School of Medicine, Case Western Reserve University, Cleveland, Ohio, USA.
Pediatrics. 2010 Jan;125(1):82-7. doi: 10.1542/peds.2009-1287. Epub 2009 Dec 14.
The goal was to assess awareness of the choking game among physicians who care for adolescents and to explore their opinions regarding its inclusion in anticipatory guidance.
We surveyed 865 pediatricians and family practitioners. The survey was designed to assess physicians' awareness of the choking game and its warning signs, the suspected prevalence of patients' participation in the activity, and the willingness of physicians to include the choking game in adolescent anticipatory guidance. Information on the general use of anticipatory guidance also was collected.
The survey was completed by 163 physicians (response rate: 21.8%). One-hundred eleven (68.1%) had heard of the choking game, 68 of them (61.3%) through sources in the popular media. General pediatricians were significantly more likely to report being aware of the choking game than were family practitioners or pediatric subspecialists (P = .004). Of physicians who were aware of the choking game, 75.7% identified >or=1 warning sign and 52.3% identified >or=3. Only 7.6% of physicians who were aware of the choking game reported that they cared for a patient they suspected was participating in the activity, and 2 (1.9%) reported that they include the choking game in anticipatory guidance for adolescents. However, 64.9% of all respondents agreed that the choking game should be included in anticipatory guidance.
Close to one third of physicians surveyed were unaware of the choking game, a potentially life-threatening activity practiced by adolescents. Despite acknowledging that the choking game should be included in adolescent anticipatory guidance, few physicians reported actually discussing it. To provide better care for their adolescent patients, pediatricians and family practitioners should be knowledgeable about risky behaviors encountered by their patients, including the choking game, and provide timely guidance about its dangers.
评估关注青少年的医生对窒息游戏的认识，并探讨他们对将其纳入预期指导的看法。
我们调查了 865 名儿科医生和家庭医生。该调查旨在评估医生对窒息游戏及其警告信号的认识、怀疑患者参与该活动的流行程度，以及医生是否愿意将窒息游戏纳入青少年预期指导。还收集了有关一般使用预期指导的信息。
163 名医生（应答率：21.8%）完成了调查。111 名（68.1%）听说过窒息游戏，其中 68 名（61.3%）是通过大众媒体的来源听说的。普通儿科医生比家庭医生或儿科专家更有可能报告意识到窒息游戏（P =.004）。在意识到窒息游戏的医生中，75.7%识别出>或=1 个警告信号，52.3%识别出>或=3 个。只有 7.6%意识到窒息游戏的医生报告说他们照顾过一名他们怀疑正在参与该活动的患者，并且有 2 名（1.9%）报告说他们将窒息游戏纳入青少年预期指导。然而，64.9%的受访者都同意窒息游戏应该纳入预期指导。
近三分之一接受调查的医生不知道窒息游戏，这是一种青少年可能危及生命的活动。尽管大多数医生承认窒息游戏应该纳入青少年预期指导，但很少有医生报告实际上在讨论这个问题。为了为他们的青少年患者提供更好的护理，儿科医生和家庭医生应该了解他们患者遇到的危险行为，包括窒息游戏，并及时提供有关其危险的指导。
