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Dominance and submission
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==Safety== There are some risks commonly associated with D/s concerning both physical and mental health. Some examples are: * Physical health complications such as bruising, broken skin, nerve damage due to tight bondage, burns due to hot wax play, or blood-borne pathogen exposure during needle play.<ref>{{Cite journal |last1=Schori |first1=Anouk |last2=Jackowski |first2=Christian |last3=SchΓΆn |first3=Corinna A. |date=2022-01-01 |title=How safe is BDSM? A literature review on fatal outcome in BDSM play |url=https://doi.org/10.1007/s00414-021-02674-0 |journal=International Journal of Legal Medicine |language=en |volume=136 |issue=1 |pages=287β295 |doi=10.1007/s00414-021-02674-0 |issn=1437-1596 |pmc=8813685 |pmid=34383118}}</ref> * In rare cases, death may occur when the participants engage in activities that have the potential to cause serious physical injury. The most common activity associated with accidental death is erotic strangulation. A study by Bunzel et al. showed that between 1993 and 2017 more death occurred from [[Autoeroticism|auto-erotic]] activities than from partnered activities, and men were more likely to die in both cases than women.<ref>{{Cite journal |last1=Bunzel |first1=Lena |last2=Koelzer |first2=Sarah C. |last3=Zedler |first3=Barbara |last4=Verhoff |first4=Marcel A. |last5=Parzeller |first5=Markus |date=2019-10-01 |title=Non-Natural Death Associated with Sexual Activity: Results of a 25-Year Medicolegal Postmortem Study |url=https://www.jsm.jsexmed.org/article/S1743-6095(19)31285-8/abstract |journal=The Journal of Sexual Medicine |language=English |volume=16 |issue=10 |pages=1547β1556 |doi=10.1016/j.jsxm.2019.07.008 |issn=1743-6095 |pmid=31447384|s2cid=201702886 |url-access=subscription }}</ref> * Negative emotional states during or after partaking in D/s activities
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