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[–] 13016435? 2 points 6 points (+8|-2) ago 

It is very possible with a decent scarf and doorknob. You don't hang like someone hangs themselves from a rope in a tree. All it takes is the ability to position yourself so that you don't roll out of the choke once you pass out. People do it by accident while masturbating all the time because they pass out and can't escape. Much easier if you don't plan to escape.