TY - JOUR T1 - Highlights from this issue JF - Archives of Disease in Childhood JO - Arch Dis Child SP - i LP - i DO - 10.1136/archdischild-2015-310096 VL - 100 IS - 12 AU - R Mark Beattie Y1 - 2015/12/01 UR - http://adc.bmj.com/content/100/12/i.abstract N2 - Busse et al report a systematic review looking at prevalence of engagement in self-asphyxial (risk taking) behaviour (‘choking game’) and associated morbidity and mortality in children and young people up to age 20 years. Awareness of self-asphyxial behaviours was high, 36–91% across different settings. Median life time prevalence of ever engagement in young people is 7.4% based on cross sectional data from North America, France and Colombia. Fatal cases (99) have been reported in 10 different countries. Most occur when individuals engage in self-asphyxial behaviours on their own, and use ligaments to engage in the process. The public health implications of this data are complex and are discussed in the paper and accompanying editorial—Risk taking behaviour in adolescents; ‘Chance only favors the prepared mind.’ In essence the available evidence indicates that it is not enough for children and young people just to know about self-asphyxiating behaviours, they must also understand the social context of engaging in these behaviours, and that the decisions they make about them can have significant consequences. See pages 1106 and 1115Duchenne muscular dystrophy is the commonest inherited neuromuscular … ER -