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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.
How Does Teen Substance Abuse Affect Their Decision Making?
Verywell Family'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.
Ⓒ 2022 Dotdash Media, Inc. — All rights reserved
Denise Witmer is a freelance writer and mother of three children, who has authored several books and countless articles on parenting teens since 1997.
Verywell Family articles are reviewed by board-certified physicians and family healthcare professionals. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. Content is reviewed before publication and upon substantial updates. Learn more .
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What parents should know about teens and drug and alcohol use
Carly Snyder, MD is a reproductive and perinatal psychiatrist who combines traditional psychiatry with integrative medicine-based treatments.
As a parent, you may be worrying about what your teen is exposed to in terms of drugs and alcohol, and whether or not they are partaking in these substances. It's a valid fear. After all, teens who use drugs and alcohol are more likely to engage in various forms of risky behavior, which in turn may lead to increased sexual behavior (with the possibility of pregnancy , sexually transmitted infections [STIs], or even sexual assault), vehicular accidents, and other instances of fuzzy decision making.
For all of these reasons, drugs and alcohol pose a significant threat to your teen's health.
According to the Centers for Disease Control and Prevention (CDC), alcohol is the most commonly used and abused drug among youth in the United States. As far as risky behavior goes:
In addition, the 2013 Youth Risk Behavior Survey found that, among high school students, during a span of 30 days:
Youth who drink alcohol are also more likely to experience:
If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 988 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.
Youth who start drinking before the age of 15 are also six times more likely to develop alcohol dependence or abuse later in life than those who begin drinking at or after the age of 21.
Many teens choose not to drink. They’re able to make healthy choices for themselves and they can resist any peer pressure they may experience around drinking or drug use.
Either way, however, parental involvement is one of the keys to preventing teens from drinking. Take steps to educate your teen about the dangers of drinking and conduct ongoing conversations about alcohol.
By Denise Witmer
Denise Witmer is a freelance writer and mother of three children, who has authored several books and countless articles on parenting teens since 1997.
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Take the Alcohol (Alcoholism) Quiz to learn how your alcohol is processed by your body and your brain.
Anxiety is a feeling of apprehension and fear characterized by symptoms such as trouble concentrating, headaches, sleep problems, and irritability. Anxiety disorders are serious medical illnesses that affect approximately 19 million American adults. Treatment for anxiety may incorporate medications and psychotherapy.
Ascites, the accumulation of fluid in the abdominal cavity is most commonly caused by cirrhosis of the liver. Some of the other causes of ascites include portal hypertension, congestive heart failure, blood clots, and pancreatitis. The most common symptoms include increased abdominal girth and size, abdominal bloating, and abdominal pain. Treatment depends on the cause of ascites.
Cancer is a disease caused by an abnormal growth of cells, also called malignancy. It is a group of 100 different diseases, and is not contagious. Cancer can be treated through chemotherapy, a treatment of drugs that destroy cancer cells.
Cyclic vomiting syndrome is a condition in which affected individuals have severe nausea and vomiting that come in cycles. Researchers believe that cyclic vomiting syndrome and migraine headaches are related. Triggers of cyclic vomiting syndrome are emotional stress and infections. People with cyclic vomiting syndrome are at an increased risk of dehydration. Cyclic vomiting syndrome is difficult to diagnose. Treatment varies from person to person, but is generally directed toward relief of the symptoms of the condition.
Date rape drugs such as GHB, rohypnol, and ketamine are sometimes used to assist in a sexual assault. Symptoms and signs of
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