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Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
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Amy Morin, LCSW, is a psychotherapist, author of the bestselling book "13 Things Mentally Strong People Don't Do," and a highly sought-after speaker.
Medically reviewed by Jonathan B. Jassey, DO on July 02, 2020
Jonathan B. Jassey, DO, is board-certified in pediatrics. He has been in private practice at Bellmore Merrick Medical in New York since 2007 and is the co-author of "The Newborn Sleep Book."
Teenagers today are exposed to more risks than ever before. From online bullying and school shootings to alcohol and opioid abuse, teens have higher levels of stress than in years past and increasing rates of suicide.
For parents and caregivers, this means having difficult conversations with their increasingly independent children about making smart choices about health and safety. If you're one of those caregivers, arm yourself with facts about the top 10 teen health issues as well as resources to help navigate the stormy waters of adolescence.
Motor vehicle accidents are the leading cause of teen death in the United States. The Centers for Disease Control and Prevention (CDC) estimates that every day seven teens between the ages of 16 and 19 die from motor vehicle injuries and even more are treated in emergency rooms for serious injuries.1
Teens 16 to 19 have a greater risk of death or injury in a car crash than any other age group.1
Before your teen gets behind the wheel, it is important to understand the factors that contribute to teen car accidents. These include:
Suicide is the second-leading cause of death among adolescents. Between 2007 and 2017, rates of teen suicide increased by 56%.2 Statistics show that roughly one in 11 high school students attempt suicide.3
Contributing factors for suicide include loneliness, depression, family problems, and substance abuse. The issues are complex and aren’t usually a result of one or two factors. Teens who have good communication with at least one adult are less likely to engage in risky behaviors and less likely to become depressed.4
Learn to recognize the warning signs of suicidal thoughts in teens, which include:
If you suspect your child may be thinking of harming themself, ask if they are having thoughts of suicide, express your concerns about their behavior, listen attentively without judgment, let them know they have been heard and are not alone, and guide them to professional help.
Contact the National Suicide Prevention Lifeline at 1-800-273-8255 for support and assistance from a trained counselor. If your child is in immediate danger, call 911.
While school shootings get the majority of news attention, they make up just 1.2% of firearm fatalities in school-aged children. Gang violence and drive-by shootings are a problem in many cities in the United States. African American children and teens are more than eight times more likely to die from firearm homicide than their white counterparts.5
Regardless of your personal stance on guns, it is important to talk to your children about gun safety. If you keep firearms in your home, be sure to keep them locked up and unloaded.
Research shows roughly one of three handguns guns is kept loaded and unlocked in the home and most children know where their parents keep their guns.6 The majority of firearm injuries and deaths in children and adolescents are related to guns in the home.6
Homicide by firearm is the third leading cause of accidental death for young adults aged 15 to 24.7
Whether a child has had first-hand experience with gun violence or learns about a mass shooting on the news, the opportunity to discuss this important topic with your teen will likely arise. The American Psychology Association offers the following tips for families:
Roughly one in three adolescents are impacted by bullying—a form of aggressive behavior in which someone intentionally and repeatedly causes another person injury or discomfort. Bullying can be verbal, social, physical, or done online in the form of cyberbullying and most commonly occurs at school. Approximately 30% of teens admit to bullying others.9
Persistent bullying can cause feelings of isolation, rejection, exclusion, and despair, as well as depression and anxiety, which can contribute to suicidal behavior; however, the majority of teens who are bullied do not attempt suicide. While any teen can be a victim of bullying, LGBTQ youth are at a heightened risk of being targeted.
Despite many teens experiencing bullying, only 20% to 30% of teens who are bullied report it to an adult.9
Signs that your teen may be experiencing bullying include:
If you suspect your teen is being bullied, it can help to broach the subject indirectly by asking about friends or discussing bullying in the news. Most important is to keep the lines of communication open and provide a supportive environment. Don't downplay the situation by telling your teen to just get over it or toughen up.
Having the sex talk with your child can be uncomfortable, but it is important to make sure your teen understands the risks of sexual activity, how to practice safe sex, and the importance of consent. The health consequences of teen sex—namely pregnancy and sexually transmitted diseases (STDs)—can have lifelong impacts. Arming yourself with facts can help facilitate a productive conversation.
