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Each year, the CPSC updates its database of "consumer product related injuries" that occur in the United States. This is a public health tool that tracks emergency room visits related to consumer products. Inevitably, every year someone makes a list of product mishaps, like this one, which details the various objects people stuck with, separated by holes, in 2019. Let's take a look at a few recent examples and then explore the psychological factors that motivate people to stuff potentially dangerous household items into their bodies. Hint: A lot of it is sexual.

Last year, things stuck in people's rectums caused emergency treatment: toothbrushes, piston handles, Turkey watering pipes, toy hockey sticks, water pistols, a small shampoo bottle, a large shampoo bottle, a jar of applesauce, a light bulb and a Christmas ornament.

Among the items stuck in your vagina: toothbrushes, cell phones, dolls, rubber balls, perfume bottles.

Things stuck in a person's penis that can trigger an emergency include: crayons, chopsticks, ballpoint pens, lollipops, screwdrivers, hairpins and wedding rings (I'm not sure how this happens!).

Many of you may be wondering why people put these things in their genitals in the first place. Perhaps not surprisingly, it probably has a lot to do with the pursuit of sexual gratification.

According to a 2012 paper titled "Foreign body insertion," sexual gratification is a common motivation for patients with what doctors call "multiembolic mania" -- basically a fancy term for inserting a foreign body into one or more body holes [1]. Motivation is most common in the opening of the rectum, vagina, or penis (especially the penile urethra).

For example, if a man stuffs something into his rectum, he may seek prostate stimulation while masturbating; Similarly, women can stuff their vaginas as part of self-stimulation. In both cases, people may use household items because they don't have any sex toys or don't have any such toys handy.

Similarly, men who insert objects into the urethra may be part of the BDSM game. "Making a sound" is a technical term for inserting an object into the urethra, often used in BDSM because the act is so painful (people who derive pleasure from painful experiences are called masochists).

Another point worth mentioning here is that sexual arousal can reduce aversive responses and increase risky decision-making. Given this, it suddenly becomes clear why aroused people end up stuffing things into their bodies.

However, not everyone inserts a foreign object into a hole for sexual purposes -- this is often the case when it comes to holes in non-reproductive organs, such as ears and nose. Other possible motivations include a desire to self-harm (which sometimes occurs in people with borderline personality disorder), attempted suicide, hallucinations and psychosis, dementia and other cognitive disorders, and attempts to gain attention by faking illness [1].

Although there have been thousands of documented cases of multiple embolism, we still do not know the exact prevalence. But for those who do, it's often a repetitive behavior, with many requiring several trips to the emergency room for the same problem.

Furthermore, people of all backgrounds and ages have been observed to do this; However, it seems to be more common in men than women. What's more, the motivation for such behavior seems to change with age. For example, in adolescents, it is more likely to come from risk-taking and senses-seeking, and in older adults, it is more likely to come from other cognitive factors [1].

While we still have more to learn, it's now clear that there's a very complex psychology behind why people insert household items into their genitals and other holes. Therefore, when people seek treatment for this problem, it is important for medical professionals to explore the underlying motivations to provide the best treatment and reduce the risk of future injury.