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[[quoteright:301:[[Film/KillingMeSoftly http://static.tvtropes.org/pmwiki/pub/images/1_large.jpg]]]]
[-[[caption-width-right:301:For extra ambience, cue up anything by Music/AirSupply.]]-]

->'''Sex Addiction Therapist:''' Most likely, you'll end up going the way of David Carradine and Michael Hutchence: Autoerotic Asphyxiation.\\
'''Kenny:''' Autoerotic asphyxiation? What's that?\\
'''Therapist:''' I don't want to go into too much detail but -- you choke yourself with a belt around your neck while masturbating dressed up like Batman or something then you pass out from lack of air and apparently it makes your orgasm super awesome.\\
'''Butters:''' Oh no! I don't wanna have to buy a Batman costume!
-->-- ''WesternAnimation/SouthPark''

"Intentionally cutting off oxygen to the brain for sexual arousal", to quote Wiki/TheOtherWiki. A general term for sex acts that involves either restricting one's own breathing for intensified sensations during masturbation or one party restraining the breathing of another. Needless to say, this particular paraphilia includes all the risks associated with asphyxiation, including fatalities. Thus it's generally considered to fail the "safe" part of SafeSaneAndConsensual, particularly when it involves constricting the throat as it is usually portrayed in fiction. Sometimes it will be a plot point that what at first appears to be a masturbation session gone wrong [[AlwaysMurder is actually a disguised murder]]. In the case that the death is just purely accidental, fully expect it to be portrayed as an UndignifiedDeath; a sort of post-mortem CaughtWithYourPantsDown.

Not to be confused with MarshmallowHell. Related to OutWithABang, if you do it wrong. [[note]]Or, if [[RuleThirtyFour you happen to be into that sort of thing]], ''right.''[[/note]] Possibly related to TooDumbToLive, in any case. Sometimes used to promote the idea that BondageIsBad.

For clarification, ''auto''-erotic asphyxiation is [[ADateWithRosiePalms doing it yourself]], as opposed to getting someone else to do it to you. For obvious reasons, this is even more dangerous - to the extent that [[http://en.wikipedia.org/wiki/Erotic_asphyxiation#Famous_cases many of the more famous deaths from it]] have happened that way. On the other hand, if you do get someone else to do it and things go wrong, it is liable to get them convicted of murder or manslaughter even if they manage to convince the court that it was consensual. Also, being drunk or under the influence of drugs that affect alertness (whether by making you feel more alert than you are or by lessening awareness and consciousness/depressing the central nervous system) increases the odds of dying, ''especially'' if combined with doing it solo.

Finally, even if you don't die, you can put yourself at risk for chronic traumatic brain damage (in the same way people who suffer from repeated mini-strokes or concussions do - cutting off oxygen to the brain for any amount of time damages it, even if the damage is not noticeable immediately, brain damage is ''cumulative''), a major stroke that may be delayed due to damage to the arteries in the neck/dislodging fat or a clot in one of them, and/or weakening or breaking the bones in your cervical spine, causing anything from chronic pain to death when/if the wrong one breaks. The risk of both stroke and broken neck vertebrae is also multiplied ''exponentially'' if you do anything else - from playing football or hockey to headbanging or having your hair done in beauty salons a lot - that inflicts trauma to the region.

%%comment%% Please do not make *that* XKCD comic the page image.



[[folder:Anime & Manga]]
* In the ''LightNovel/FullMetalPanic'' novels, Gauron once had a thing with a female scientist and strangled her. They both seemed to get off on it, as Gauron even lampshades it by mocking her, asking her if she actually likes making him angry, and actually wants him to hurt her. He says this with a perfect mixture of "coldness and joy," and she responds by gasping with "pain and ecstasy."

[[folder:Comic Books]]
* In ''Comicbook/StrangersInParadise'', [[BrokenBird Katchoo]] is often seen doing this to [[DepravedBisexual Darcy]] in various flashbacks.
* In ''Comicbook/{{Starman}}'', the ghost of the Black Pirate describes the sensation of being hanged and says you start to feel sleepy, but everything's awake below the waist. Jack admits that he's actually experienced this with an ex-girlfriend. The ghost then asks if Jack's experienced what happens ''next'', when ''everything'' goes to sleep, and Jack obviously hasn't.

