The Rise of Rough Sex: Implications for Consent, Communication, Mental Health, and Physical Health

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Date(s) - 01/26/2024
8:45 am - 12:15 pm


This training will be held virtually via Zoom.

The Rise and Rough Sex: Implications for Consent, Communication, Mental Health, and Physical Health

Presented by Debby Herbenick, Ph.D., MPH

Friday, January 26, 2024 @ 8:45am – 12:15pm

3 APA CEs or 3 SW CEUs Available

Over the past decade, rough sex behaviors (e.g., choking/strangulation, slapping, consensual non-consent, smothering) have increased substantially in the general population and have moved into mainstream culture. For example, the 2020 campus-representative Campus Sexual Health Survey found that about 80% of college students had engaged in rough sex. Also, a 2021 US nationally representative survey found that 1 in 3 young adult women had been choked/strangled during their most recent sexual encounter. Unfortunately, many people are exploring rough sex with little educational or background on how to do so in ways that are clearly consensual and/or in ways to mitigate potential emotional or physical harm. Using data from US nationally representative surveys, campus-representative surveys, in-depth qualitative interviews, and content analyses, this presentation will address: (1) The prevalence of rough sex behaviors in the US population, with a focus on sexual choking, smothering, slapping, name-calling, and punching; (2) the prevalence of rough sex behaviors among undergraduate and graduate students; (3) where young people are learning about rough sex; (4) misinformation related to rough sex; (5) health consequences of sexual choking in terms of mental health as well as neurological changes (often described as the “hidden injuries” of strangulation); (6) implications for sexual consent, withdrawal of consent, and communication; and (7) educational resources and potential harm reduction strategies for rough sex.

Learning goals and objectives:

By the end of the presentation, attendees will be able to:

  1. Describe the prevalence of rough sex behaviors, including sexual choking/strangulation.
  2. List at least two health consequences of being choked/strangled during sex.
  3. Discuss the unique challenges that sexual choking/strangulation and consensual non-consent pose in relation to consent.
  4. Identify at least 1 resource where people can learn more about rough sex and choking.


• Individual Member with no CEs – FREE

• Agency Member with no CEs – FREE
(Agency Members include: NJ Probation, NJ Parole, Monmouth Co. Pros. Office, Ranch Hope, Capitol County Children’s Collaborative, CJAP/Arc)

• Non-member with no CEs – $5

• Individual or Agency Member with 3 APA CEs or 3 SW CEUs – $20

• Non-member with 3 APA CEs or 3 SW CEUs– $50



Certificate of attendance available upon request


Bookings are closed for this event.


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