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Can a Necklace Choke You in Your Sleep?

Wearing jewelry to bed is a common habit for many people. It can be for convenience, sentimental reasons, or simply forgetting to remove it before falling asleep. However, among various pieces of jewelry, necklaces often raise safety concerns. One of the most pressing questions is: can a necklace choke you in your sleep? This article delves into the potential dangers of sleeping with a necklace on, explores the science behind choking risks, and offers practical advice for safe sleeping habits involving jewelry.

Understanding the Anatomy of Choking

Choking occurs when an object obstructs the airway, either partially or completely, preventing normal breathing. The throat (or pharynx) is a muscular tube that connects the nasal passages and mouth to the larynx (voice box) and esophagus. When a foreign object enters the airway, it can cause a blockage, leading to choking.

In the context of necklaces, the concern is not about the necklace itself getting lodged in the throat but rather the pressure it can exert on the neck. The neck is home to several crucial structures, including the trachea (windpipe), esophagus, major blood vessels like the carotid arteries and jugular veins, and important nerves such as the vagus nerve. Any external compression on these structures can have serious consequences.

Potential Risks of Sleeping with a Necklace

1. Strangulation Risk

Strangulation is the primary concern when it comes to wearing a necklace to bed. While the term “choking” usually refers to internal blockage of the airway, strangulation involves external pressure on the neck, which can impede blood flow and airway function. In the case of a necklace, strangulation can occur if:

  • The Necklace Tightens: Some necklaces, especially those with adjustable or elastic elements, can tighten around the neck. This can happen if you toss and turn during sleep, causing the necklace to shift and apply pressure.
  • External Forces: If the necklace gets caught on an external object like a bedpost or pillow, it can pull taut around your neck.
  • Improper Fit: A necklace that is too tight to begin with can become even more constricting when you lie down and move in your sleep.

2. Discomfort and Skin Irritation

Even if strangulation does not occur, wearing a necklace to bed can cause discomfort and skin irritation. Necklaces can rub against the skin, leading to rashes or even pressure sores, particularly if they are made of materials that are not hypoallergenic.

3. Tangling and Knotting

Necklaces can easily tangle in hair or with other jewelry. This tangling can create knots that pull on the hair or tighten around the neck, increasing the risk of strangulation or discomfort.

4. Damage to the Necklace

Apart from the risks to your health, sleeping with a necklace can also damage the jewelry itself. The delicate chains can snap, pendants can get bent or broken, and gemstones can be dislodged.

Scientific Perspective on Neck Compression

Mechanism of Compression

When an object like a necklace applies pressure to the neck, it can compress the underlying structures. The trachea is relatively flexible and can withstand some degree of pressure without collapsing completely. However, sustained or severe compression can lead to partial or complete airway obstruction.

The carotid arteries and jugular veins, which supply blood to and from the brain, are also vulnerable to compression. Even partial compression can reduce blood flow, leading to dizziness, loss of consciousness, or other serious complications.

Research and Case Studies

While there is limited research specifically focused on necklaces causing choking during sleep, the general principles of neck compression are well-documented. Studies on strangulation injuries, particularly in forensic and emergency medicine, highlight how even relatively low levels of sustained pressure can lead to significant harm.

Case studies involving accidental strangulation from other objects (like cords or strings) provide insight into the potential risks. These studies suggest that it is indeed possible for a necklace to pose a similar threat, especially in vulnerable populations such as children or the elderly.

Risk Factors

Age and Physical Condition

  • Children: Young children are particularly at risk because their airways are smaller and more easily obstructed. Additionally, children may not be able to recognize or respond to the discomfort caused by a tightening necklace.
  • Elderly: Older adults may have reduced neck muscle strength and skin elasticity, making them more susceptible to compression injuries.

Sleeping Habits

  • Active Sleepers: People who move a lot during their sleep are more likely to experience necklace-related complications. Tossing and turning can cause the necklace to shift and tighten unexpectedly.
  • Sleep Positions: Certain sleep positions, such as sleeping on your stomach or side, can increase the likelihood of the necklace becoming caught or applying pressure to the neck.

Type of Necklace

  • Chain Thickness: Thicker chains are less likely to tighten excessively, but they can still apply significant pressure if caught on something.
  • Clasp Type: Necklaces with secure clasps are less likely to come undone and pose a risk, while those with weaker or broken clasps can easily tighten or tangle.
  • Length: Shorter necklaces, like chokers, are more prone to causing compression issues compared to longer ones that hang away from the neck.

Preventive Measures

Removing Jewelry Before Sleep

The most straightforward way to prevent any risks associated with wearing a necklace to bed is to remove it before sleep. Establishing a nightly routine that includes removing jewelry can significantly reduce the chances of strangulation, skin irritation, and damage to the jewelry.

Choosing Safe Jewelry

If you prefer to wear a necklace to bed for sentimental reasons, consider choosing safer alternatives:

  • Breakaway Clasps: These clasps are designed to come apart easily when subjected to pressure, reducing the risk of strangulation.
  • Elastic or Stretchable Materials: Necklaces made from stretchable materials can provide a more comfortable fit and are less likely to cause compression.
  • Loose-Fitting Designs: Opt for necklaces that are loose enough to move freely without pressing against the neck.

Regular Inspection

Regularly inspect your necklaces for any signs of wear and tear. Weak or damaged clasps can increase the risk of accidental tightening. Ensure that the necklace is in good condition and fits properly.

Safe Storage

Store your necklaces properly when not in use. Using jewelry boxes or organizers can prevent tangling and damage, ensuring that your necklaces remain safe and functional.

What to Do in Case of Strangulation

If you or someone else experiences strangulation from a necklace during sleep, it is essential to act quickly:

  1. Remove the Necklace: If the necklace is tight around the neck, remove it immediately to relieve pressure. If it is difficult to remove, use scissors or a knife to cut through the material.
  2. Check for Breathing and Circulation: Ensure that the person is breathing and check for a pulse. If there are signs of breathing difficulty or loss of consciousness, seek emergency medical assistance immediately.
  3. First Aid: If the person is conscious and breathing, monitor them for any signs of distress. Apply a cold compress to the neck if there is noticeable swelling or bruising.


While the risk of a necklace causing fatal choking in your sleep is relatively low, it is not negligible. The potential for strangulation, discomfort, skin irritation, and damage to the jewelry are all valid concerns. By understanding the risks and taking preventive measures, you can enjoy wearing your jewelry without compromising your safety.

Remember, the safest practice is to remove necklaces and other jewelry before going to bed. Establishing a routine that includes jewelry removal can help prevent any potential hazards and ensure a restful and safe night’s sleep.



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