Harm prevention
A harm prevention response to rough sex is part of broader sexual wellbeing and safe sex education.
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A harm prevention response to rough sex is part of broader sexual wellbeing and safe sex education.
It supports all young people, whether or not they’re engaging in rough sex, to:
Develop critical thinking around rough sex, including norms, pressures, and expectations
Strengthen sexual agency and autonomy
Make informed decisions that reduce the risk of harmful rough sex experiences
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Discussion and question prompts
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Introducing rough sex
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Information statement
We talk about rough sex as a routine part of sexual wellbeing care to help keep people safe and informed.
Question prompt
Would it be okay if we talked about this?
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Knowledge of rough sex
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Information statement
Rough sex can mean different things to different people. The term can describe a range of different sexual acts like choking, spanking, biting, hitting, name-calling, forced sex, aggressive oral sex, or slapping. It can describe acts that are playful and consensual, or acts that are considered sexual assault.
Question prompt
What do you know about rough sex?
Where do you learn about it, and what does the term mean to you?
What term do you use?
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Harms to wellbeing (hauora)
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Information statement
Rough sex, by nature, is more “risky” sex – so learning about the risks can help people make informed and safe decisions. When rough sex occurs outside a safe, informed, and fully consensual context, it can affect our hauora (wellbeing), including the following harms:
Tinana (body): Genital, facial, internal, abdominal, or musculoskeletal injuries.
Wairua (spiritual): Impacts on dignity, mana, confidence, spiritual wellbeing, or sense of self.
Hinengaro (emotional): Feelings of distress, shame, degradation, fear, confusion, or being triggered.
Whānau (social): Impacts on trust, safety, connection, and security in relationships. There can also be legal consequences if serious physical harm occurs.
Question prompt
What have you heard about the risks with rough sex?
Would you like me to share the risks with you?
Do you have any questions on these risks?
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Choking/sexual strangulation
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Information statement
Some people practice sexual strangulation as part of rough sex. Choking is termed "sexual strangulation" and is particularly risky, as there’s no safe way to choke someone.
Question prompt
Is sexual choking something you’ve come across or have heard about?
Would you like some more information on it?
Do you have any questions about it?
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Sexual views and ethics
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Information statement
It's common to see rough sex online now. The more aggressive acts are usually directed at women and younger or more feminine or vulnerable-looking partners, and it looks like they enjoy it. In real life, many people don’t enjoy sex that includes aggressive and violent acts.
Just because it's common online doesn't mean we have to like or try rough sex. Part of exploring what you want and like sexually includes thinking about how the type of sex you want fits with your own views about sex, pleasure, gender, and relationships.
Question prompt
Have you thought about how rough sex sits with your own sexual ideas and views?
What helps you decide what kind of sex feels right for you?
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Consent and safety
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Information statement
Consent with rough sex needs to be very clear. Some people think consent to sex includes rough sex acts – even if that isn't their partner's understanding. This can cause unexpected, unwanted, and harmful sexual experiences. To avoid unwanted rough sex, talking about sexual expectations beforehand can help.
Question prompt
What does consent generally look like with rough sex? i.e., do people ask for specific consent for it? Or do they think about what type of sex is expected before agreeing to sex?
What would consent for rough sex look like for you?
Do you feel able to talk to a partner about this? If not, would you like some support with this?
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Social pressure
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Information statement
Some people describe feeling pressure to try rough sex from peers, from partners, or from social and online influences. Takatāpui, rainbow, trans, and gender-diverse people may feel particular pressure because of stereotypes and expectations. Everyone has a right to decide the type of sex they want and like – without any pressure.
Question prompt
Have you ever felt pressure to try rough sex or other types of sex you’re not sure about? What do you think is influencing that pressure – and what are your thoughts about that?
How might you navigate any pressure to try rough sex?
Do you need any help with this?
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Closing the conversation
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Information statement
Sometimes discussing rough sex can raise some confusing feelings or trigger memories of unwanted past experiences. If you or someone you know has had a sexual experience that felt confusing, pressured, or unwanted, we are here to support you. You can also come back and talk about this again if questions come up later.
Question prompt
Do you have any questions or thoughts about anything we’ve talked about?
Would you like any more information on services that offer support with unwanted experiences?
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Follow-up information, referral, and support
Conversations about rough sex may raise the need for further information, support, or specialised care. Depending on the person's experiences and needs, this may include providing relevant health information, connecting them with appropriate support services, or referring to specialist services.
Useful information, resources, and support services include:
Rough sex and sexual strangulation information for young people on In the Know
Clinical advice and support relating to sexual strangulation from MEDSAC
General sexual health information and services on this website
Information and support for takatāpui and rainbow young people from Kahukura
Support following harmful sexual experiences – Rape Prevention Education directory
For disclosures of harm: follow relevant workplace disclosure policies, procedures, and referral pathways.
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