* ''Film/KillingMeSoftly'', a grade B sex-drama, featured Joseph Fiennes tying Heather Graham into a rig that used yards and yards of silk to induce erotic asphyxiation. Of course, this was him getting off on strangling her while they screwed, not her getting off on getting strangled...
* ''Film/JamesBond''
** In ''Film/TheWorldIsNotEnough'', [[spoiler: Elektra King]] mentions that a man being throttled to death will get [[RagingStiffie an erection]] and straddles Bond's waist as she turns the screws on him.
** Also used by Xenia Onatopp in ''Film/GoldenEye'', who mixes it with MurderousThighs as kills her victims with her own legs ''and'' during sex.
%%* Hayden Christensen does this in ''Film/LifeAsAHouse''.
* In ''Film/WorldsGreatestDad'', [[Creator/RobinWilliams Lance Clayton]]'s son dies this way. (Not much of a spoiler, since every single article about this movie talked about it).
* Occurs in ''Film/RisingSun'', where a floozy who likes to be choked during sex winds up dead on the board room table of a Japanese MegaCorp. It turns out that [[spoiler: she was strangled unconscious by a governor, only for agents of the MegaCorp to finish the job and use the murder to both [[JapanTakesOverTheWorld eliminate their rivals and blackmail the governor]].]]
* In ''Film/TheGeneralsDaughter'', [[spoiler:Elizabeth Campbell]] got up to all kinds of kinky stuff, this included.
* A very explicit and disturbing example in ''Film/KenPark''.
* ''Film/TheRulingClass'' begins with a lord's family having to cover up the fact that he died in such an incident. In a tutu. Also dressed up (above the waist) like Napoleon.
* While a couple is having sex in ''Film/TheRemake'', the girl tells her boyfriend to choke her a little.
* This is the focus of one of the segments of ''Film/TheABCsOfDeath''.
* ''Film/TheMechanic2011''. Bishop kills an ArmsDealer this way to MakeItLookLikeAnAccident, strangling him with his own belt, then hanging him up with some porn playing on a laptop in front of him. His protege Steve then makes the mistake of trying to copy this method on his first target -- unfortunately ''his'' victim is a very fit and powerfully built hit man.
%%* ''Film/InTheRealmOfTheSenses''

* A Pokemon fanfic (one of a series that begins with ''[[Fanfic/SwordAndShield Sword and Shield]]'' and features Mewtwo as the partner to a human homicide detective named Brenda Johnson) has Mewtwo and Brenda investigate one of these gone wrong. Mewtwo is disturbed, while the rather jaded Brenda finds it darkly amusing.

* ''Literature/ADarknessMoreThanNight'': The murder victim in the David Storey case is found nude with a scarf around her neck in a pose that would suggest autoerotic asphyxia, but Bosch believes that the scene was staged to disguise a murder as an accident.
* This accidentally happens to Colonel Sebastian Moran in the first story of ''Literature/TheHoundOfTheDurbervilles'', he gets tied up and noosed, and unwantedly develops an erection, in front of the man he was trying to kill, his woman, and their adopted daughter. Its played for laughs, and Moran mentions he knew a guy who liked to do it on purpose.
* ''Literature/NakedLunch'': William Burroughs has a habit of writing scenes where teenage boys very sensually get their necks broken via noose.
* ''Literature/{{Nevada}}'': The novel opens with the main character engaging in this with her girlfriend.
* In ''{{Literature/Filth}}'' by Creator/IrvineWelsh, the protagonist Bruce Robertson does this several times with [[TheCasanova one of his many girlfriends]]. He first tries it after having failed to save a man from (non-erotic) suffocation. It is a bit of {{Foreshadowing}} [[spoiler: since Bruce hangs himself in the end.]]
* In ''Literature/{{Hannibal}}'', Mason Verger was into this, but it backfired when Franchise/HannibalLecter tricked Verger into cutting his face off and feeding it to his dogs while high out of his mind, and then used the setup to hang him. Verger survived, but horribly maimed and paralyzed.
* Terry Miller has a fetish for strangulation, which gets confused for this in ''Literature/{{Skinjumper}}''. Amusingly, despite being a serial killer, he finds the concept of consensual choking during sex to be weird.
* At the end of the ''{{Literature/Spenser}}'' novel ''Small Vices'' it's revealed [[spoiler:the victim and Clive Stapleton]] engaged in this consensually as part of an erotic game [[spoiler:but she unfortunately died during it, but this was covered up so it appeared she had been raped and murdered by someone else]].
* In the Amazon ebook ''LockhartandTeague:TheEmptyChest'' the shadowthurges are forbidden from having [[TechnicalVirgin intercourse]] and pursue sexual release through other means. Avelyn Teague's preference is this.
* In ''Winner Takes All'', ProfessionalKiller Literature/JohnRain chokes a CIA bureaucrat to death, then leaves him hanging in the shower with a tube of KY jelly, knowing an apparent example of this trope will encourage the CIA to cover up the matter instead of digging into the cause of death.

