
Autassassinophilia
Autassassinophilia
Added 21 Jun 2026 · Updated 31 Jul 2026
Autassassinophilia is a very rare paraphilia, named by sexologist John Money in 1986, in which sexual arousal is tied to the fantasy, staging, or genuine risk of being killed. Almost always confined to fantasy, it is documented here strictly as a clinical category with serious safety framing.
- Prevalence
- Very rare
- Category
- Clinical Paraphilias
- Clinical term
- Autassassinophilia
- Domain
- Sexual interest · Paraphilia
- Confidence
- Low confidence
- Status
- Rare extreme-masochistic paraphilia captured under other specified paraphilic disorders; documented mainly in forensic case literature. Carries potential for lethal harm.
- Also known as
- danger-of-death paraphilia, arousal to risk of being killed, OSPD (lethal risk)
- Added
- 21 Jun 2026
- Updated
- 31 Jul 2026
Overview
Autassassinophilia is a paraphilic interest in which sexual arousal is linked to the fantasy or scenario of being in danger of being killed: in its most literal form, of being murdered by one's own sexual partner. It is generally understood as an extreme variant within the masochistic spectrum and as the mirror counterpart of arousal centred on killing another person. This article documents the interest descriptively and for completeness, with no instructional content of any kind, and frames the topic around harm prevention throughout.
Definition & scope
The defining element is mortal jeopardy directed at the self, real or believed. That distinguishes it from ordinary masochistic interest in pain or helplessness, and from thrill-seeking in general, where the danger is not eroticised as a death threat. It also has to be separated from suicidal intent: the arousal, in Money's framing, is bound to the staging and the threat, not to a wish to die as such, although the two can shade into one another and the distinction is not always clean in practice.
Most of what is described under this heading never leaves the imagination. The English-language reference literature notes that many people with the interest are aroused by fantasies or simulations rather than by any real danger, which matters enormously when weighing risk.
Examples
What follows describes what the term denotes and what it does not. It contains no account of how anything is staged, and none would be appropriate.
What the term covers. Arousal bound to being in mortal danger oneself: overwhelmingly as fantasy, sometimes as simulation in which no real threat exists, and, in the few documented cases, as an arrangement in which the threat is genuine. The distinction between the first two and the third is the whole of the matter. Having the fantasy is neither a crime nor, by itself, a disorder. Arranging the real thing is different in kind, because it ends in a death, and a death is the one outcome nobody is left to consent to: what follows is homicide, and the survivor is prosecuted for it. The agreement at the start does not survive the ending it is agreement to.
What the term does not cover. It is not masochism, where what is eroticised is pain, helplessness or surrender rather than death, nor the negotiated edge play — breath play, knife play, fear play — in which risk is courted precisely so that everyone survives it. It is not erotophonophilia, its outward-facing mirror, where the arousal attaches to killing someone else. It is not symphorophilia, where a disaster or accident is watched rather than undergone. And it is not suicidality, though the two can shade into each other, which is why any drift toward genuine self-endangerment is a reason to seek help.
How the word is used. Only in sexology and forensic writing. John Money coined it in 1986 and no manual has adopted it since: it appears in neither the DSM-5-TR nor the ICD-11, and would be recorded, if at all, under other specified paraphilic disorder.
History & origins
Clinical lineage
The term was introduced by the American medical psychologist and sexologist John Money, who built much of the modern vocabulary of paraphilias around his concept of the "lovemap." Money introduced autassassinophilia in his 1986 book Lovemaps: Clinical Concepts of Sexual/Erotic Health and Pathology, Paraphilia, and Gender Transposition, for arousal contingent on the risk of being killed. He classed it among the sacrificial/expiatory paraphilias, one of the groupings into which he sorted his lovemap pathologies, and defined a matched reciprocal condition, erotophonophilia, or lust murder, which he described as arousal at:
stage-managing and carrying out the murder of an unsuspecting sexual partner. — John Money, as quoted by Mark D. Griffiths, Psychology Today (2014)
The pairing is why the two terms are almost always discussed together. Note also what the reference literature stresses: an interest of this kind does not require that a life actually be at risk, and many people with it are aroused by fantasy or simulation alone.
