No. Not as a result of choking etc , but knowing first hand what a life altering change a stroke gives , even when one can appear to have recovered some part, I would not recommend taking risks for thrills.
I was healthy living in general, outdoorsy, fit. I had also cared for stroke survivors in their 30s and 40s who were bed or chair bound for life, unable to feed , wash, dress themselves. So it can happen to anyone regardless.
That does not mean messing about with circulation or breathing is a sensible way to find pleasure and while death during the act is always a possibility, it is not the only risk and you can heave a sigh of pleasure when relaxing afterwards, but you don’t know the damage your actions might have already precipitated. I woke in the middle of the night, unable to move one leg and one arm or speak clearly. To change position, I was flopping around like a dying fish on a riverbank.
The pain I still have every day would put anyone off for life, if they experienced it.
This is a trend, like smoking, vaping, etc that should be highlighted and have awareness raised.
I know extreme sports etc carry risks. People need that chemical buzz from risk…but they know they are at risk. Not everyone that goes in for strangulation is aware of the wider risks beyond immediate death, which they think they have control over.