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The sensational nature of autoerotic asphyxiation often makes it the subject of urban legends. The erotic interest in asphyxiation is classified as a paraphilia in the Diagnostic and Statistical Manual of the American Psychiatric Association. Did you read that? Ueno and colleagues [ 20 ] reported the case of sexual asphyxial death by of a year-old male, found dead lying on his face in a bed of a truck cab and hanging himself from a window frame using a leather belt. This page was last edited on 14 Septemberat Hence, DSM-5 new approach to paraphilias demedicalizes and destigmatizes unusual sexual behaviors, provided they are not distressing or detrimental to self or others. They're just like us!