August 2023 PMID 37459254

Structural brain morphology in young adult women who have been choked/strangled during sex: A whole-brain surface morphometry study.

Jiancheng Hou, Megan E Huibregtse, Isabella L Alexander, Lillian M Klemsz, Tsung-Chieh Fu, Molly Rosenberg, James Dennis Fortenberry, Debby Herbenick, Keisuke Kawata

Download social card

Mentions

73
Peak: 43 in May 2024
across 7 sources since Jul 2023

Extended reach

298,119
potential audience

Total likes

4,279

Video views

91,373

Mentions per month

Jul 2023 – Dec 2025

Where it's discussed

  • X / Twitter48 posts
  • Reddit11 posts
  • News8 articles
  • YouTube2 videos
  • TikTok2 posts
  • Instagram1 posts
  • Blogs1 articles

AI synopsis

What people are saying

The social discussions reflect a mix of concern and curiosity, with users citing research details like brain morphology changes and emphasizing the importance of understanding long-term risks, which demonstrate high engagement and moderate impact. Words like 'important,' 'worry,' and calls for community action highlight the tone's seriousness and intention to inform or warn.

AgreementModerate agreement

Most discussions express concern or skepticism about the safety of sexual choking, showing support for the study's focus on potential risks.

InterestHigh interest

Posts display high curiosity and engagement, with many referencing specific research findings and calling for further attention.

EngagementModerate engagement

Several comments delve into ethical concerns, potential health impacts, and community responsibility, indicating thoughtful engagement.

ImpactModerate impact

The discussions seem to raise awareness about neurobiological risks and influence opinions about safety practices, suggesting moderate impact.

Abstract in brief

  • The study investigated how frequent sexual choking affects brain structure in young women aged 18-30, finding that women exposed to choking showed increased cortical thickness and altered patterns of brain folding (gyrification) compared to women who had not experienced choking.
  • Key regions affected include the fusiform, lateral occipital, and lingual gyri, with specific areas showing increased or decreased complexity in brain surface features, indicating potential neuroanatomical changes associated with this behavior.
  • Although the findings suggest a link between sexual choking and brain morphology, the study emphasizes the need for longitudinal research to determine whether these brain differences are caused by choking or if they preexist, highlighting the importance of further investigation into the neurobiological impact of this emerging sexual practice. ]

Top posts

Most liked on X and Bluesky
Evie Lupine
@EvieLupine · X

very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better than "but blood chokes are perfectly safe". (they aren't) ⬇ https://t.co/GcQCcwM728 https://t.co/sHGSMY9Yz0

May 5, 2024 · 123 likes · 29 shares · 22,020 followers View post →
ꪖꪀꪊ ꪮꪶꪊ᭙ꪖ
@OluwaSoLove · X

The Choking Epidemic is Getting Worse. https://t.co/BtQMU1L4rm via @YouTube

May 22, 2024 · 4 likes · 8,951 followers View post →
Miranda „agquarx” McKennitt—
@mirandamckenni1 · X

At one point in time ( May 5, 2024 at 10:30PM)—we personally liked this artisan video on YouTube—enjoy: The Choking Epidemic is Getting Worse. https://t.co/WPp8NqetYj ▼▼▼ SUPPORT AND SUBSCRIBE ▼▼▼ Subscribe to my channel: https://t.co/tnVpJDoBIW My Patreon: … https://t.co/K2BYXXNE8N

May 12, 2024 · 2 likes · 1 share · 10,296 followers View post →
Blackthorne; The One
@thevaginarian · X

https://t.co/ZWx822mvKY Choking and asphyxiation is not SAFE, you can only make it SAFER. It has its risks, just like bondage and any other type of play. It is IMPORTANT, to understand these risks and potential damage to take steps to mitigate said risks while having fun.

May 6, 2024 · 2 likes · 1 share · 1,247 followers View post →
Anna
@anna_gcrf · X

@bice_mx there is no safe way to do it, you're literally risking brain damage every time https://t.co/weLuqVte63 https://t.co/MxNavnZsPQ

Jul 28, 2024 · 2 likes · 394 followers View post →
Eve G. Admon ⚡ Honey-el
@AdmonEve · X

Came across this video that discusses the possible negative health consequences of choking. https://t.co/yn4xr2oTGz I'm an oldfag, so the current popularity of sexual choking feels very strange to me. It used to be considered a fringe hardcore S&M activity. Some thoughts...

