OTHER DANGERS

Automobiles

Cars are a way that teenagers gain significant independence from their parents. Wise parents gradually grant independence in driving. Of course, begin with learner’s permit in which you directly supervise driving while in the vehicle with the teenager. Then after attaining an unrestricted license, it is important to set clear boundaries about where and when your teenager can drive. Don’t just turn your 16 year old teenager loose with a new car!

A driving contract is a good idea for teenagers to execute with their parents. This document should detail the permissions given and penalties for infractions such as driving under the influence of a mind altering substance and texting while driving to name just two of the articles that should be in the agreement. Gradually grant independence with wise choices. Restrict independence with unwise choices.

Teenagers should contribute financially to owning and operating a car. This investment fosters responsibility and encourages them to care for the vehicle, reducing reckless behavior because they worked to get it. Work promotes character and accountability. If your teen refuses to contribute, withhold driving privileges until they do; this will motivate them to work for it and at the same time develop good driving habits.

While driving an automobile, the use of a cell phone or other screen is highly discouraged. If you find that your child is texting while driving, ground them from driving for several days. If the behavior continues, restrict their driving for even longer periods of time.

Many serious accidents among teenagers involve a combination of automobiles and alcohol and/or drugs. We strongly discourage the use of these substances at any time, but especially while driving. If you suspect that your child is using illegal drugs or alcohol, we recommend immediately grounding them from driving. You should then bring them to our office for an office visit to discuss the treatment of substance abuse. Of course, driving privileges should be immediately suspended for any alcohol or illicit drug abuse in your teenager.

All-terrain vehicles and motorcycles are particularly dangerous for teenagers. Their use is discouraged. If ATV’s are used anyway, teenagers should be at least 16 years of age and wear a helmet. 

Sexual dangers

Sexually transmitted diseases and unwanted pregnancies pose significant health risks to adolescents. Engaging in sexual activity at a young age can expose teenagers to a range of sexually transmitted infections, including AIDS, syphilis, gonorrhea, chlamydia, genital warts, cervical cancer, HPV, herpes, and vaginosis. Early sexual activity can also lead to emotional problems and unplanned pregnancies.

Disturbing statistics reveal that approximately 50% of high school students in the United States are sexually active, with many having multiple partners. Over one-third of ninth grade students are sexually active. It is important to note that many sexually transmitted diseases initially present with mild symptoms that teenagers often ignore. However, these diseases can cause permanent damage to reproductive organs, resulting in infertility and other serious health issues. Furthermore, certain sexually transmitted diseases, such as AIDS and syphilis, can lead to severe illness and even death.

The teen pregnancy rate in the United States is higher than that of any other industrialized country in the world. The rate in Arkansas is at or near the top of these statistics in the US. Some teen pregnancies result in abortions of the baby, with its attendant guilt and damage to the uterus, although the state of Arkansas has now outlawed abortion. It is imperative that our children and young adults be taught the dangers of early sexual relationships. To avoid these problems, we recommend abstinence of sexual relationships until marriage.

It is important that discussion of this topic occur early in your child’s life, preferably well before junior high school at the beginning of puberty. If you need help in communicating this subject to your teenager, please schedule an appointment with one of our physicians. We will be glad to assist you and your teenager.

For those adolescents who choose to engage in early sexual relationships, careful medical attention is needed to avoid complications. Examination of the genitalia of both boys and girls is needed for the sexually active teenager. We perform these exams in our practice. Please see the section on genitalia in this handbook for a discussion of this topic. Although we do not recommend that adolescents engage in early sexual relationships, we do manage the problems that early sexual behavior creates in a manner which is not judgmental.

The American Academy of Pediatrics (AAP) recommends that all adolescents be screened for sexually transmitted infections (STIs) at least once between the ages of 16 and 18. In our practice this is done with a urine test which is non-invasive. Sexually active adolescents should be tested sooner. The AAP also recommends annual STI testing for sexually active women under 25 and certain young men.

Mental health

Mental health issues are an important danger to be aware of in adolescents. Please see the Mental Health section below on this important topic.

Summary

Our physicians and staff are dedicated to supporting adolescents facing today's teenaged challenges, including unwanted pregnancies, STDs, substance abuse, depression, suicidal thoughts, and eating disorders. We see these issues as opportunities to make a positive impact on our patients. If you are a teenager facing such problems or a parent concerned about your child's well-being, know that our office is a safe and supportive space to get help.

Promoting healthy lifestyles is crucial during this transition into adulthood. Parents should maintain open communication with their teenagers, being vigilant for signs of withdrawal, behavior changes, or academic struggles—these should not be ignored and should be reported to us.

Parental involvement is key for a thriving teenager. Engaging in conversation during family dinners and participating in shared activities like family vacations and play days can strengthen relationships and enhance communication and connection.

Encouraging social involvement is vital to good health. For instance, participation in team sports or groups like church youth programs, scouts, and arts fosters good mental health. Athletes who participate in team sports are rarely depressed. Avoiding social isolation is very important.

Accident prevention is a lifelong effort; common sense and proactive measures can help ensure your child's long, healthy life.