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Why Sexual Choking Is Not as Safe as You Think: A Call to Action from Sex Researchers and Kink Educators

Archives of Sexual Behavior·August 24Open Access
Psychology, ClinicalLimited evidenceSexual AssaultSexual Consent ViolationsCross-Sectional SurveyAdult

Summary

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What was studied

This internet-based survey (2014, n=4,598) examined the prevalence, nature, and context of consent violations within BDSM communities, including who is violated, who violates, reporting behaviors, and rates of false accusations.

Key findings

29% of respondents (1,307/4,503) reported having pre-negotiated limits or safewords violated; 36% reported being touched without permission at a BDSM event; only 2.7% reported violations to police; false accusations were rare (~3% or less across all categories).

Study limitations

Self-selected, internet-based convenience sample recruited through BDSM community networks (88% Caucasian), likely introducing significant selection bias; under-reporting is probable since severely affected individuals may have left online communities; perpetrator accounts are likely under-represented.

Clinical implications

Clinicians and community educators should recognize that BDSM community members — especially newcomers, gender minorities, and those with prior trauma — face elevated risk of consent violations and are unlikely to report to police or seek medical care. Connecting patients with specialized victim services (90% found helpful) may be more effective than encouraging police reporting alone.

Related Questions

Explore related topics

What are the rates of sexual assault and consent violations in BDSM communities?How should clinicians approach sexual trauma disclosure in patients who participate in kink or BDSM?What does the evidence say about false reporting rates for sexual assault?

Publication Details

Year
2026
Journal
Archives of Sexual Behavior
Sample Size
n=4,598
Source
View article
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