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I knew a kid around 15 years ago who actually had a problem with choking himself - he had to go to a clinic and get help for it. I'm sure there was more of a problem than the choking, but I suppose it just manifested itself. He's the only person that I ever knew who did it growing up - none of my friends did it, and I certainly never would have though of anything so stupid.
The internet complicates things, but in the end, kids are going to be kids. If it isn't this it's something else. The job of a parent has always been the same: prepare your kids for these things in a healthy, intelligent way and allow them to make smart decisions.
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