this post was submitted on 17 Jan 2024
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Video gamers worldwide may be risking irreversible hearing loss and/or tinnitus—persistent ringing/buzzing in the ears—finds a systematic review of the available evidence, published in the open access journal BMJ Public Health.

What evidence there is suggests that the sound levels reported in studies of more than 50,000 people often near, or exceed, permissible safe limits, conclude the researchers.

And given the popularity of these games, greater public health efforts are needed to raise awareness of the potential risks, they urge.

While headphones, earbuds, and music venues have been recognized as sources of potentially unsafe sound levels, relatively little attention has been paid to the effects of video games, including e-sports, on hearing loss, say the researchers.

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[–] [email protected] 78 points 10 months ago (10 children)

What a dumbass click bait headline.

Has less to do with video games, and more to do with how loudly people are listening to them.

[–] [email protected] 4 points 10 months ago* (last edited 10 months ago)

I was in middle school when earbuds came out in the early 2000s and I remember the exact same idiot bait news headlines about ipods, I'm sure there's a 70's equivalent for headphones. It seems like journalists think the concept of volume is totally alien to humanity, regardless of time period.

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[–] [email protected] 73 points 10 months ago (1 children)

Turn your volume down, bros.

I SAID TURN THE VOLUME DOWN.

[–] [email protected] 29 points 10 months ago (5 children)

I would if you would stop making that non-stop ringing sound.

(I didn't realize I had tinnitus until I learned that not everyone hears a high pitch whine 24/7. My brain will tune it out naturally unless it's really quiet or someone mentions it. Like, now.)

[–] [email protected] 6 points 10 months ago

I've had a minor tinnitus since I was a kid, which I tend to be able to ignore most of the time because I'm preoccupied with other stuff, but the talks about tinnitus in the Escape From Tarkov community reminded me of the phenomenon, and I've been aware of my own tinnitus ever since.

Same as you now - won't hear it unless I remember about it and can't turn my mind to something else.

[–] [email protected] 4 points 10 months ago (4 children)

If you don't notice it every time it's not tininitus just the normal background noise of the ears functioning.

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[–] [email protected] 47 points 10 months ago (1 children)

Tinnitus sucks ass.... seriously take care of your hearing.

[–] [email protected] 32 points 10 months ago* (last edited 10 months ago)

Can confirm. Like.. guys.. it's bad. You can definitely end up having dark thoughts. Don't fuck around. Use ear protection where needed, and check your volume settings!

[–] [email protected] 40 points 10 months ago (2 children)

I've had tinnitus for decades, and it SUCKS. I've always been careful for my hearing, but after a concussion it arrived and never went away.

I play games with most sounds off. I can't use headphones, wearing them gives me a migraine no matter the volume.

I've had hearing tests, seen a specialist. I have no hearing loss, but I do have misaphonia and tinnitus. The combination is pure hell, there is no respite.

I can't distinguish voices in chats well enough to follow what's being said if more than one person is talking. It's even worse online when I can't lip read to decode what's being said.

Project your earholes.

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[–] [email protected] 31 points 10 months ago (7 children)

Every time I open a new game, the volume is set to the absolute max, which is orders of magnitude louder than any other sound on my computer. When I go to change the sound settings, I usually have to put the slider comically low before it gets to an acceptable volume range. At that point fine tuning it becomes kind of difficult.

Seriously, why can’t most games get volume right?

[–] [email protected] 21 points 10 months ago* (last edited 10 months ago) (2 children)

Just laziness or ignorance, I made a game and set the volume to 30% by default (it was a bit quiet for my setup), there were no loud splash screens, just some music on the menu - why that is so difficult for developers to do, I don't understand.

It's also an extra crime when they force an unskippable cutscene on you or start a tutorial before you can even access the options screen. The very first screen you should get, should be the fucking options.

[–] [email protected] 10 points 10 months ago* (last edited 10 months ago) (1 children)

GeminiTay streamed Stardew Valley and this was one of her main complaints. The menu never lets you adjust the sound and the game starts with an unskippable scene.

[–] [email protected] 7 points 10 months ago* (last edited 10 months ago)

Yup its stupid af. I can adjust my game volume on the fly with the setup I have, so it's always nice to turn that shit down or mute it when I start up a game, but the fact I have to is insane.

You could prep volume mixer too, and tab out when the game launches to turn it down. Or developers could just not put loud splash/logo screens at max volume.

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[–] [email protected] 9 points 10 months ago (1 children)

Best game ever for sounds (in this context), imho, is dysmantle. People have described the sound track as “hikers listening to birds”. Music only happens in specific places, it’s mostly very relaxing/peaceful, and other than that it’s just listening to occasional zombies/turrets, environmental sounds, audio recordings, and breaking stuff.

I always turn the music and sfx way down (voice stays pretty high, sfx about 20% lower, and music very low) so I legit didn’t notice the lack of music for 22 hours of actual play time (out of the about 100 I put into it). But I didn’t change the sound settings at all for it, it was perfect.

[–] [email protected] 3 points 10 months ago

Fuckin great game.

[–] [email protected] 6 points 10 months ago (2 children)

Most games get it right, didbyou try lowering the global system volume down? Mines only at 20%.

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[–] [email protected] 4 points 10 months ago

On my last pair of headphones I had to set windows to like 2% until I eventually downloaded equalizer apo and set it to make everything like -20db

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[–] [email protected] 26 points 10 months ago (1 children)

Often they are just terribly mixed for headphones too.

Especially shooters where the sfx of the guns are just way too loud for how often they are repeated and in comparison to everything else.

I'd almost like to see a shooter game where everyone has silencers on just for the improved acoustics and not destroying ears without messing with settings (and you don't want to lower footstep sfx even if you want to lower gunshot sfx and they are rarely separate sliders).

