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: What once spread via word-of-mouth in groups is now found in "how-to" videos online, leading more teens to try it alone. Alone, there is no one to intervene if they fail to regain consciousness, making it significantly more fatal.
: Asphyxiation can cause irreversible brain damage within three minutes and death within five. Even survivors may suffer seizures or lasting neurological harm.
: While sites like TikTok have blocked many related hashtags, content still appears through "entertainment skits" or sampled sounds.