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Jul 24, - But why do people engage in this dangerous practice? People who engage in autoeroticism often use asphyxiation methods such as hanging, a plastic bag or chemical substances, and these can lead to accidental death. We identified four fatalities and one near-death from hanging by this means. In older male adolescents, autoerotic behavior involving partial strangulation is Cloth towel dispensers present a risk for self strangulation, especially among.