What parents need to know about choking

A recent BBC Radio 4 programme highlighted the rise of choking among teens - particularly girls. Here's what every parent should understand, and how to start the conversation at home.

A recent BBC Radio 4 programme highlighted a worrying trend: choking - sometimes referred to as 'breath play' - has become normalised among teenagers, particularly affecting girls. Many parents have no idea this is happening, and even fewer know how to talk about it.

Why it matters: choking restricts oxygen to the brain. Even brief episodes can cause lasting damage, and there is no 'safe' version of it. Health professionals are now seeing teens present with symptoms ranging from headaches and memory problems to serious injury.

Where it's coming from: experts on the programme pointed to widespread exposure through online content and pornography, where choking is often depicted as routine. For many young people, it's framed as expected rather than dangerous.

How to start the conversation: keep it calm and open. Avoid shock or punishment - the goal is for your teen to keep talking to you. Ask what they've heard from friends or seen online. Share the medical facts plainly: the brain needs oxygen, and there is no way to do this safely.

What to look out for: unexplained marks on the neck, red eyes or tiny burst blood vessels (petechiae), frequent headaches, dizziness, or memory lapses. Trust your instincts if something feels off.

Where to get support: speak to your GP, contact the NSPCC (0808 800 5000) or visit Brook for confidential young people's health advice. If you suspect immediate harm, seek urgent medical help.