Apparently it isn't just bored rich folks who are down with this freaky, masochistic move. Teen self-asphyxations have been grabbing media attention in waves over the years as increasing attempts for a natural buzz turn fatal, the most recent being this past December, when the hanging death of a 14-year-old boy from Millbrae, California, was attributed to the game.
Those who still think having the shit choked out of them sounds like a good time would just need to recruit one of their boys to strangle them, then have them release just as they're on the verge of running out of air. Apparently that moment causes a fast flow of oxygen to the brain, resulting in a temporary rush.
Some have referred to it as a method of getting a buzz for those who don't want to dabble in drugs and alcohol. Honestly, kids, just stick with a beer.