The reasons to play this game are different from those of erotic asphyxiation. Steve Field, chairman of the Royal College of General Practitioners in London, claims that children and teens try the game mainly "to get a high without taking drugs." Children "aren't playing this game for sexual gratification." It is frequently confused with erotic asphyxiation, which is oxygen deprivation for sexual arousal. Unlike erotic asphyxiation, adults usually don't play this game. 