Teens are at an increased risk of contracting a sexually transmitted infection than older adults, with studies showing that 46% of sexually active teens did not use a condom the last time they had sex.10
In the United States, an estimated one-fifth of new HIV diagnoses each year are among people between the ages of 13 and 24, while half of all reported STDs occur in those 15 to 24.11
On the bright side, the teen pregnancy rate has declined in recent years from its high in the 1980s and 1990s. In 2012, only about 29 per 1,000 women between 15 and 19 became pregnant. By 2016, that figure dropped even further to 18 per 1,000, according to the CDC. This decline is due to both an increase in teens using birth control and practicing abstinence.12
Another important sex topic to discuss with your teen is consent—the agreement between two parties regarding sexual activity. Failure to get consent from a partner can lead to legal consequences. Explain to your child the importance of communication, setting boundaries, and respecting their partners.
Make sure your child understands that pressuring someone to engage in activities they are not ready for or taking advantage of someone who is drunk or drugged is never OK. Likewise, if a teen is feeling pressured or uncomfortable in a situation, it is important to speak up and leave if necessary.
Tobacco use is the leading cause of preventable death in the United States, and nearly all nicotine addictions start in young adults.13 By their senior year of high school, more than two-thirds of kids have tried or are regularly using tobacco products.14
While the use of cigarettes and smokeless tobacco products has been in sharp decline over the past 25 years, the use of electronic nicotine delivery systems ("vaping") has grown exponentially.
Initially, vaping was believed to be safer than smoking cigarettes; however, a new lung disease known as EVALI (e-cigarette, or vaping, product use-associated lung injury) was identified in 2019.15
According to data from the 2018 National Youth Tobacco Survey, 27.1% of high school students and 7.2% of middle school students reported using any tobacco product in the past 30 days, representing an increase over the previous year. During that period, the use of e-cigarettes by youth increased by 77.8% with one in five high schoolers admitting to vaping regularly.13
The American Lung Associations offers the following tips for talking to your kids about smoking and vaping: 
If you catch your teen smoking or vaping, avoid threats and ultimatums, and instead talk with them to find out why they are using nicotine and help them to find healthier ways to cope. 
Underage drinking can lead to many problems, including difficulty at school, poor judgment and impulse control, legal troubles, and health problems. According to a 2019 survey, 30% of high school seniors reported drinking alcohol in the last month and 14% admitted to binge drinking (defined as consuming four or more alcoholic beverages per occasion for women, five or more drinks per occasion for men).17
The CDC reports more than 4,000 underage teens die from excessive drinking each year and there are close to 120,000 emergency room visits among 12- to 21-year-olds related to alcohol use.17
Having an ongoing discussion with your teen about underage drinking is important. Encourage a two-way conversation with your teen and clearly state your expectations. Ask open-ended questions that encourage your child to tell you how they feel without lecturing.
The National Institute on Alcohol Abuse and Alcoholism advises keeping the lines of communication open and emphasizing some key points:
While most parents do not want their teens to drink, it is important to keep lines of communication open, especially when it comes to drunk driving.
Emphasize to your teen that they should never get behind a wheel after drinking or get into a car with a driver who has been drinking. Let them know they can always call you if they need a ride, no questions asked.
Recreational drug use is a serious health risk for teens. Roughly half of all high school students report having tried marijuana, one-fifth have taken prescription medication that was not prescribed to them, 6% have tried cocaine, and 3% of teen males have used performance-enhancing steroids.19
Opioids present the largest drug-related health risk for teens, with more than 4,000 young adults ages 15 to 25 overdosing and dying each year.20 A highly addictive group of drugs, opioids include both prescription pain medications and street drugs like:
Opioid addiction can have major life-threatening consequences. Many people start out taking prescription tablets, become addicted, and turn to heroin because it is less expensive.
The Substance Abuse and Mental Health Services Administration recommends talking with your teen often about the dangers of opioids and other drugs. Encourage your child to have an exit plan if they are offered drugs, such as texting a code word to a family member, and practice how to say no assertively.21
If you suspect your child is addicted to opioids or abusing drugs, seek professional help. Talk to your child's doctor or school counselor or contact the Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline at 1-800-662-HELP (4357).
Eating disorders frequently first appear during adolescence. Often misunderstood as a lifestyle choice, eating disorders such as anorexia nervosa, bulimia nervosa, and binge-eating disorder are serious and sometimes fatal illnesses that alter behaviors, thoughts, and emotions.22
Both sexes can develop eating disorders, however, rates are higher in girls than boys. If your child seems preoccupied with food, their weight, and the shape of their body, it may signal an eating disorder.
If your teen is showing signs of having an eating disorder, it is important to seek treatment, which may include psychotherapy, medications, and nutritional classes. To find resources in your area, contact the National Association of Eating Disorders helpline at (800) 931-2237.
