Monitoring the internet and, specifically, the YouTube activity of your children can alert you to their interest in these practices. YouTube contains more than five thousand videos of self-injury and self-harm. Based on the one hundred most viewed videos involving some form of self-harming, 80% were available with no viewer restrictions, and 28% showed a live act of self-harm. Although some of the videos contained neutral content, others seemed to promote self-injury by describing novel ways of harming oneself, as well as alternative methods to conceal that harm. YouTube is an important and influential source of information for youth, and adolescents who engage in self-harm are more likely to use social networking, such as YouTube, than adolescents who do not practice NSSI. [12]

Lieberman, Richard (2009), "Choking Game" (PDF), Youth Suicide Prevention Program Training for Crisis Teams and School Staff, Los Angeles Unified School District, pp.3–4See {{ citation}}: CS1 maint: postscript ( link) a b "Unintentional Strangulation Deaths from the 'Choking Game' Among Youths Aged 6--19 Years --- United States, 1995--2007", Morbidity and Mortality Weekly Report of the Centers for Disease Control and Prevention, 57(06); 141-144, February 15, 2008 ( "PDF version" (PDF). )Macnab, A.J.; Deevska, M.; Gagnon, F.; Cannon, W.G.; Andrew, T (2009), "Asphyxial games or "the choking game": a potentially fatal risk behaviour", Injury Prevention, 14 (1): 45–49, doi: 10.1136/ip.2008.018523, PMID 19190276, S2CID 206981471 , retrieved 26 October 2011 Eiyuden Chronicle: Hundred Heroes (Xbox Series X|S Optimized, Xbox One, Windows PC, & Xbox Cloud Gaming) — April 24, 2024

The Choking Game’s instructions were once spread through word of mouth and carried out in pairs or groups, with one child squeezing air out of another but stopping just short of the danger point. Now, with millions of how-to videos on asphyxiation only a finger’s tap away, kids are more likely to play the so-called game alone, choking themselves in their bedroom with their own belts and shoelaces, advocates say. Without the safeguard of a fellow player, what was intended as a momentary high can easily turn fatal. “It’s gotten more extreme,” Rogg says.That’s a harder message to spread when millions of videos referencing the Choking Game are so easily accessible online, and children continue recording their dangerous experiments.