The interest has never had a diagnostic entry of its own. It falls outside the named paraphilic disorders, so in the modern nosology it would be captured only under the residual category other specified paraphilic disorder in the DSM-5-TR (American Psychiatric Association, 2022), and within the paraphilic-disorder grouping of the ICD-11, and then only where it causes distress, functional impairment, or risk of harm to self or others. As the general clinical literature on paraphilias stresses, an atypical interest is not by itself a disorder: the threshold is harm or distress.
| Manual | Status |
|---|---|
| DSM-5-TR (2022) | No named diagnosis; would fall under other specified paraphilic disorder, and only with distress, impairment, or harm |
| ICD-11 | No named code; captured within the paraphilic-disorder grouping on the same harm/distress threshold |
Forensic & scholarly thread
Unlike better-studied paraphilias, autassassinophilia has almost no empirical base. What exists comes from forensic and philosophical scholarship rather than population research. The scholarly reference point is Lisa Downing's "On the limits of sexual ethics: the phenomenology of autassassinophilia" in Sexuality & Culture (2004), which took Money's "reciprocally chosen lust murder pact" as a test case for liberal consent theory and argued that being killed for pleasure breaks the assumptions on which ordinary consent reasoning rests.
Downing's case study is the one the term is now inseparable from: the killing of Sharon Lopatka in October 1996. Lopatka, a Maryland woman, corresponded by email with Robert Glass, travelled to North Carolina, and was tortured and strangled to death. Glass pleaded guilty to voluntary manslaughter. The case is cited in the clinical literature because the correspondence documented a sustained, articulated wish to be killed, and because the court's response showed how little weight prior agreement carries once a death has occurred. Beyond a small number of such cases, no reliable clinical natural history has been established.
In practice
Reported expressions run from purely imaginative fantasy, by far the most common form and the only one that carries no physical danger, through simulated scenarios in which no real threat exists, to high-risk staging in which a participant arranges to feel genuinely under threat of death. The clinical concern is straightforward: real lethal risk cannot be made safe. Any enactment that introduces an actual threat to life can end in catastrophic injury or death through miscalculation, equipment failure, or a partner who continues past what was intended. Responsible sources therefore emphasise harm reduction and professional support rather than any form of acting out, and this article deliberately omits methods.
Psychology
What causes it?
Nothing is established, and the honest answer is that the evidence is too thin to support a mechanism. The frameworks usually proposed connect the interest to masochism, specifically the eroticisation of helplessness, terror, and the total surrender of control, and to high sensation-seeking, where extreme physiological arousal amplifies sexual response. Money's own account treated it as a sacrificial or expiatory lovemap: a symbolic scenario of self-offering, often read by psychoanalytically inclined writers as guilt seeking punishment. It is also discussed alongside erotic asphyxiation, where the wish to brush against mortal danger is enacted directly on the body, and (through the Meiwes case and its literature) alongside anthropophagolagnia. The rarity of documented cases makes generalisation impossible, and every model here should be read as speculative.
Prevalence & culture
How common is autassassinophilia?
Effectively negligible, and no survey has ever put a number on it. It does not appear as a measurable category in the large general-population paraphilia studies, including Joyal & Carpentier (2017) and Joyal, Cossette & Lapierre (2015), which between them established that genuinely rare fantasies are a very small minority of the population. Its absence from those instruments is itself informative: the category was too rare to be worth measuring.
There is no organised community. Such visibility as the term has comes from catalogues of paraphilias such as the list of paraphilias, from the Lopatka case, and from true-crime and forensic writing. That is precisely why confidence in any prevalence estimate for this entry is low.