May 11, 2024 · 2 likes · 110 followers View post →

All mentions

Noah Stone
@thenoahstone_ · X

@failninjaninja @AusSarah1 for reference https://t.co/Ft42QUpFaE

Nov 4, 2025 · 3,673 followers View post →
Susan Bewley
@susan_bewley · X

@Healthy_Control @bindelj @RASASC_London @VAWG_Helpdesk @nia_endingVAWG @FPH @FFLMUK @RCObsGyn @RaneeThakar @SexMattersOrg @UniversitiesUK @UniofOxford @womensaid @WellbeingofWmen @centreWJ @quirkathon @BMJ_SRH @meganhuibregtse @EmoryMedicine Although IRB approved, neither this nor previous paper consider the ethics. No PPI, liaison with survivors (literally), offers of help, or even a reflexivity section. The researchers profit off sub-lethal violence. Did I miss something? @concettaperot https://t.co/SE9MVC0NQe

May 13, 2025 · 1 like · 5,108 followers View post →
stilkritik
@FidelCastr36755 · X

@latsot Above blood biomarker, here MRI: https://t.co/LLIw3EF2gS

Apr 26, 2025 · 69 followers View post →
Miranda „agquarx” McKennitt—
@mirandamckenni1 · X

Sep 28, 2024 · 1 like · 10,296 followers View post →
Agnieszka—means "a spark”—
@AgnaeshMcKenni1 · X

Sep 28, 2024 · 184 followers View post →
Anna
@anna_gcrf · X

@bice_mx there is no safe way to do it, you're literally risking brain damage every time https://t.co/weLuqVte63 https://t.co/MxNavnZsPQ

Jul 28, 2024 · 2 likes · 394 followers View post →
Non-bunary Polyganda
@pirateFinn · X

@kastorcaster https://t.co/3PRdvcHWNG

Jul 27, 2024 · 1 like · 405 followers View post →
Anna
@anna_gcrf · X

anyway https://t.co/weLuqVte63 https://t.co/SH0mpe2iYh https://t.co/oYxCqB2TpM

Jul 27, 2024 · 394 followers View post →
maju
@thrrrcheers · X

vou deixar esses dois vídeos da minha bestie Evie Lupine aqui sobre isso (são em inglês mas ela fala bem devagarinho): https://t.co/g8IPzX98sY https://t.co/3WyFGRqtoQ

May 26, 2024 · 1 like · 1,782 followers View post →
ꪖꪀꪊ ꪮꪶꪊ᭙ꪖ
@OluwaSoLove · X

The Choking Epidemic is Getting Worse. https://t.co/BtQMU1L4rm via @YouTube

May 22, 2024 · 4 likes · 8,951 followers View post →
Miranda „agquarx” McKennitt—
@mirandamckenni1 · X

RT @mirandamckenni1: At one point in time ( May 5, 2024 at 10:30PM)—we personally liked this artisan video on YouTube—enjoy: The Choking Ep…

May 12, 2024 · 1 share · 10,296 followers View post →
Miranda „agquarx” McKennitt—
@mirandamckenni1 · X

At one point in time ( May 5, 2024 at 10:30PM)—we personally liked this artisan video on YouTube—enjoy: The Choking Epidemic is Getting Worse. https://t.co/WPp8NqetYj ▼▼▼ SUPPORT AND SUBSCRIBE ▼▼▼ Subscribe to my channel: https://t.co/tnVpJDoBIW My Patreon: … https://t.co/K2BYXXNE8N

May 12, 2024 · 2 likes · 1 share · 10,296 followers View post →
Eve G. Admon ⚡ Honey-el
@AdmonEve · X

Came across this video that discusses the possible negative health consequences of choking. https://t.co/yn4xr2oTGz I'm an oldfag, so the current popularity of sexual choking feels very strange to me. It used to be considered a fringe hardcore S&M activity. Some thoughts...

