Self-bondage is considered a higher-risk activity than many other BDSM practices — particularly when combined with autoerotic asphyxia — and has led to a number of recorded deaths.
[1] The death in 1994 of Stephen Milligan, the British Conservative MP for Eastleigh, was a case of autoerotic asphyxiation combined with self-bondage.
[2] Self-bondage has all the risks of physical restraint and sexual bondage, with the added factor that should anything go wrong, there is no one to effect a rescue.
Strict self-bondage requires that the means of escape be unavailable until the lapse of time before the release mechanism activates itself.
This feature of strict self-bondage makes it potentially more hazardous, but some practice it for the greater sense of helplessness it creates.
However, the annoyance of cleaning up the paint afterwards would coerce the person into waiting for the main release mechanism to come into effect if he or she were merely bored or uncomfortable.
One common solution is to use a cinch noose — essentially a kind of slip knot — together with a coil (a loop of rope).