Trends · Critical urgency

Blackout / Choking Challenge

Self-strangulation to the point of passing out for the high — sometimes filmed for TikTok. Has killed multiple children under 14; named in active wrongful-death lawsuits against TikTok.

A dim social-media interface
If your teen is in crisis, get help now

911 immediately if a child is unresponsive · 988 Crisis Lifeline · Parents Against Vaping/E-cigs and similar safety coalitions track challenge cases.

Most affects
10–1213–15
Teen profile
Socially Isolated
Family context
Low Digital SupervisionLimited Tech Literacy
Risk type
Dangerous ChallengeMental Health
I.
What it is

The short version.

The blackout challenge involves choking oneself until passing out, then waking up — for a brief euphoric rush. It has killed at least a dozen children under 14 since 2021, several in their own bedrooms with no one home. TikTok now blocks the search term, but related and rebranded videos continue to surface. The injury is often fatal on the first attempt.

II.
Where it shows up

The platforms and contexts.

TikTok originally; algorithmic recommendation continued to push the videos to minors even after the search ban. Rebranded versions appear on Instagram Reels and YouTube Shorts.

III.
How long it's been around

The timeline.

A version of the 'fainting game' has existed in U.S. childhood for over fifty years. The TikTok-amplified version has been documented in coroner reports since 2020.

IV.
What to know

The core facts a parent needs.

  • Most children try it alone, in a closet, behind a closed bedroom door. Death by hypoxia happens in minutes; CPR is rarely in time.
  • TikTok's algorithm has been named in multiple wrongful-death lawsuits for recommending the videos to kids who never searched for them.
  • The age range that dies from it is 8–14, younger than most safety conversations target.
V.
The dangers

What's actually at stake.

  • Death by hypoxia or by asphyxiation when the teen loses consciousness while bound.
  • Brain injury from non-fatal episodes — even 'successful' blackouts repeated over time cause cognitive damage.
  • Co-occurrence with other deprivation challenges (breath-holding, hyperventilation games) compounds the risk.
VI.
Practice · 60-second talk

The talk that lands — try it now.

Imagine you just learned your teen brushed up against this. You have 60 seconds before the conversation begins. What you say first decides whether the next 20 minutes opens the door — or slams it.

The version that closes the door

"What were you thinking? Give me your phone — now."

Panic + punishment in the same breath. The teen reads it as "every honest detail will be used against me." The phone comes; the truth doesn't.

What would you open with instead? Picture it for a beat — then…

VII.
All steps in one list

Concrete next steps.

  • Have the conversation early — by age 8 if your child has any TikTok or YouTube exposure. Name the challenge. Describe what happens.
  • Watch for ligature marks on the neck, broken capillaries in the eyes, unexplained ropes/belts/cords in the bedroom, headaches, or sudden cognitive changes.
  • If you find your child unresponsive: call 911 immediately, begin CPR, and remove any constriction from the neck before chest compressions.
VIII.
Watch

See it for yourself.

Breath-Hold Challenge Underwater
If your teen is in crisis

911 immediately if a child is unresponsive · 988 Crisis Lifeline · Parents Against Vaping/E-cigs and similar safety coalitions track challenge cases.

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