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Monday, September 28, 2009

Teens and Motor Vehicle Crashes

The tragedy occurred on the last day before summer vacation. An SUV transporting a group of teens to the beach rolled over after a tire blowout. In the aftermath, four teens died, four were hospitalized, and the teen driver faced criminal charges.

Almost everyone knows a distressing story like this one; deaths of teens due to motor vehicle crashes are often well-publicized amid great community sympathy for the loss of young lives and the potential they held, as well as the devastation of surviving parents and friends. And they speak to a larger statistical reality - that motor vehicle crashes are the leading cause of death for 15- to 20-year-olds, according to the National Center for Health Statistics - that much of America seems to be both aware of, but unsure of how to change.

Consider the following statistics from the National Highway Traffic Safety Administration (NHTSA):

  • There were 202.8 million licensed drivers in the United States in 2006 (2007 data not available). Young drivers between 15 and 20 years old accounted for 6.4 percent (13.0 million) of the total, a 7.2-percent increase from the 12.1 million young drivers in 1996.


  • In 2007, 13 percent (6,982) of all drivers involved in fatal crashes (55,681) were young drivers age 15 to 20 years old, and 15 percent (1,631,000) of all drivers involved in police-reported crashes (10,524,000) were young drivers.


  • In 2007, 3,174 15- to 20-year-old drivers were killed and an additional 252,000 were injured in motor vehicle crashes.



  • Among 15- to 20-year-old drivers involved in fatal crashes in 2007, 31 percent of the drivers who were killed had been drinking.


  • In 2007, 64 percent of the young drivers of passenger vehicles involved in fatal crashes who had been drinking were unrestrained. Of the young drivers who had been drinking and were killed in crashes, 75 percent were unrestrained. -During 2007, 35 percent of the motorcycle riders between 15 and 20 years old who were fatally injured in crashes were not wearing helmets.


  • In addition to mistakes made while driving, teens are susceptible to other lapses in judgment concerning motor vehicles that can lead to injury or death, such as car surfing. According to Science Daily, the states with the highest car-surfing fatality rates are California, Florida, and Texas; all three states have shown an increase in car-surfing deaths since 2000.

    Though these three states show high levels of risky teen behavior concerning motor vehicles, a study conducted by Allstate Insurance Company indicated that rural areas have much higher rates of fatal motor vehicle crashes involving teen drivers than metropolitan areas; consequently, states with large rural areas have the highest rates of fatal crashes involving teen drivers. These states are:


    • Mississippi

    • Alabama

    • Kentucky

    • Missouri

    • Arkansas



    Nationally, Allstate's research showed, fatal crash rates for teens were more than twice as high in rural areas than in metropolitan areas.

    While considerable attention is paid to the issue of drunk driving among teens, law enforcement agencies report that speeding is the leading cause of motor vehicle crashes involving teen drivers. Allstate's study found that law enforcement identified speeding as a factor in 34% of motor crashes nationwide, while alcohol was cited in just 12% of crashes.

    In addition to the risk teens take when driving or when riding in a vehicle with other teens, teens suffer when a member of their peer group dies in a motor vehicle crash, particularly when they suffer multiple losses from crashes such as the example at the beginning of this article. Because of the feeling of invincibility that is characteristic of this age group, teens typically have not considered the deaths of people their age a possibility, so when such a thing occurs, their world may seem to be crashing down around them. This means that even teens who were not particularly close to the person who died can be stunned by their reaction to it. Due to their level of psychological maturity, teens are ill-equipped to understand the grieving process and may be overwhelmed by feelings of being out-of-control, insecure, and scared, in addition to sorrow and grief. They may descend into melancholy that lasts years, greatly affecting their development. Some teens numb their feelings by participating in high-risk activities such as:

    • Alcohol and drug abuse

    • Reckless sexual activity

    • Withdrawal from family and friends

    • Taking risks involving motor vehicles



    Depending on the loss, some teens experience a change in their circle of friends. Obviously, this can have positive or negative results, but regardless, it is another change in a rapidly changing world for the teen. Teens who lose friends to death may see their grades drop and their focus change as they struggle to fit into a new group of friends at a time when they feel especially vulnerable.

    Parents and other authority figures can help teens channel their grief in healthier ways by:

    • Being available to listen - not, necessarily, to talk

    • Allowing teens the freedom to process their grief with others, such as friends, extended family, and professional counselors

    • Encouraging teens to express themselves through writing, drawing, and memorializing their deceased friends

    • Realizing that the teens' mourning process may be prolonged and letting teens know that there is no timetable for grief



    Though the federal government, state governments, and community-based organizations are making efforts to reduce the number of teens who die in motor vehicle crashes, the statistics above indicate that there is still much work to be done. Forty-six states and the District of Columbia have three-stage Graduated Driver Licensing (GDL) programs in which restricted licenses are issued to beginning teen drivers, with the restrictions reduced over time. However, no state has incorporated all of the GDL components recommended by the Insurance Institute for Highway Safety, the National Transportation Safety Board, and NHTSA.