May 11, 2024 · 2 likes · 110 followers View post →
KnottyWildRose
@KnottyWild · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 7, 2024 · 29 shares · 126 followers View post →
Michael Joseph Murray
@AngelInvestorOG · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 7, 2024 · 29 shares · 5,025 followers View post →
Evie Lupine
@EvieLupine · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 7, 2024 · 29 shares · 22,020 followers View post →
LadyLion
@daniemarie80 · X

@missmayim this seems right up your neuroscientist ally. #bialikbreakdown https://t.co/L6JTGpOmeR

May 7, 2024 · 41 followers View post →
Miranda „agquarx” McKennitt—
@mirandamckenni1 · X

May 7, 2024 · 10,296 followers View post →
Agnieszka—means "a spark”—
@AgnaeshMcKenni1 · X

May 7, 2024 · 184 followers View post →
Master Dad
@YngdaddyT · X

New from Master Dad - research on risks of #choking. Not immediate but long-term damage in brain possible through repetitive tears etc. Let's take care of each other. Important not just for kinky but general population. https://t.co/a6PuuwQLJG #kink #bdsm #Master #breathplay

May 7, 2024 · 5,689 followers View post →
Jilk collins
@CollinsJilk · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 7, 2024 · 29 shares · 30 followers View post →
cat's studylicious 4.0 era ✨️
@therapatical · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 7, 2024 · 29 shares · 2,051 followers View post →
Perfect Omega
@NoSkillsWriter · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 6, 2024 · 29 shares · 137 followers View post →
This little pincushion went to BlueSky.
@Hypnodrone2 · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 6, 2024 · 29 shares · 285 followers View post →
lue
@lueberryx · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 6, 2024 · 29 shares · 247 followers View post →
Blackthorne; The One
@thevaginarian · X

RT @thevaginarian: https://t.co/ZWx822mvKY Choking and asphyxiation is not SAFE, you can only make it SAFER. It has its risks, just lik…

May 6, 2024 · 1 share · 1,247 followers View post →
Blackthorne; The One
@thevaginarian · X

https://t.co/ZWx822mvKY Choking and asphyxiation is not SAFE, you can only make it SAFER. It has its risks, just like bondage and any other type of play. It is IMPORTANT, to understand these risks and potential damage to take steps to mitigate said risks while having fun.

May 6, 2024 · 2 likes · 1 share · 1,247 followers View post →
AshleyDub
@dub_ashley78355 · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 6, 2024 · 29 shares · 770 followers View post →
Luna
@TheLunaBabyy · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 6, 2024 · 29 shares · 2,929 followers View post →
Moxie
@MsMoxieFlame · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 6, 2024 · 29 shares · 56 followers View post →
Seroecchi
@Seroecchi · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 6, 2024 · 29 shares · 38 followers View post →
History of BDSM
@HistoryofBDSM · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 6, 2024 · 29 shares · 14,692 followers View post →
NoFluffTweets
@LinkedInDropout · X

The Choking Epidemic is Getting Worse! https://t.co/CThbtuFh7Y

May 6, 2024 · 2,499 followers View post →
AdriannaPrince
@AdriannaPr79609 · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 6, 2024 · 29 shares · 39 followers View post →
Mistress Electra Amore
@MzElectraAmore · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 6, 2024 · 29 shares · 1,269 followers View post →
Mistress Baton
@vonnie_aka_MB · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 6, 2024 · 29 shares · 49,136 followers View post →
Elizabeth Rogers
@TiredtransRN · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 6, 2024 · 29 shares · 41 followers View post →
Jaya
@JayaBooty · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 6, 2024 · 29 shares · 197 followers View post →
AvengingFemme on masto & bsky
@alicelovescode · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 5, 2024 · 29 shares · 1,065 followers View post →
mintbot
@digitalplantp0t · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 5, 2024 · 29 shares · 1,312 followers View post →
Beyondsafewords.bsky.social
@BeyondSafewords · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 5, 2024 · 29 shares · 1,458 followers View post →
Crushed Crush Can Clue Cleo
@CleoFjosnissen · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 5, 2024 · 29 shares · 78 followers View post →
mistresshalina@gmail.com
@goddesshalina01 · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 5, 2024 · 29 shares · 16 followers View post →
They/Them
@AroAceHector · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 5, 2024 · 29 shares · 821 followers View post →
Leelee
@FabledLeelee · X