[[folder:Live Action TV]]
* ''Series/SixFeetUnder'' had an opener death caused by autoerotic asphyxiation. The dude's wife is devastated and had no idea he was into that stuff.
* On ''Series/TheXFiles'', Clyde Bruckman (who can see how anyone will die) implies that Mulder will die this way.
-->'''Bruckman:''' You know, there are worse ways to go, but I can't think of a more undignified way than autoerotic asphyxiation.
-->'''Mulder:''' Why are you telling ''me'' that?
-->'''Bruckman:''' ''[shrugs]'' Look, forget I mentioned it. It's none of my business.
* ''Franchise/LawAndOrder'':
** There's an episode of ''Series/LawAndOrderSpecialVictimsUnit'' in which a woman is killed and it is made to look like it was an autoerotic asphyxiation accident.
** A similar scene occurs in ''Series/LawAndOrderCriminalIntent'', but with a male victim. He'd also been bludgeoned.
* This sort of happens on ''Series/TrueBlood'', but with a twist. Jason is screwing some girl and she's tied up and he chokes her a little, and she "dies". He freaks out and leaves, and then she wakes up--she was just pretending. But then the real serial killer walks in and kills her. Of course, Jason is accused of her murder and even believes himself that he killed her.
* ''Series/TheWhitestKidsUKnow'': This was the subject matter of a sketch. The guy dies, and his ghost is forced to watch as people keep walking in on him in increasingly compromising situations.
* ''Series/{{CSI}}'':
** The victim in one case apparently died in this fashion. Of course, this being a crime drama, it's ''never'' what it first looks like.
** There was also an episode that did the reverse. It was set up to look like a murder but turned out to be erotic asphyxiation gone wrong.
* On ''Series/BetterOffTed'' Veronica's boyfriend, Mordor, is apparently into this as she mentions hanging him both as part of their magic act and foreplay.
* ''Series/TheLeagueOfGentlemen'': Went [[GoneHorriblyWrong Horribly Wrong]] at a fetish party, when the emcee suffered a fatal heart attack and was unable to release everyone. [[EverybodysDeadDave And none of them lived.]]
* ''Series/PeepShow'': Referenced a few times:
** The first is when the teenage {{goth}} Valerie starts to strangle Mark during sex. He's terrified and thinks she's trying to kill him, until afterwards when she explains that her ex-boyfriend used to love it (Mark still finds it a bit disturbing though).
** Jeremy gets so dangerously bored sitting around the house doing nothing that he threatens to try "that thing Michael Hutchence did".
** At one point much later in the series, we get this quote from Mark:
---> ''"If he hangs himself over this, I can stick an orange in his mouth and call it a fatal wanking accident."''
* ''Series/QueerAsFolk'' (the US version) has Brian trying this in the first season finale, but he's pulled down by Michael before anything horrible can happen.
* The 1970 ''Series/HawaiiFiveO'' episode "Bored She Hung Herself" was about a deadly yoga technique that had more than a passing resemblance to EroticAsphyxiation. Allegedly, a viewer tried to imitate the technique and died, which is why "Bored She Hung Herself" has been a MissingEpisode ever since.
* One episode of ''Series/{{House}}'' features a man who is into dominance/submissive sex and he likes to be choked.
* ''Series/{{Farscape}}'':
** The only on-screen Scorpius/Sikozu sexual scene has him choking her with a chain. With [[SubordinateExcuse Braca]] overlooking from a window. Still, that's Scorpy for you.
** In Season 2, Scorpius has his hands wrapped tightly around Natira's neck when they're having sex.
* Gyp Rosetti in ''Series/BoardwalkEmpire''. He's unlucky enough to have someone burst in with a gun during such activity, but [[DisposableWomen uses the girl he's with as a human shield]], giving him time to get his gun and drive them off. When he gives chase and bursts out his front door [[FullFrontalAssault wearing nothing but a belt around his neck]], his secret gets out.
* In the first season of ''Series/MurderOne'', the defendant likes to strangle girls when he's having sex, which gets used against him when a former girlfriend turns up strangled to death.
* A paramedic who was a HeroismAddict coerced teenagers to play "the choking game" on an episode of ''Series/CriminalMinds''.
* ''Series/GameOfThrones'': This is cited in a deleted scene in Season 2 [[spoiler:where former SexSlave Doreah is strangling Irri to death.]]
-->''"A trader from Qarth told me the greatest pleasure comes from a silk cord around the neck, tied very, ''very'', tight. (victim clutches futilely at the cord) The reason so few people indulge in this...''exquisite'' pleasure...he told me it's the danger. A moment too long, and ecstasy becomes death. (goes limp) [[IronicEcho It is known]]."''
* ''Series/{{Oz}}''. After being forced to become the sex slave of his cellmate, Robson talks him into trying this method, then 'forgets' to cut him down, thus killing him and making it look like a suicide at the same time.
* On ''Series/NYPDBlue'', one of the civilian assistants is into asphyxiation and sees one of her partners die from lack of oxygen. This is an awkward case for Sipowicz because she had made unsubtle passes at him while working at the precinct.
* One {{Jerkass}} cigarette executive in ''Series/MidsomerMurders'' turns out to be into this, as revealed by his wife. As there was a recent strangling recalling a similar series or crimes decades ago, it's yet another reason to suspect him. [[spoiler:The murderer was actually his boss, who murdered his blackmailer and tried to pin it on the previous killer, a hotel owner who ended up stabbed in the shower by his mother when she thought he'd started killing again.]]
* ''Series/FilthyRichAndCatflap'': When Ralph is in prison awaiting execution by hanging, he takes some pleasure in knowing that the asphyxiation will give him an erection: his first one in years.
* ''Series/{{Rome}}'': When Octavian selects Livia as his wife, he tells her that he may beat her during sex. It turns out that he enjoys being beaten and strangled just as much.
* In a variant that's less about sex than getting high, an internet-savvy unsub on ''Series/CriminalMinds'' persuaded teenagers to choke themselves in order to get a drug-free buzz. Things got deadly when the unsub got the kids competing to see which school's students could deprive themselves of oxygen the longest, resulting in multiple deaths that were initially mistaken for suicides and/or this trope.
* ''Series/{{Harrow}}'': In "Aurum Potestas Est" ("Gold is Power"), one VictimOfTheWeek dies in dies during an erotic asphyxiation session gone wrong. The other party's need to cover this up [[MurderIsTheBestSolution leads to murder]].