An estimated 20% of teens in the United States meet the medical definition of obesity: a body mass index (BMI) at or above the 95th percentile for children of the same age and sex.23
The health consequences of childhood obesity are serious and include type 2 diabetes, heart disease, asthma, and fatty liver disease. It also can lead to psychological problems including anxiety, depression, low self-esteem, and bullying. Childhood obesity also sets the stage for obesity and health problems in adulthood.24
Factors associated with excessive weight gain in teens include:
In fact, about 87% of high school students do not eat the recommended five servings of fruits and vegetables a day, while more than 25% eat more than two servings of high-fat products a day.26 According to the CDC, around 33% of high school students do not get enough exercise and only 36% percent are enrolled in daily physical education programs.27
Weight issues during the teenage years can be complicated to approach. Most teens go through growth spurts during these years, and teens often gain weight before they grow taller. Many teens feel uncomfortable in their new bodies and can be sensitive to discussions about weight.
If you are concerned that your teen is gaining too much weight, use the CDC's BMI Percentile Calculator for Child and Teen or ask for an assessment at your child's next physical. A BMI percentile of 85% is considered overweight, while 95% is obese.
The treatment of obesity involves weight loss and lifestyle changes, including an improved diet and routine exercise. It can help to see a nutritionist to develop a balanced eating plan. Healthy eating as a family can help support your teen without causing them to feel singled out.
The teen years can be a challenge for many parents. As children grow more independent and form new friendships, it becomes more difficult to monitor their behavior than when they were younger.
At the same time, teens need guidance navigating peer pressure and making smart choices, so it is essential to keep the lines of communication open. Many parents find having these talks with their teens is more productive when the conversation flows naturally while doing something else, like playing a board game, taking a walk, or driving in the car.
Arming yourself with facts in advance can help facilitate a productive discussion. At the end of the day, the most important thing is for teens to know they are loved and that they always have someone to come to with their problems.
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Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
Centers for Disease Control and Prevention. Teen drivers: get the facts. Updated October 31, 2019.
Cunningham RM, Walton MA, Carter PM. The major causes of death in children and adolescents in the United States. N Engl J Med. 2018;379(25):2468-2475. doi:10.1056/NEJMsr1804754
Centers for Disease Control and Prevention. Suicide rising across the US. Updated June 7, 2018.
University of Michigan: Michigan Medical. The facts on the U.S. children and teens killed by firearms. Updated August 6, 2019.
Children's Hospital of Philadelphia Research Institute. Gun violence: facts and statistics. Updated May 2018.
U.S. Department of Health and Human Services. Facts about bullying. In: StopBullying.gov. Updated June 10, 2019.
Shannon CL, Klausner JD. The growing epidemic of sexually transmitted infections in adolescents: a neglected population. Curr Opin Pediatr. 2018;30(1):137-143. doi:10.1097/MOP.0000000000000578
Centers for Disease Control and Prevention. Sexual risk behaviors can lead to HIV, STDs, & teen pregnancy. Updated March 25, 2020.
Centers for Disease Control and Prevention. About teen pregnancy. Updated March 1, 2019.
Gentzke AS, Creamer M, Cullen KA, et al. Vital signs: tobacco product use among middle and high school students – United States, 2011–2018. MMWR Morb Mortal Wkly Rep. 2019;68(6):157-164. doi:10.15585/mmwr.mm6806e1
U.S. Department of Health and Human Services. Adolescents and tobacco: trends. Updated May 1, 2019.
U.S. Food and Drug Administration. Lung injuries associated with use of vaping products. Updated April 13, 2020.
American Lung Association. Tips for talking to kids about smoking. Updated March 19. 2020.
Centers for Disease Control and Prevention. Underage drinking. Updated January 3, 2020.
National Institute on Alcohol Abuse and Alcoholism. Make a difference: talk to your child about alcohol - parents. Updated 2020.
Centers for Disease Control and Prevention. Teen substance use & risks. Updated February 10, 2020.
Scholl L, Seth P, Kariisa M, Wilson N, Baldwin G. Drug and opioid-involved overdose Deaths — United States, 2013–2017. MMWR Morb Mortal Wkly Rep. 2019;67:1419–1427. doi:10.15585/mmwr.mm675152e1
National Institute of Mental Health. Eating disorders. Updated February 2016.
Hales CM, Carroll MD, Fryar CD, Ogden CL. Prevalence of obesity among adults and youth: United States, 2015–2016. NCHS Data Brief. 2017;(288):1-8.
U.S. Centers for Disease Control and Prevention. Childhood obesity causes & consequences. Updated December 15, 2016.
American Academy of Child and Adolescent Psychiatry. Obesity in children and teens. April 2016.
Centers for Disease Control and Prevention. Adolescent health. Updated May 3, 2017.
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Verywell Health's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.
Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved
Verywell Health is part of the Dotdash publishing family.


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