RT @EvieLupine: very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better…

May 5, 2024 · 29 shares · 220 followers View post →
Evie Lupine
@EvieLupine · X

very important video today covering the latest research on choking is now LIVE... we as a kink community need to do better than "but blood chokes are perfectly safe". (they aren't) ⬇ https://t.co/GcQCcwM728 https://t.co/sHGSMY9Yz0

May 5, 2024 · 123 likes · 29 shares · 22,020 followers View post →
Mister8658
@Mister8658 · X

The Choking Epidemic is Getting Worse. https://t.co/vpPQavVsC2 via @YouTube

May 5, 2024 · 2,047 followers View post →
UK Child Protection
@B_Gallagher99 · X

Research (USA) - Structural brain morphology in young adult women who have been choked/strangled during sex: A whole-brain surface morphometry study (Hou et al., 2023): https://t.co/HOtvBKlGKz https://t.co/NkHlUBGUSS

Jul 31, 2023 · 3,715 followers View post →
Recent Advances in Understanding The Neurobiology of | PDF ...
News

doi: 10.1002/brb3.1406 scope of this review, it is important to point out ... Epilepsia. children and adolescents with psychogenic nonepileptic seizures. 2023;64( ...

Dec 18, 2025 View →
Machine Learning Enhances Stroke Diagnosis | PDF | Machine ...
News

(62) Prediction of SAP at 7 XGBoost 5-fold 3,160 EHR data AUC 0.841 Age ... doi: 10.1002/brb3. 210. doi: 10.1016/S0140-6736(17)32152-9 1023 84. Stevens ...

Dec 18, 2025 View →
Scale Doomscrolling | PDF | Factor Analysis | Validity (Statistics)
News

sphericity with Bartlett's test, χ2 = 16,708.01, df = 3,160, p < .001, scale ... https://doi.org/10.1002/brb3.76 tion, problematic internet use, and ...

Dec 18, 2025 View →
Neuroimaging in Dementia: Address For Correspondence | PDF ...
News

... 3160 2015;36(07):2602–2614. Doi: 10.1002/hbm.22794. Seminars in Neurology Vol. 37 No. 5/2017. 532 Neuroimaging in Dementia Staffaroni et al. 155 Schwindt GC ...

Dec 18, 2025 View →
1 s2.0 S0149763424004299 Main | PDF | Mental Disorder | Emotions
News

​ ​ 6 3160 Superior Parietal Lobule 7 R 33.4 − 54.9 44.1 3,89 ​ ​ 7 ... https://doi.org/10.1002/brb3.2441. Turkeltaub, P.E., Eickhoff, S.B., Laird ...

Dec 18, 2025 View →
Electroconvulsive Therapy for Depression: A Review of the Quality ...
Blogs

ID:t3155ID:t3160ID:t3165. SES = 1.42*. ID:t3170ID:t3175ID:t3180. Overall ... https://doi.org/10.1002/brb3.37. Lorr, M., Jenkins, R., & Holsopple, J. (1953) ...

Dec 18, 2025 View →
Worried abt safely choking : r/BDSMcommunity
Reddit

... strangled during sex: A whole-brain surface morphometry study. https://onlinelibrary.wiley.com/doi/10.1002/brb3.3160 · dedita_nodi. • 6d ago.

Dec 10, 2025 View →
Fuck you, I hope you choke : r/sixwordstories
Reddit

... not choking anyone or getting choked, if you can prevent that). https://onlinelibrary.wiley.com/doi/10.1002/brb3.3160 · vcreativ. • 2mo ago.

Sep 2, 2025 View →
Entenda a Posologia do Ibuprofeno na Prática | TikTok
TikTok

... 10.1002/brb3.70200 #ibuprofeno #memoria #inteligencia #reportagem z ... 3160Comentários. 3394Compartilhamentos. pierina_garcia1. pierinagarcia.

Aug 1, 2025 View →
Studie: Ein Grund, warum Ersticken beim Sex so häufig vorkommt ...
Reddit

... neuroscience/articles/10.3389/fnbeh.2022.881678/full · https://onlinelibrary.wiley.com/doi/10.1002/brb3.3160 · Weitere Antworten.

