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This article is part of a series: We Don't Serve Teens



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Teens drink less often than adults, but drink more per occasion. This can impair their judgment and put them and others at risk of physical harm and dangerous behavior, including: 
Underage drivers are more susceptible than adults to the alcohol-induced impairment of driving skills. The National Highway Traffic Safety Administration estimates that 21-year-old minimum drinking age laws have reduced alcohol traffic fatalities by 13 percent and have saved an estimated 28,765 lives since 1975. Still, about 1155 persons under 21 die every year in car crashes involving underage drinking. 
Further, the majority of underage drinking related deaths are not traffic related. Instead, they are due to other fatal accidents, including homicides, suicides, poisoning, burns, falls, and drownings. 
In 2011, 189,000 persons under 21 visited emergency departments due to alcohol use. This represents 43% of all underage emergency departments visits due to drug abuse.
In 2008, almost 40,000 youth ages 15-20 were admitted to hospitals due to alcohol problems. In most cases, the primary or secondary diagnosis was acute intoxication. One quarter of the patients also had experienced a physical injury due to a traffic accident, being assaulted, or getting into a fight. The mean length of stay was 4.9 days and the mean cost was $19,200 per stay.
The human brain continues to develop into a person's early 20's. There is concerning evidence from small-scale human brain imaging studies that underage drinking can harm the developing brain. In the long term, heavy alcohol use by teens can alter the trajectory of brain development and cause lingering cognitive defects; whether these defects are permanent is not now known.
There is a relationship between binge drinking and grades. A government study published in 2007 showed that approximately two-thirds of students with “mostly A’s” are non-drinkers, while nearly half of the students with “mostly D’s and F’s” report binge drinking.
Current teen drinkers are twice as likely to have sex as nondrinkers. Adolescents who drink are also more likely to engage in risky sex, like having sex with someone they don't know or failing to use birth control.
As compared to nondrinkers, teens who drink are more likely to get into a car with a driver who has been drinking, smoke pot, use inhalants, or carry a weapon. Binge drinking substantially increases the likelihood of these activities.
By preventing easy teen access to alcohol, we can reduce this injury.


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Dr. Teo Mendez explains how much caffeine is too much?
The family of a South Carolina teen who collapsed and later died after consuming an excessive amount of caffeine is speaking out to warn others about the potential dangers of energy drinks and other stimulants.
“It wasn’t a car crash that took his life,” Sean Cripe said of his 16-year-old son Davis, according to USA Today. “Instead, it was an energy drink. Parents, please talk to your kids about these energy drinks. And teenagers and students: please stop buying them.”
On April 26, Davis Allen Cripe consumed a large Diet Mountain Dew, a cafe latte from McDonald’s and an energy drink in a span of two hours. He then collapsed at his Spring Hill High School and later died at Palmetto Health Baptist Parkridge Hospital. The Richland County Coroner said on Monday that the official cause of death was a “caffeine-induced cardiac event causing a probable arrhythmia.”
“Davis, like so many other kids and so many other people out there today, was doing something (he) thought was totally harmless, and that was ingesting lots of caffeine,” Coroner Gary Watts said in a news conference. “We lost Davis from a totally legal substance.”
Watts said Cripe was healthy and had no family history of a medical problem that could have been exacerbated by the high levels of caffeine in his system, according to USA Today.
Dr. Teo Mendez, an orthopedic surgeon at New York Orthopedics, told Fox News that part of the danger is not knowing exactly how much caffeine is in these energy drinks.
“When you start having these energy drinks there’s a wide variability in the amount of caffeine in them,” Mendez told Fox News. “For example a Red Bull Has 80 mg of caffeine, some of these other energy drinks that they call Red Line could have up to 500 mg of caffeine – so seven times as much.
He also warned on the other stimulants like guarana that are added to these drinks and contain twice the amount of caffeine as a coffee bean. The American Academy of Pediatrics recommends children and adolescents under 18 should not consume these energy drinks, which Mendez agrees with.
“I think if you’re under 18, I would follow the guidelines of the American Academy of Pediatrics,” he said. “We really should be monitoring our kids and not allowing them to be drinking energy drinks.”
Mendez said his warning is especially true for teenage athletes who can be confused by the difference between an energy drink and a sport drink. Some telltale warning signs of toxic doses of caffeine include anxiety, sweat, increased blood pressure, heart palpitations, headaches and generally feelings of nervousness.
“[Parents] should be vigilant, especially with young kids, you need to tell them to stay away from these energy drinks,” he said.
Watts said Cripe had a history of drinking caffeinated beverages but the family said it had not reached the levels of addiction.
“The purpose here today is not to slam Mountain Dew, not to slam café lattes, or energy drinks,” Watts said on Monday, according to NBC News. “But what we want to do is to make people understand that these drinks – this amount of caffeine, how it’s ingested, can have dire consequences. And that’s what happened in this case.”
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If you’ve discovered your child or teen is drinking alcohol, it’s normal to feel upset, angry, and worried. Underage drinking can have serious implications that may not show up until later in your child’s life. Using alcohol at a young age can impact how a teen’s brain develops, disrupt their sleeping patterns, delay puberty, make it harder to concentrate at school, and even increase their risk for liver and heart disease, high blood pressure, and certain types of cancer.
