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A violent stunt is growing in popularity among teenagers. The so-called "knockout game" involves assaulting people without warning, and it is claiming lives.

The victims of the brutal game are chosen at random. Defenseless and unsuspecting people are attacked by groups of teens who have one goal in mind: to knock the victim out with one punch.

"One-hitter quitter," "knock em' and drop em," "point em' out and knock 'em out" are all names for a disturbing trend now drawing concern nationwide.

In Pittsburgh, a teacher was punched so hard he collapsed head first into the concrete curb. A man in Brooklyn was also knocked unconscious. And even women are being attacked.

There have been seven recent cases in New York City alone. And the game has turned fatal in at least four documented attacks -- in Syracuse, N.Y.; St. Louis; Chicago; and Hoboken, N.J., site of the latest fatal attack.

Boys -- seen in video from a security camera after the incident -- have been charged with the murder. They are just 13 and 14 years old.

Jeffrey Butts, who specializes in youth criminal justice at John Jay College, said, "We know from brain studies that the part of your brain that gets fired up through excitement and thrill-seeking actually develops more quickly and fires up more quickly than the other part of your brain, which comes along a few years later and is about judgment and discretion."

He says there's no real pattern to the way the attackers choose their victims, but they are always alone, and they stand out.

"The victims are someone who the young people consider to be an 'other,'" Butts explained. "That could be a racial difference, it could be a religious difference, it could be an age difference, it just could be a class difference."

Nothing in the so-called "knockout game," is about a fair fight. So if it's not about toughness, if it's not about courage, then what is it about?

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Deadly "knockout game": what it is and why teens are ...