Apr 13, 2025 View →
Kajian: Sebenarnya, sebab utama ramai orang tercekik semasa ...
Reddit

... /behavioral-neuroscience/articles/10.3389/fnbeh.2022.881678/full · https://onlinelibrary.wiley.com/doi/10.1002/brb3.3160 · Lebih banyak balasan.

Apr 13, 2025 View →
Estudo: parte da razão pela qual a asfixia durante o sexo é tão ...
Reddit

... neuroscience/articles/10.3389/fnbeh.2022.881678/full · https://onlinelibrary.wiley.com/doi/10.1002/brb3.3160 · Mais respostas · slicksensuousgal.

Apr 13, 2025 View →
Study: part of the reason choking during sex is so common is ...
Reddit

... neuroscience/articles/10.3389/fnbeh.2022.881678/full · https://onlinelibrary.wiley.com/doi/10.1002/brb3.3160 · More replies · slicksensuousgal.

Apr 13, 2025 View →
연구: 섹스 중에 목을 조르는 행위가 흔한 이유 중 하나는 많은 사람들 ...
Reddit

... -neuroscience/articles/10.3389/fnbeh.2022.881678/full · https://onlinelibrary.wiley.com/doi/10.1002/brb3.3160 · 답글 더 보기 · slicksensuousgal.

Apr 13, 2025 View →
Yorkshire Woman Accidentally Killed During Sexual Intercourse By ...
Reddit

... , and reduced cognitive ability and neural efficiency. https://onlinelibrary.wiley.com/doi/10.1002/brb3.3160 · More replies. 4 more replies.

May 17, 2024 View →
Lecteurs de fanfiction, rassemblez-vous ! S'il vous plaît et merci, j'ai ...
Reddit

https://onlinelibrary.wiley.com/doi/10.1002/brb3.3160. Tout cela étant dit - il y a beaucoup de fanfictions fantastiques qui font un travail ...

May 13, 2024 View →
Fanfiction readers gather! Please and thank you, I have a question ...
Reddit

https://onlinelibrary.wiley.com/doi/10.1002/brb3.3160. All that being said - there are a lot of fantastic fanfictions that do a wonderful job ...

May 13, 2024 View →
Choking is causing young women to have strokes : r ...
Reddit

https://onlinelibrary.wiley.com/doi/full/10.1002/brb3.3160 · https://www.independent.co.uk/news/uk/home-news/strangulation-rough-sex-domestic ...

Sep 15, 2023 View →
Características del naproxeno. No te automediques #naproxen ...
TikTok

... 10.1002/brb3.70200 #ibuprofeno #memoria #inteligencia #reportagem z ... 3160Veces compartido. c.g.pharmacy. C.G PHARMACY. NAPROXEN #Naproxen ...

Mar 29, 2023 View →
(IV 1) TEORI - Doomscrolling Theories - Sharma 2022 | PDF | Factor ...
News

... 3,160, p < .001, and sampling adequacy with the Kaiser–Meyer–Olkin ... Brain and Behavior, 2, 576–589. https://doi.org/10.1002/brb3.76 ↩.

Jan 10, 2022 View →
Risk of miscarriage in women with chronic diseases in Norway: A ...
News

https://doi.org/10.1002/bdra.23014 PMID: 22511535. 2. Wilcox ... 1002/brb3.1422 PMID: 31583850. 52. Hagströ m H, Höijer J, Ludvigsson ...

May 10, 2021 View →
Risk of miscarriage in women with chronic diseases in Norway: A ...
News

doi: 10.1002/brb3.1422 pmid:31583850. 52. Hagström H, Höijer J, Ludvigsson JF, Bottai M, Ekbom A, Hultcrantz R, et al. Adverse outcomes of ...

May 10, 2021 View →
definitely fake Rope: @shibari.nrw #shibari #kinbaku #elegance ...
Instagram

https://onlinelibrary.wiley.com/doi/10.1002/brb3.3160 https://onlinelibrary.wiley.com/doi/full/10.1111/psrh.12285 https://link.springer.com ...

Jul 13, 2018 View →