What can I do to keep my child from playing the choking game?

Here's what you can do to protect your kids from the Choking Game: Know the signs: Bloodshot eyes Changes in attitude (overly aggressive) Disorientation or grogginess after being alone Frequent -- often severe -- headaches Inexplicable bruising or red marks around the neck Keeping ropes or plastic bags left around, or neckties tied in strange knots or found in unusual places and may start practicing knot tying using such objects Curiosity about asphyxiation. The child may ask questions such as: "How would it feel?" Or "What happens if someone...."Warn your kids.

Explain that this "game" causes not only slurred speech, gaps of memory, sudden outbursts of anger, but also possible strokes, seizures, retinal damage, brain damage or even death. Be firm and serious in your talks. Most kids have no clue how dangerous this game is or how the brain is affected by a lack of oxygen.

It's time for a serious science lesson! If your child doesn't get the seriousness of this activity, do an online search ("The Choking Game") with him and show photos or news articles about children who have died tragically doing this risky activity. Start early.

Studies show that kids are starting risky activities, such as playing The Choking Game, as young as nine years old. Talk about these risky issues using age-appropriate information and teachable-type moments. Monitor your child's bedroom.

Do so especially if you notice locked or blocked doors and unusual demands for privacy. Watch for suspicious neckties, plastic bags, belts or ropes left on the floor or closet -- especially with "strange knots." Know what your kids are doing, who they are hanging around with and which Internet sites and TV shows they watch.

Monitor their comings and goings. Teach real ways to say no. Kids say they want to know how to avoid peer pressure, but also say that "Just Say No" doesn't work.

Arm your child with an arsenal of peer pressure strategies. Get savvy. Many kids are doing this activity alone for the high.

If the child loses consciousness and there is no one there to immediately release the pressure, he is unable to help himself. The child could suffer brain damage and death usually after three minutes. Please, please, talk to your child about this deadly game.

Then talk and talk and talk again. Stay involved. Monitor.

Know your child's friends. Watch those slumber parties. Know the parents of your child's friends.

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