DE 2 0.31% NJ 11 1.72% FL 29 4.55% LA 4 0.63% NM 4 0.63% Withheld 34 5.33% GA 31 4.86% MA 11 1.72% NV 6 0.94% WV 3 0.47% NY 24 3.76% WY 2 0.31%
  62. 62. 10-24-2011 16 USA 3TOPOGRAPHICAL MAP 5 2 7 0 11 12 31 24 4 6 2 1 9 28 11 47 6 10 23 31 5 6 19 18 3 8 2 6 11 10 4 16 5 6 4 12 9 23 1 43 [D.C.] 12 2 31 13 6 4 1 12 29 34 - USA Geographic Location Withheld In Media Reporting
  63. 63. 10-24-2011 USA CENTER FOR DISEASE CONTROL COMPARED TO 5,101 SUICIDE DEATHS BETWEEN 1995-2007 CHOKING GAME DEATHS REPORT RELEASED 2/15/08
  64. 64. 10-24-2011 ED4ED REPORT MALE/FEMALE AGE & GENDER Male Female 80 70 68 57 58 55 60 35 34 40 22 18 15 17 14 14 20 20 40 22 4 1 7 9 5 5 0 8 0 0 AGE OF VICTIMS 6 8 10 12 14 16 18 INDEPENDENT REPORT SUPPORTS CDC REPORT HIGHLIGHTS (AS TO PREVELENCE OF INCIDENTS IN AGE RANGE)
  65. 65. 10-24-2011 Criteria: Deceased Victims, USA, Ages 6-19 Independent Reports 95-04 83 Independent Reports 2005 92 Independent Reports 2006 126 Independent Reports 2007 90 Independent Tracking - Many Reports Delayed Total 391 INDEPENDENT INCIDENT TRACKING SUPPORTS CDC REPORT (UNDER REPORTING DUE TO LIMITED MEDIA REPORTS AVAILABLE AT TIME OF STUDY )
  66. 66. 10-24-2011 Silent Online Survey Maintained by GASP - [gaspinfo.com] http://www.gaspinfo.com/en/involved-survey-results.asp GASP SURVEY STATISTICS OVERALL % Age Group Column1 Column2 Column3 Column4 All -20 20+ M F 2720 1335 1383 610 2108 # people surveyed? 75% 84% 67% 77% 75% Have you heard of the choking game? 35% 42% 27% 37% 34% Did you know of the game by any other name? 59% 62% 56% 64% 57% Do you know of someone that has played? 15% 23% 7% 22% 13% Do you know someone that still plays? 27% 24% 30% 35% 24% Have you played? 6% 9% 3% 11% 4% Do you still play? 9% 11% 7% 13% 8% Have you played alone? Have you shown or told anyone how to play? 19% 24% 14% 27% 17%
  67. 67. 10-24-2011 ADOLESCENT / CHILD HEALTH & WELLNESS
  68. 68. 10-24-2011 CURRENT HEALTH STUDIES “THE CHOKING GAME” • CDC - USA CENTER FOR DISEASE CONTROL • *JOURNAL OF PEDICATRIC MEDICINE • *BRITISH JOURNAL OF MEDICINE • OHIO STATE • *OREGON STATE • *CANADIAN MENTAL HEALTH DEPARTMENT * STUDIES & REPORTS SINCE CDC REPORT RELEASED IN 2008
  69. 69. 10-24-2011 AN ALARMING CDC REPORT IN 2006 SUICIDE TREND REPORT • 5,101 “SUICIDES” BY HANGING • YOUTH & YOUNG ADULTS • AGES 10-24 • 1990 - 2004
  70. 70. 10-24-2011 CDC MMWR REPORT - RESULTS  RESULTS  82 PROBABLE DEATHS  86.6% MALE  MEAN AGE 13.3 YEARS OLD  70 Deaths (w/sufficient detailed reporting)  67 (95.7%) Occurred while decedent was alone  42 (92.9%) Of Decedent’s Parents Were Unaware that The Choking Game even existed, until after child’s death
  71. 71. 10-24-2011 CDC HIGHLIGHTS INDICATIONS • BEGIN EDUCATION EARLY HIGHLIGHTS • HIGH SCHOOL IS TOO LATE! – YOUNGEST VICTIMS ARE • DEATHS RISE AT AGE 9 ONLY 6 YEARS OLD! • SPIKE AT AGE 12 & 13 – PREDOMINENT AGE • DECLINE AT 17 GROUP MIDDLE SCHOOL YOUTH
  72. 72. 10-24-2011  PARENTS, EDUCATORS, HEALTHCARE PROVIDERS  MEs/Coroners  Better Mortality Surveillance & Research SUMMATION! IMMEDIATE & EFFECTIVE INTERVENTION!