Safety, consent & law
This interest carries extreme risk and is documented here only with that framing. Scenarios involving a real threat to life can be lethal, and arrangements framed as fully consensual still expose participants to grave harm and a surviving partner to serious criminal liability. In most jurisdictions consent does not extend to grievous bodily harm or death, so a death arising from such an arrangement can be prosecuted as manslaughter or murder regardless of prior agreement: the Lopatka case is the standard illustration. Fantasy is not illegal, and having the fantasy is not in itself a disorder.
Where the fantasy edges toward self-endangerment or suicidal intent, the responsible route is harm prevention and qualified mental-health support. Anyone experiencing such urges, or thoughts of self-harm, is encouraged to contact a professional or a crisis service.
Common questions
Is autassassinophilia illegal?
The fantasy is not; a state of mind is not an offence, and having it is not in itself a disorder either. Arranging a scenario with a genuine threat to life is another matter. If someone dies, the survivor faces prosecution for manslaughter or murder regardless of what was agreed beforehand, because in most jurisdictions consent does not extend to grievous bodily harm or death. The 1996 killing of Sharon Lopatka is the standard illustration.
Can a person consent to being killed?
No, and this is the wrinkle at the centre of the term. An arrangement can be entered freely, documented and confirmed repeatedly, and it still ends in a death the person is no longer there to consent to. Law in almost every jurisdiction refuses consent as a defence to death or grievous harm, and Lisa Downing's 2004 study took exactly this as the point where ordinary consent reasoning stops working. There is no safe or lawful version.
What is the difference between autassassinophilia and erotophonophilia?
Direction. Autassassinophilia is arousal bound to one's own risk of being killed; erotophonophilia, or lust murder, is arousal bound to killing someone else. John Money defined them as a matched pair and grouped both among what he called the sacrificial or expiatory paraphilias, which is why the two are almost always discussed together. Only the second requires a victim, and both are documented almost entirely through forensic case material.
Is autassassinophilia the same as being suicidal?
Not as the term is defined. Money's framing binds the arousal to the staging and the threat rather than to a wish to die, and the reference literature notes that many people with the interest are aroused by fantasy or simulation with no real danger present. In practice the line is not always clean and the two can shade into one another. Where a fantasy starts pulling toward genuine self-endangerment, that is a reason to contact a professional or a crisis service.
Is autassassinophilia in the DSM-5-TR?
No, and it never has been. The interest has no diagnostic entry of its own in any manual. It would be captured only under the residual heading of other specified paraphilic disorder in the DSM-5-TR, or within the ICD-11 paraphilic-disorder grouping, and then only where it causes distress, functional impairment, or risk of harm to self or others. An atypical interest is not by itself a disorder; the threshold is harm or distress.
Where can someone with these fantasies get help?
A general practitioner or a mental-health service can refer to clinicians who work with unusual or high-risk sexual interests, and crisis lines take calls about self-endangerment as well as about suicide. The useful thing to bring is the risk rather than the fantasy alone: what matters clinically is whether anything is being arranged, and whether the pull is toward simulation or toward real danger. Early help is the whole distance between a fantasy and a death.