* Played for very BlackComedy in Music/MitchBenn's "Auto-Erotic Asphyxiation":
-->Was it a tragic accident or was it suicide,
-->Would they still be here today, if they hadn't gotten bored and tried,
-->Auto-erotic asphyxiation.
-->Did they want to die, there's no way of knowing,
-->They couldn't tell if they were coming or going.
* In Music/LanaDelRey's music videos (such as "Blue Jeans", "Born to Die", and "Ride", all from ''Music/BornToDie''), she generally depicts men putting their fingers around her neck while they have sex with her. A lot of critics give her heat for this, but when asked in an interview about it, she said, "I just like it rough."
* [[WordOfGod According to Michael Gira]], Music/{{Swans}}' 1986 song "A Hanging" is about this as a form of [[HumanSacrifice ritual self-sacrifice.]]
* The deaths of at least two famous musicians in what seemed to be this way is how the concept entered public consciousness both in the Western world (as a result of Michael Hutchence) and in Japan (as a result of a common assumption regarding hide) and made it MemeticMutation as a "badass" or SexDrugsAndRockAndRoll way to die.
* The UK Subs' 1979 hit ''Stranglehold'' [[GettingCrapPastTheRadar got a lot of crap past the radar]] ref. this topic:
-->It's oh so painful and oh so nice,
-->Though I can only do it once or twice...
* The ''Recoil'' song "Breath Control," about a woman trying this out with her lover [[spoiler: and accidentally killing him.]]

* Creator/GeorgeCarlin performs a bit about this in ''Life Is Worth Losing'', criticizing parents of young men who die from it for covering it up as suicide to prevent their own embarrassment, thus preventing any kind of discouragement that could potentially save the lives of many more young men. The special in general is considered to be his absolute darkest, even by his standards.

* In ''Theatre/WaitingForGodot'', while debating possible ways to pass the time, one of the protagonists suggests hanging themselves to get an erection.

[[folder:Video Games]]
* Happens with you and Mizuki in ''Yume Miru Kusuri''.
* In ''VideoGame/SilentHillShatteredMemories'', "the Choking Game" (which is, if not erotic, at least recreational) is apparently a bit of a fad at Midwich High School, and several students have died doing it.

