The role of primary care physicians in preventing and managing dangerous games among adolescents: A qualitative study
C. Stheneur, S. Sandli, S. Sirieys, A. Loisel, M. R. Moro, R. Radjack, A. Li
Background : Dangerous games are playful activities engaged in by children and adolescents, posing significant risks to their health. Various types exist, aggressive games, challenge games, and asphyxiation games, with the Choking game (where individuals attempt strangulation) being the most well-known. The prevalence of dangerous games among adolescents is increasing, yet it remains a little-known and studied societal issue among healthcare professionals.
Objective : To assess physicians role in the prevention and management of dangerous games.
Methods and Settings : Qualitative semi-structured interviews with general practitioners, pediatricians, and psychiatrists were performed. All data were transcribed verbatim and analyzed using a content analysis approach.
Results : We interviewed 6 general practitioners, 6 psychiatrists, and 5 pediatricians practicing in the Paris region. Three main themes emerged from the data: 1) physicians lack of knowledge about the topic due to insufficient training, 2) players profiles characterized by psychological vulnerability, influence of peer pressure and social media, with no clear suicidal intent, and 3) the need to primarily focus on screening, prevention, and management at the school level.
Conclusion : This study highlights a critical public health issue. Physicians roles are essential for identifying psychological vulnerabilities and raising awareness among youth of the associated risks. However, prevention requires close collaboration between the educational sector and healthcare professionals, who could benefit from targeted training and regular interventions within educational institutions.