On top of that, there are also emotional and behavioral consequences to underage drinking. Alcohol use can affect a teen’s mood and personality, trigger depression, anxiety, or suicidal thoughts, and lead to an increase in risky behavior such as driving while impaired, having unprotected sex, fighting, stealing, or skipping school.
Kids and teens are more likely to binge drink and are more vulnerable to developing a problem with alcohol than adults. Experts believe this may be because the pleasure center of a teen’s brain matures before their capacity to make sound decisions. In other words, they’re able to experience pleasure from alcohol before they’re able to make the right choices about when and how much to drink. This can lead them to do things that are at best embarrassing, at worst life-threatening to themselves or others.
While parenting an adolescent is rarely easy, it’s important to remember that you can still have a major impact on the choices your child makes, especially during their preteen and early teen years. With these guidelines, you can find the best way to talk to your child about alcohol, address any underlying problems, and help them to make smarter choices in the future.
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The adolescent years can be a time of great upheaval. The physical and hormonal changes can create emotional ups and downs as kids struggle to assert their independence and establish their own identities. According to United States government statistics, by age 15, nearly 30% of kids have had at least one drink, and by age 18, that figure leaps to almost 60%. Similar patterns are reported in other countries.
While many teens will try alcohol at some point out of curiosity or as an act of rebellion or defiance , there is no single reason why some decide to drink. The more you understand about potential reasons for underage alcohol use, though, the easier it will be to talk to your child about the dangers and identify any red flags in their behavior.
Peer pressure . This is among the most common reasons for underage drinking. As kids enter their teens, friends exert more and more influence over the choices they make. Desperate to fit in and be accepted, kids are much more likely to drink when their friends drink. If your child’s drinking coincides with a sudden change in peer group, it may be that their new friends are encouraging this negative behavior.
Environmental influences . Films and TV can make it seem that every “cool”, independent teenager drinks. Alcohol advertising also focuses on positive experiences with alcohol, selling their brands as desirable lifestyle choices. Social media, in particular, can make your child feel like they’re missing out by not drinking or cause them to feel inadequate about how they live their life. You can help by explaining how social media portrays a distorted rather than realistic view of other people’s lives, including their alcohol use.
To cope with an underlying problem. The teen years are tough and kids may turn to alcohol in a misguided attempt to cope with problems such as stress, boredom, the pressure of schoolwork, not fitting in, problems at home, or mental health issues such as anxiety , childhood trauma, ADHD, or depression. Since alcohol is a depressive, using it to self-medicate will only make problems worse. If your child is regularly drinking on their own or drinking during the day it could be they’re struggling to cope with a serious underlying issue.
To appear older, more independent . Teens often want to prove that they’re no longer kids. So, if drinking is exclusively for adults only, that’s what they’ll do. They may also copy your own drinking habits to establish their maturity. Remember that as a parent, your child is much more likely to mimic your actions than listen to your words. No matter how much you preach about the dangers of underage drinking, if you reach for a drink to unwind at the end of a stressful day, your teen may be tempted to follow your example. If you’re worried about your child’s alcohol use, you may want to make changes to your own drinking habits as well.
They lack parental boundaries . No matter how tall or mature your teen seems, they need boundaries, discipline, and structure as much as ever. While your rules won’t be the same or as rigid as when they were younger, having no boundaries can be confusing and overwhelming for a teen. While you can expect a teen to test any boundaries, be clear on what is and isn’t acceptable behavior and what the consequences are for breaking your rules.
As most parents know only too well, talking to a teen is rarely easy. It’s easy to feel discouraged when your attempts to communicate are greeted by a sullen roll of the eyes, an incoherent grunt, or the slamming of a door. Or you may despair at the relentless anger or indifference your teen displays towards you. But finding a way to talk to your child about alcohol is crucial—whether you’re trying to prevent them from drinking in the first place or curb any existing alcohol use.
The earlier your child uses alcohol, the more problems they’re likely to experience later in life, so it’s never too early to start the conversation. The following strategies can help you open the lines of communication with an adolescent without sparking more conflict:
Choose the right time . Trying to talk to a teen about drinking when they’re watching their favorite show, texting with their friends, or in the midst of a heated argument with you about something else isn’t going to be productive. Choose a time when your teen hasn’t been drinking and you’re both calm and focused—and turn off your phone to avoid distractions.
Find common ground . Attempting to dive straight in to a discussion about drinking may be a quick way to trigger an unpleasant fight. A better tactic is to find an area of common ground, such as sports or movies. Once you’re able to peacefully discuss a common interest, it may be easier to get your teen talking about the more sensitive issue of alcohol use.
Make it a conversation rather than a lecture . Allow your teen to talk and open up about their thoughts and opinions, and try to listen without being critical, disapproving, or judgmental. They want to feel heard and understood, so even when you don’t like or agree with what they’re saying, it’s important to withhold blame and criticism.
Discuss reasons not to drink . Teenagers often feel invincible—that nothing bad will ever happen to them—so preaching about the long-term health da
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