* ''Webcomic/{{xkcd}}'' suspects Darth Vader of [[http://xkcd.com/682/ this]].
* ''Webcomic/TheaterHopper'' had some people wondering why Vader was strapped to a table in the first ''Film/RevengeOfTheSith'' trailer, and wondered it he liked that stuff, supporting it with him wearing leather, and that he likely choked officers for this trope.
* ''Webcomic/OtherPeoplesBusiness'': Shown as a part of Leon and Collin's violent relationship.
* Hinted at with ''Webcomic/{{Homestuck}}''[='s=] [[spoiler: Equius, who already has a [[UsefulNotes/FurryFandom musclebeast]] and [[HappinessInSlavery masochism/submissive]] fetish. He's always had "bloodshot" bags under his eyes and grins while Gamzee (who is finally [[FantasticCasteSystem acting his bloodcolor]]) strangles him to death.]]
* The protagonist of ''Webcomic/ChoppingBlock'' once killed an entire band and made it look like they'd inadvertently strangled themselves during an autoerotic asphyxiation circlejerk. He described this as "priceless."

[[folder:Western Animation]]
* ''WesternAnimation/FamilyGuy'':
** Michael Hutchence's death is alluded to in a cutaway gag.
** In the episode "Business Guy", when Lois' father, Carter falls into a coma, it turns out that he left {{video will}}s for several situations:
--->'''Carter:''' ''(on video)'' Hello, if you're watching this, it means they didn't cut the rope when I climaxed. As a result, I'm now dead.\\
'''Carter's attorney:''' ''(fast forwarding the tape)'' That's not it.
** This kicks off the DramaBomb that is "Screams Of Silence: The Story Of Brenda Q.", with Quagmire nearly killing himself via doing this while watching clown porn.
*** In the same episode, it turns out to be a ChekhovsSkill, when [[spoiler: Quagmire's repeated abuse of this trope allows him to trick Brenda's boyfriend into thinking he had killed Quagmire via strangulation.]]
* ''WesternAnimation/TheVentureBrothers'' also refer to Hutchence.
* ''WesternAnimation/{{Archer}}'':
** Cheryl likes to be strangled during sex due to her fetish for murder fantasies. Although she is unusual because she doesn't seem to specifically want to be deprived of oxygen so much as she's aroused by the [[NightmareFetishist thought of being murdered]]. The entire thing is PlayedForLaughs; she's already TheDitz and an UpperClassTwit, so chances are the brain damage isn't having that much of an effect.
** In "Double Deuce," Woodhouse finds out the "mysterious death" of one of his old war buddies was just an attempt to cover up an autoerotic asphyxiation mishap.
--->'''Woodhouse:''' You know, I do recall a lot of loose doorknobs...\\
'''Stinky:''' And there was his plane's name.\\
'''Woodhouse:''' I always thought that had something to do with his engine. ''(raises glass)'' Here's to you, "Choke 'n' Stroke."
* In ''WesternAnimation/SouthPark'', Kenny killed himself this way in "Sexual Healing."
* In ''WesternAnimation/AmericanDad'', there is an episode where Stan attempts to kill himself by hanging being one-upped by Steve and Roger. Steve freaks out and Roger is seriously unimpressed, even commenting, "Stan, are you killing yourself or thrilling yourself?"
** Klaus mentions having nearly died in this act while comparing it to the satisfaction of killing Steve's MMO character.
** In "Minstrel Krampus", Roger gets a TooKinkyToTorture moment when Santa's elves try to strangle him
* In ''{{WesternAnimation/Metalocalypse}}'', when Pickles has to go to rehab the other bandmates suggest autoerotic asphyxiation as a [[AddictionDisplacement possible substitute]]. Ofdensen thinks that's a horrible idea, but the other bandmates think it's a badass way to die.
* In an episode of ''WesternAnimation/TheClevelandShow'', Donna reveals she was faking being injured and strangles Holt threatening to kill him if he tells Cleveland. Then she notices him undoing his pants.
** A CutawayGag has Cleveland at David Carradine's funeral, giggling inappropriately at a eulogy with a lot of AccidentalInnuendo. He apologizes, to which the minister says it's ok because autoerotic asphyxiation is a funny way to die. Cleveland replies, "You can die from that?" and starts crying.
* In the season one finale of ''WesternAnimation/RickAndMorty'', [[spoiler:Morty and Jessica catch Squanchy doing this in a cupboard in Rick's lab]].