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Forensic Pathology Reviews pp Cite as. Accidental autoerotic death AAD is defined as a solitary, accidental death caused by a lethal paraphilia including hanging, strangulation, invert suspension, plastic-bag asphyxiation, electrophilia, and anesthesiophilia. Young white men comprise the largest group of victims, whereas the number of female AADs reported in literature is extremely small. In both sexes, AAD is most often seen in young to middle-aged adults. Practitioners tend to utilize a great range of elaborate devices and props, often designed to cause real or simulated pain, with pornographic material and evidence of cross-dressing and fetishism like intimate feminine garments.
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Erotic asphyxiation

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Sexual Masochism Disorder with Asphyxiophilia: A Deadly yet Underrecognized Disease

Try out PMC Labs and tell us what you think. Learn More. DSM-5 distinguishes between paraphilias and paraphilic disorders. Paraphilias are defined as atypical, yet not necessarily disordered, sexual practices.
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Sexual Masochism Disorder with Asphyxiophilia: A Deadly yet Underrecognized Disease

The year-old actor was found dead in a Thai hotel room closet in an intricate web of ropes -- one around his neck, another around his genitals and the two tied together, according to Thai authorities. Sex experts say that Carradine's advanced age suggests that he may have been a lifelong practitioner of the secretive and dangerous practice, one that can go fatally awry. Los Angeles Superior Court documents of Carradine's divorce put online by The Smoking Gun show that his most recent ex-wife, Marina Anderson, accused the actor of "deviant sexual behavior which was potentially deadly. Also known as hypoxyphilia, the practice is a sub-category of sexual masochism that involves reducing the oxygen supply to the brain while masturbating to achieve a heightened orgasm. The Federal Bureau of Investigation estimates there are between and 1, such deaths in the United States annually, mostly among young men.
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Erotic asphyxiation variously called asphyxiophilia , hypoxyphilia or breath control play is the intentional restriction of oxygen to the brain for the purposes of sexual arousal. The term autoerotic asphyxiation is used when the act is done by a person to themselves. Colloquially, a person engaging in the activity is sometimes called a gasper.
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