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While often asphyxiophilia is incorporated into sex with a partner, others enjoy this behaviour by themselves, making it potentially more difficult to get out of dangerous situations. This article needs additional citations for verification. The lead singer of INXS had a history of depression and substance abuse, and was going through a difficult time with his daughter. British Journal of Psychiatry. There is a lot of controversy surrounding the passing of Australian musician Michael Hutchence. Autoerotic asphyxia is the leading cause. American Journal of Auto erotic hanging. When these are compressed, as in strangulation or hanging, the sudden loss of oxygen to the brain and the accumulation of carbon dioxide can increase feelings of giddiness, lightheadedness, and pleasure, all of which will heighten masturbatory sensations. Forensic, Medical, and Social Aspects auto erotic hanging Sheleg et al. Historically, the practice of autoerotic asphyxiation auto erotic hanging been documented since the early 17th century.