- Erotic Asphyxiation30/100Asphyxiophilia · Clinical ParaphiliasAsphyxiophilia is a paraphilic interest in which sexual arousal is heightened by restricting breathing or blood flow to the brain, for example through neck pressure or suffocation. Practiced alone it is termed autoerotic asphyxiation; it is among the most lethal of documented paraphilias.30
- Masochism69/100Sexual Masochism Disorder · Clinical ParaphiliasA DSM-5-TR paraphilic disorder defined by recurrent, intense arousal from being humiliated, beaten, bound, or otherwise made to suffer, that causes the person clinically significant distress or impairment. Consensual masochistic interest without distress is not a disorder.69
- Autovampirism4/100autovampirism · Clinical ParaphiliasAutovampirism (clinically, autohemophagia) is the rare, sparsely documented practice of deliberately drinking one's own blood, in a minority of accounts for sexual or emotional gratification. It is documented here strictly as a taxonomic and psychiatric category, not as anything to attempt.4
- Clinical Vampirism / Renfield's Syndrome5/100clinical vampirism · Clinical ParaphiliasClinical vampirism, nicknamed Renfield's syndrome, is a rare and contested label for a compulsion to obtain and ingest blood (one's own, an animal's, or another person's), often reported with excitement or arousal. It appears in no diagnostic manual and carries extreme risk.5
- Cacophilia2/100Cacophilia · Clinical ParaphiliasCacophilia is a catalogued but poorly documented paraphilic term for sexual arousal tied to loud, harsh, or discordant sounds. It appears in forensic word-lists of paraphilias rather than in mainstream diagnostic manuals, and has essentially no clinical case literature.2
- Cenophilia2/100Cenophilia · Clinical ParaphiliasCenophilia (also spelled kenophilia) is a catalogued but poorly documented paraphilic term for sexual arousal tied to empty spaces, voids, or open emptiness. It appears in forensic word-lists of paraphilias rather than in mainstream diagnostic manuals, and has essentially no clinical case literature.2
Coined by sexologist John Money in Lovemaps (1986) from Greek autos ("self") plus assassin (ultimately from Arabic ḥashshāshīn) and -philia ("love of"): literally, arousal bound to the staging of one's own assassination.
OSPD · extreme masochistic variant · lethal risk
Prevalence is computed from the entry's cited population estimate. Rows marked ESTare indicative editorial estimates scored against a fixed anchor rubric — not measured quantities. Method & anchors: methodology.
Very rare · fewer than 1 in 10,000
- 01List of paraphilias — Wikipediadefinition/existence as a recognized but extremely rare paraphilia
- 02Paraphilia — StatPearls, NCBI Bookshelfclinical framing within Other Specified Paraphilic Disorder / extreme masochistic variants; the harm-or-distress threshold for calling an interest a disorder
- 03Paraphilia — Wikipediageneral paraphilia classification supporting very-rare prevalence
- 04Autassassinophilia — Wikipediacoinage by John Money in Lovemaps (1986), sacrificial/expiatory classification, definition as arousal contingent on stage-managing one's own murder by a partner, the note that many are aroused only by fantasy or simulation, and the reciprocal erotophonophilia
- 05John Money — Wikipediabiography of the sexologist who coined the term and developed the lovemap concept and paraphilia taxonomy
- 06Lust murder (erotophonophilia) — Wikipediaerotophonophilia as the reciprocal sacrificial/expiatory paraphilia Money paired with autassassinophilia
- 07Griffiths M. D. (2014). Dying for It — Psychology TodayMoney's classification of autassassinophilia and erotophonophilia as sacrificial/expiatory paraphilias, and the quoted definition of erotophonophilia as arousal at stage-managing and carrying out the murder of an unsuspecting sexual partner
- 08Downing L. (2004). On the limits of sexual ethics: The phenomenology of autassassinophilia. Sexuality & Culture 8(1):3–17the only substantial scholarly treatment of the interest; analyses Money's reciprocally chosen lust-murder pact and the Sharon Lopatka case as a limit case for consent theory
- 09Killing of Sharon Lopatka — Wikipediathe 1996 consensual-homicide case in which Robert Glass killed Sharon Lopatka and pleaded guilty to voluntary manslaughter; documented correspondence expressing a wish to be killed
- 10Joyal & Carpentier (2017), The Prevalence of Paraphilic Interests and Behaviors in the General Populationgeneral-population paraphilia survey in which extreme lethal-risk arousal does not appear as a measurable category, supporting negligible prevalence
- 11Joyal, Cossette & Lapierre (2015), What Exactly Is an Unusual Sexual Fantasy?evidence that genuinely rare sexual fantasies are a tiny minority, supporting very-rare prevalence framing
- 12DSM-5-TR, Paraphilic Disorders (American Psychiatric Association, 2022)would be captured under other specified paraphilic disorder; disorder threshold requires distress, impairment or harm
- 13ICD-11, Paraphilic disorders (World Health Organization)paraphilic-disorder grouping under which the interest would fall only where it causes harm or distress