This comment might provide some insights: https://lemmy.zip/comment/21080783
Also, IMO, voluntary or not, this goes over the edge, especially on the streaming part. If someone genuinely enjoys this, they can do it in private, and exactly as they like.
When money and popularity get involved, this prompts more extreme behavior, turning a willing masochist into a victim, and a game into a trap.
Besides, authorities could have at least checked up on him.