  73. 73. 10-24-2011 OHIO SURVEY STUDY OF 2005 
  74. 74. 10-24-2011 http://injuryprevention.bmj.com/cgi/content/abstract/15/1/45 Authors 1A J Macnab, M Deevska, F Gagnon, W G Cannon, 2T Andrew Injury Prevention 2009: 15:45-49; doi:10.1136/ip.2008.018523 Reprint with permission - Copyright © 2009 by the BMJ Publishing Group Ltd. 1Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada 2Chief Medical Examiner, Concord, New Hampshire, USA
  75. 75. 10-24-2011 MACNAB/ANDREWS STUDY OBJECTIVES Design • To determine the prevalence of • A collaborative knowledge about and research model using a participation in school-based asphyxial games; and questionnaire at 8 how to raise awareness middle/high schools in of this risk taking Texas (USA) and behavior and provide Ontario (Canada). preventive education.
  76. 76. 10-24-2011
  77. 77. 10-24-2011
  78. 78. 10-24-2011 MACNAB & ANDREWS BMJ STUDY CONCLUSION A CALL TO ARMS TO ALL EDUCATORS
  79. 79. 10-24-2011 “As a children’s doctor I have been involved in many instances where children have died unnecessarily because of ignorance or an unwise decision. The feeling of futility that all involved experience when this happens, and the enormity of the pain and sense of loss on each occasion, are difficult to comprehend. The loss of even one child under such circumstances is tragic, and knowing that every year a number of young people lose their lives, needlessly because asphyxial games, is a call to action for all of us.”
  80. 80. 10-24-2011 Andrew Macnab, M.D. Professor of Pediatrics, University of British Columbia Vancouver, Canada “Therefore, knowing that more children than we realized are aware of the ‘choking game’, knowing that some will die as a result, and knowing that having the right information influences choice and behavior, I would urge you to use these materials and every opportunity to give children the knowledge and ability to make informed choices.”
  81. 81. 10-24-2011 https://www.box.net/shared/ov7inpeqye
  82. 82. 10-24-2011 “The myth that this kind of behavior is engaged in by only troubled youth must be dispelled. There is little need for me to remind parents and educators that the adolescent brain does not process information in the same manner as an adult brain. Important brain development research indicates adolescents, even those “good kids,” are hardwired for risk-taking behavior. In fact, the big lie promulgated to high achieving, action oriented children is that this behavior is a way to get a ‘drug-free high’. Ironically, the group of children most likely to shun tobacco and alcohol may well be the more likely candidates to be playing this game.”
  83. 83. 10-24-2011 A CLOSING TRIBUTE TO COUNTLESS LIVES LOST Video Duration: 4 Minutes (In 4 minutes you can save a child’s life.)DON’T HESITATE TO EDUCATE! Perhaps the life you save will be your own. I invite you to share our memories of these children, who lost their lives due to a simple lack of knowledge. They didn’t know they were risking their lives – they thought it only a harmless “game”. We didn’t tell them –because we didn’t know. Before one can “do better”, one must “know better”. http://www.onetruemedia.com/otm_site/view_shared?p=88a2ee6d5d4a621ed96e25
  84. 84. 10-24-2011 “Get informed, use the tools you have been given and be proactive. The impact you may have cannot be measured: save by the depth of feeling you experience attending the funeral of a child who dies in this most needless, maddening fashion.”
  85. 85. 10-24-2011 “Dearest Jason”
  86. 86. 10-24-2011 EDUCATION 4 EDUCATORS "CLOUD STORAGE" FILE SHARING http://health.groups.yahoo.com/group/Ed4Ed/join
  87. 87. 10-24-2011
  88. 88. 10-24-2011

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