Glad there's attention on this.

Another area that would probably be wise to study is increased resistance in haptics and possible arthritis or repeated strain injuries long term.

[–] [email protected] 9 points 10 months ago* (last edited 10 months ago) (1 children)

Yeah, gunshots really loud, footsteps really quiet is common.

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[–] [email protected] 19 points 10 months ago* (last edited 10 months ago)

Huh, What?!

-Artillery men, Rock/Metal bands

[–] [email protected] 18 points 10 months ago (4 children)

I played video games for 22 years: no hearing loss

Practiced bagpipes indoor, big room, a few times: like 30dB hearing loss.

Idk

[–] [email protected] 6 points 10 months ago

bagpipes are the loudest thing I've ever experienced, those things are a silent killer

[–] [email protected] 5 points 10 months ago

Now think of the damage you could’ve caused the rest of us!

We’re saved!

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[–] [email protected] 13 points 10 months ago (3 children)

I have Windows volume mixer open all the time. I have developed a habit of pulling the volume down to 10-15% on every new window/app that I open because I hate sudden unstoppable loudness.

[–] [email protected] 10 points 10 months ago (1 children)

Imagine if you could do it for the entire system!

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[–] [email protected] 4 points 10 months ago

Check an app called ear trumpet. It gives you way finer control over the volume of everything

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[–] [email protected] 13 points 10 months ago (1 children)

Airpod type devices should be looked at as well, lots of people are gonna have fucked ears for a long time.

[–] [email protected] 5 points 10 months ago

You mean earbuds?

[–] ElBarto 12 points 10 months ago (1 children)
[–] [email protected] 9 points 10 months ago (1 children)
[–] ElBarto 4 points 10 months ago

Ohh fuckin hacks mate.

[–] [email protected] 9 points 10 months ago (1 children)

It would be nice if there was a pre-game audio slider like some games have brightness sliders.

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[–] [email protected] 7 points 10 months ago (2 children)

CounterStrike and all it's variations was always nuts with this to me, 'I have the voltume up to hear the footsteps bro' -KACHOW- "BUT THE HOUSE IS SHAKING" 'yeah this noob has an AWP, so of course I also have an mmhph' -THE AUDIENCE IS NOW DEEEF-

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[–] [email protected] 6 points 10 months ago

No worries for me, I've had tinnitus for over 40 years, pretty sure it's neurological for me, not hearing related.

[–] Sabre363 6 points 10 months ago

HUH, WHAT DID YOU SAY?

[–] [email protected] 4 points 10 months ago

Shit man I've been suffering from hearing loss for like 20 years (partially due to infections and the rest is listening to music with headphones at high volumes), and tinnitus for at least 12.

I'm ahead of the curve. 😎

[–] [email protected] 4 points 10 months ago

Jokes on them! I don't even need to worry about video games doing it to me. I've already got some minor hearing loss in one ear from a history of childhood ear infections. That, and my other ear is probably gonna end up with hearing loss from how loud I listen to music. Games ain't got nothing on my music listening habit!

[–] [email protected] 4 points 10 months ago (2 children)

computer sounds are way too loud

i have my pc volume set to 50% and still consistently need to turn the master volume for every new game i buy down to 50%, or at least 75%, just so it stops causing physical pain in my ears

[–] [email protected] 4 points 10 months ago* (last edited 10 months ago) (13 children)

Yeah there's a lot of variables for audio depending on peoples setups, but having the volume default to 100% is not the correct thing for applications to do, ever.

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[–] [email protected] 4 points 10 months ago (4 children)

I've had tinnitus since my earliest memories. Will I get tinnitus on my tinnitus? Tinnitus squared?

[–] [email protected] 6 points 10 months ago

It might alloy into bronzitus if you're not careful.

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[–] [email protected] 4 points 10 months ago (2 children)

Volume sliders never sound linear to me. I also keep them fairly low. This means that each individual step is surprisingly large in volume difference. I don't get people who go to max volume-- doesn't it hurt your ears? My laptop stays on 10-20% and some applications are turned down from that even further (TF2 is comically low).

[–] [email protected] 6 points 10 months ago (1 children)

Volume sliders never sound linear to me

Ironically that is because (with very few exceptions) every application from OS-s to streaming service webapps to games to mediaplayers uses linear volume slider. Human hearing is logarithmic.

The way typical volume slider works is multiplying the audio sample values with a coefficient that is ≤1. Ie, if you set volume to 50% the input is multiplied by 0.5 and as a result the signal voltage level on the analog output to your headphone or loudspeaker drivers is halved. The kicker—halving the voltage is just 6 dB less volume. This is why if you have sensitive headphones (or big, powerful speakers) you find that you have to keep the volume slider in your OS at 10% or even lower to not blast your ears off. And why the upper half of volume sliders is completely useless.

I have an unconventional speaker setup that makes classical analog volume control completely impractical. Since said setup has the maximum sound pressure level output of around 110 dB at full scale digital input, I have to keep the OS volume slider at 30% and in-app volume sliders at around 20%, resulting the total multiplier of 0.06 (or about -26dB full scale) to have comfortable volume levels. Only exception is Elite: Dangerous; with sound set to full dynamic range I can keep the main volume slider at maximum and enjoy glorious dynamics. Youtube is also surprisingly reasonable, probably because they normalize to -14dB LUTS or something similar.

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[–] [email protected] 4 points 10 months ago (1 children)

Are you using Bluetooth headphones?

If so, you might want to look into turning off bluetooth absolute volume. It's supposed to keep volume syncronised between your bluetooth device and your phone/laptop/etc, but some headphones don't seem to support it, wich can end up with them setting their internal volume to max.

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