When God invented sex, it was not for people to choke each other to death during the act of copulation. A man in Italy, Soter Mule, 42, has been charged with murder, in the choking death of his sex partner, Paola Caputo, 24. They were engaging in sex with another woman, a 23-year-old, who Mule tied to Caputo, suspending both from the ceiling in an act of sadomasochism (S&M). 

Scientifically speaking, even if one survives, extreme and repeated acts of suffocation, to the point of near death, will cause damage to the brain and can result in serious neurological disorders. It seems nowadays having sex can get people killed in more ways than one. There is a health hazard and detrimental legal angle to suffocation during sex and the public needs to be aware of the dangers that exist and avoid such potentially deadly practices.