This involves an external force independent of the body's weight, such as manual pressure or a tightened cord. Forensic markers often include horizontal, continuous marks and specific internal bruising or skeletal fractures that indicate the direction and intensity of the force. Depictions in Media and Entertainment

Open and honest communication with a partner about desires, limits, and any concerns.

If you or someone you know is engaging in autoerotic asphyxiation and wishes to stop, seeking a consultation with a mental health professional or a kink-aware sex therapist is a lifesaving step.

It is vital to recognize that any activity involving the restriction of oxygen is inherently life-threatening. Medical professionals and safety experts emphasize that there is no "safe" way to engage in such practices.