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Recent research indicates that some young people initially learn about sexual choking through Internet memes. Thus, a qualitative content analysis was performed on 316 visual and textual memes collected from various social media websites and online searches to assess salient categories related to choking during sex. We identified nine main categories: communication, gendered dynamics, choking as dangerous, choking as sexy, sexualization of the nonsexual, shame and worry, romance/rough sex juxtaposition, choking and religious references, instructional/informational. Given that memes, through their humor, can make difficult topics more palatable and minimize potential harm in the phenomenon they depict, more concerted, synergistic effort that integrates media literacy into sexuality education programming on the potential risks that may ensue for those engaging in sexual choking is warranted.

A 54 year old builder presented with an accessory digit at the ulnar aspect of his left little finger, which had spontaneously strangulated and become painful (figure ). Preoperative photograph showing accessory digit Accessory digits usually present at birth and are most common on the ulnar side of the hand.

Although sexual choking is now prevalent, little is known about how people engage in choking in terms of frequency, intensity, method, or potential health sequelae. In a campus-representative survey of undergraduate and graduate students, we aimed to: (1) describe the prevalence of ever having choked/been choked as part of sex; (2) examine the characteristics of choking one’s sexual partners (e.g., age at first experience, number of partners, frequency, intensity, method); (3) examine the characteristics of having been choked during sex; and (4) assess immediate responses of having been choked including the extent to which frequency and method (e.g., hand, ligature, limb) of having been choked predicts the range of responses endorsed by participants. A total of 4254 randomly sampled students (2668 undergraduate, 1576 graduate) completed a confidential online survey during Spring 2021. The mean age of first choking/being choked was about 19, with more undergraduates than graduate students reporting first choking/being choked in adolescence. Women and transgender/gender non-binary participants were significantly more likely to have been choked than men. Participants more often reported the use of hands compared to limbs or ligature. Common responses to being choked were pleasurable sensations/euphoria (81.7%), a head rush (43.8%), feeling like they could not breathe (43.0%), difficulty swallowing (38.9%), unable to speak (37.6%), and watery eyes (37.2%). About 15% had noticed neck bruising and 3% had lost consciousness from being choked. Greater frequency and intensity of being choked was associated with reports of more physical responses as was use of limb (arm, leg) or ligature.

Introduction Despite movements like “Me Too” and refined laws, many young people in Sweden still experience sexual violence. The changing nature and severity of these assaults are of significant interest, especially due to common long‐term effects like post‐traumatic stress disorder (PTSD). Understanding these trends can help healthcare providers support victims and develop effective prevention strategies. This study aimed to examine changes in the severity of physical violence and injury during sexual assaults over the past decade among women aged 16–29 in Stockholm, Sweden, with a particular focus on trends in non‐fatal strangulation and its associated factors. Material and methods This retrospective study analyzed data from the Emergency Clinic for Rape Victims at South General Hospital, which centralizes care for sexual assault victims in Region Stockholm, Sweden. A final sample of 1074 records of women aged 16–29 was included in the analysis (299 in 2012, 391 in 2017, and 384 in 2022). Data were analyzed using descriptive and regression analysis to assess adjusted odds ratios (AORs) and 95% confidence intervals (CIs). Results Most victims experienced physical violence during sexual assault (65.3% in 2012, 68.1% in 2017 and 67.6% in 2022). In 2022, there was an increase in hitting (13.7% to 21.7%, p = 0.008), multiple physical violence (28.4% to 37.7%, p = 0.012), and severe physical violence (15.1% to 28.9% p < 0.001) compared to 2012. Non‐fatal strangulation rose significantly from 8.2% in 2012 to 24.5% in 2022 (p < 0.001), with adjusted AORs of 2.2 (95% CI: 1.2, 3.9) in 2017 and 3.3 (95% CI: 1.9, 5.8) in 2022 compared to 2012. Factors linked to non‐fatal strangulation included assaults in a home environment (AOR = 1.8, 95% CI: 1.2, 2.8), vaginal penetration along with another sexual act (AOR = 2.9, 95% CI: 1.6, 5.1), and blunt force (AOR = 5.9, 95% CI: 4.0, 8.5). Genital injuries also increased significantly from 25.2% in 2012 to 37.6% in 2022. Conclusions This study highlights a rise in severe physical violence in sexual assaults, involving non‐fatal strangulation and an increased presence of genital injuries. Findings underscore the need for thorough medical follow‐up and nationally representative research to inform prevention and understand associated violence dynamics. Most women aged 16–29 who attended a sexual assault center in Stockholm, Sweden, experienced physical violence during the sexual assault. Between 2012 and 2022, incidents involving hitting and non‐fatal strangulation increased significantly. Over the same period, the prevalence of injuries to the head/neck, trunk, and genitals also rose.