    State-level programs that include peer-to-peer teaching and learning about driver safety are effective in reducing teen motor vehicle crash rates. Texas' Teens in the Driver Seat is one such program; teen crash deaths have dropped 32% and the number of teen drivers involved in fatal motor vehicle crashes is down 33% since the program began. A similar program in Illinois called Operation Teen Safe Driving has helped achieve a 10% reduction in teen motor vehicle fatalities in Illinois during the first seven months of 2009. Mothers Against Drunk Driving (MADD), Students Against Destructive Decisions (SADD) and other advocacy groups sponsor many public education campaigns to persuade teens not to drive under the influence of alcohol or drugs.

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    Tuesday, September 15, 2009

    How to Deal with Underage Drinking: Tips for Parents

    Restricting your teen's access to alcohol is one of the most important things you can do for them as a parent. There are highly-publicized risks of fatal alcohol poisonings and devastating motor vehicle crashes due to drinking and driving, for example. But there are other, less-publicized risks that could be equally destructive to your teen's health and well-being, such as increased risk of sexually transmitted diseases and unintended pregnancy, violence and rape, and suicide.

    Of course, underage alcohol use has consequences other than legal ramifications:

    • Early alcohol use, independent of other risk factors, strongly predicts the development of alcohol dependence. Of all people who ever meet the diagnostic criteria for alcohol dependence in their lifetime, nearly half do so by age 21 and two-thirds by age 25.

    • Due to differences between the adult brain and the brain of the maturing adolescent, many young drinkers:

      • Are able to consume much larger amounts of alcohol than adults before experiencing the negative consequences of drinking, such as drowsiness, lack of coordination, and withdrawal/hangover effects.
      • Are particularly sensitive to the positive effects of drinking, such as feeling more at ease in social situations; young people may drink more than adults because of these positive social experiences (NIAAA, 2009).

    • Recent evidence suggests adolescent drinking can inflict permanent damage on the developing brain (National Research Council and Institute of Medicine, 2004).


    To help your teen avoid the use of alcohol and its attendant problems, maintain an ongoing, open dialogue about underage drinking and the risks involved. Make sure she understands that underage drinking is never acceptable. The fact that she is at a party or it is a special occasion or that some parents might "look the other way" when their teenage children drink alcohol does not change the fact that underage drinking is illegal and very dangerous. If your teen is attending a party at a friend's house, make sure her friends' parents don't intend to provide alcohol; this is illegal in every state. You might be surprised to discover that other parents plan to provide their teens and their friends with alcohol in a "safe" manner and location. Make sure your teen understands that other adults can't give her permission to drink alcohol. An alternative is to talk to your teen about organizing a get-together at your own home.

    If you and your teen decide to host a party, make a guest list with your teen. Limit the number of teens so you can be sure of adequate chaperonage. Be sure you have contact information on each teen's parent. Make sure guests and their parents understand that if a teen leaves the party, he won't be allowed to return and parents will be called. Make sure parents who won't be chaperoning know the start and end times of the party and will prearrange transportation. Collect all keys so you can keep track of who is arriving and leaving. Keep coats and purses in an area that can be monitored. Speak to each person before he leaves; check for warning signs of impairment. If a guest arrives at the party already under the influence of alcohol or other drugs, keep him there while you call a parent to pick him up. If he leaves and someone is hurt or injured, you could be held responsible.

    When your teen spends the night at a friend's house or goes to a party, call the hosting parent to find out the details. Make sure the hosting parent shares your concerns about the availability of alcohol and that none will be permitted. Ask how much supervision will be provided. Volunteer to chaperone and provide transportation. Let your teen know that you will not approve any outing without sufficient notice so you can speak to the hosting parent first. If your teen will be riding anywhere, at any time, with a friend, make sure it is with someone whose parents do not permit the use of alcohol. Teens are at great risk when riding with other teens, even under the best of circumstances. Talk to your teen about a back-up plan in case something goes wrong.

    When your teen is going out for a special event, have her make a record of the planned itinerary for the evening and make sure she agrees to inform you of any changes. Be alert to spontaneous changes in plans on the night of the event; your teen won't have as much control over the situation if it takes place in an unfamiliar location and/or with people she doesn't know well. In the excitement of the evening, she could end up in a risky situation before she realizes what is happening.

    Create a code with your teen so he can signal for help without attracting the attention of friends. If you don't know how to text, ask your teen to give you a few lessons; texting is a much easier way for you to communicate than via phone. When you arrive to pick up your teen, he can blame you for having to leave or you can give the excuse of a "family emergency." Make an agreement that if you do have to pick him up, a discussion about the reason can be tabled until the next morning, when you and your teen are both calm and safe. Otherwise, your teen may avoid calling you for help because he doesn't want you to know about the circumstances that required the ride home.

    And, last but certainly not least, realize that your teen is vulnerable to making poor choices every day. Don't let your guard down. Finding a balance between being too controlling and allowing too much freedom will require constant effort, but it is a worthwhile endeavor. Your teen's health and happiness may depend on it.

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