Auto-erotic asphyxiation (asphyxiophilia) accounts for 250 to 1000 deaths per year in the United States. Though cases have been reported of people from 11-75 years old, the most common practitioners are 12-25 years. It's almost exclusively a male kink; few female cases have been reported. According to one study, during asphyxiation, 51% of people engage in sexual bondage, 12% in sexual masochism, 9% in fetishism, and only 4% in transvestitism. The practice has been described in medical literature for over 100 years, in fact, in Victorian England there was a "Hanged Men's Club" in London that specialized in getting its members off through strangulation.
Source: The Archives of Sexual Behavior, Vol. 18, No. 3, 181-189
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Wrapped in Plastic
One morning, a security guard walked through a warehouse in New Orleans, looking to relieve the nightshift guard. After looking around for a while, he stumbled on the 34-year-old man, wrapped in clear plastic from head to toe, save a snorkel protruding out the top.
Closer examination by the coroner revealed a a truly sorry tale. The man was completely naked, with semen on his thigh and right hand. In his left was a knife, which he had vainly used to free himself from this "cocoon" after the snorkel slipped off. By the way, they searched his car, where he apparently lived, and found several articles of female clothing.
Source: The American Journal of Forensic Medicine and Pathology; 6(2):151-152, June 1985
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Magic Carpet Ride
One day this 60 year-old man just didn't show up for work. They went to his apartment, where they found his dead wet body, wrapped in fourteen different blankets partially sewn together. After they removed two pairs of hotpants, one pair of long johns, socks, and an undervest, they found his penis (and accompanying semen) in a plastic bag.
Investigators found 60 blankets in his apartment. Reconstructing the scene, it appears that the man covered the floor in the room with several layers of blankets, affixing tape to the distant blankets. He then rolled himself u in them, the tape holding him immobilized. This round, though, he suffocated himself.
Source: The American Journal of Forensic Medicine and Pathology; 8(3):263-265, 1987
How'd That Get There?
Doing a routine pregnancy ultrasound, doctors discovered an object floating in the bladder of a thirty-year-old Saudi woman. Using grasping forceps, they retrieved the cover of a fountain pen. She denied having any idea of how it might have got in there...
Source: East African Medical Journal, August 1997
On the Table
A neighbor was concerned to hear the vacuum cleaner running continuously for a long time, so she went next door to see what was up. There, she found her 57 year-old neighbor dead, slumped over the dining room table in a compromising position. His legs and buttocks were wrapped in pantyhose and he had a table leg up his ass. Turns out, he had a heart attack, more from the excitement of the moment than due to malfunction of the vacuum. Upon questioning, his wife admitted having caught him once before in congress with the vacuum cleaner. She also admitted not having had sex with him for the past five years.
American Journal of Forensic and Medical Pathology, Vol 9, No. 3, 246-247, 1988
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And finally, choice cuts from Reader's Submissions:
Bright Idea
I came home drunk one night and started masturbating in the bathroom. Because I was drunk, I wasn't getting good sensation. I squatted and screwed a burned out light bulb into my ass. When I came I fell backwards and broke the light bulb. It took a lot of straining, digging and tearing to get the metal out of my ass. I bled for two days. I don't use any thing breakable any more.
Green Grosser
I am a 19 year old guy, and one afternoon I thought it would be fun to insert a cucumber all the way into my anus. I had done this before and was always able to pass it back out easily. Well this time it went in, and I couldn't get it to come back out. I also had previous engagement with a friend that afternoon so I reluctantly went with the cucumber still in my anus. I was fine for most of the afternoon until I felt it coming! Needless to say I had to rush for the bathroom, but nobody was the wiser. That experience scared the hell out of me, but it was still fun.
Home Alone
Until last year, I practiced self-bondage. I got off on the thrill of the struggle to escape. One evening while my boyfriend was working abroad, I got carried away and irreparably bound myself, wearing my tightest corset, nylons, 7" heels, nipple clamps, and a ball-gag. I managed to knock the phone onto the floor and after 3-4 hours effort, I dialed 999 with my heel. I couldn't say anything but the police broke in and rescued me. The sergeant said he'd never seen anything like it in 40 yrs on the force. I live in a small town, so I moved shortly thereafter due to the embarrassment.