Alcohol use is not just an adult problem. Most American high school seniors have had an alcoholic drink within the past month.
About 1 in 5 teens are considered problem drinkers. This means they:
- Get drunk
- Have accidents related to drinking
- Get into trouble with the law, their families, friends, schools, or people they date because of their drinking
The best time to begin talking with your teen about drugs and alcohol is now. Children as young as 9 years old may become curious about drinking, and they may try alcohol.
By saying nothing, you are saying something
Saying nothing to your children about drinking may give them the message that teen drinking is OK. Most children choose not to drink because their parents talk with them about it.
The best way for your children to be comfortable talking with you about drinking is to be honest and direct. You may want to prepare and think about what you will say ahead of time.
Tell your child how you feel about them possibly using alcohol. Once you have started talking with your teenager, continue to bring it up at times when you are talking about related issues.
Free and curious
Puberty and the teenage years are a time of change. Your child may have just started high school or may have just gotten a driver's license. Your children may have a sense of freedom they never had before.
Teenagers are curious. They want to explore and do things their own way. But pressure to fit in might make it hard to resist alcohol if it seems like everyone else is trying it.
When talking with your teen:
- Encourage your teen to talk to you about drinking. Remain calm when listening and try not to judge or criticize. Make it comfortable for your teen to talk honestly.
- Let your child know you understand that taking chances is a normal part of growing up.
- Remind your teen that drinking comes with serious risks.
- Emphasize that your teen should never drink and drive or ride with a driver who has been drinking.
How problems at home might influence children to drink
Risky drinking or alcohol use in the home can lead to the same habits in children. At an early age, children become aware of the drinking patterns of their parents.
Children are more likely to drink if:
- Conflict is present between parents or caregivers
- Parents are having money problems or are stressed from work
- Abuse is occurring at home or the home does not feel safe in other ways
If alcohol abuse runs in the family, it is very important to talk with your child. Do not keep secrets. Your child should know what the risks of drinking are. Talk honestly about how drinking has affected family members, and talk about the effects of alcohol on your own life.
Set a good example by drinking responsibly. If you have a problem with alcohol abuse, make the decision to get help quitting.
Get help for your child
If you think your child is drinking but will not talk with you about it, get help. Your child's health care provider may be a good place to start. Other resources include:
- Local hospitals
- Public or private mental health agencies
- Counselors at your child's school
- Student health centers
- Programs such as Alateen, part of the Al-Anon program -- www.al-anon.org/for-alateen
American Academy of Pediatrics, Committee on Substance Abuse. Alcohol use by youth and adolescents: a pediatric concern. Pediatrics. 2010;125:1078-1087. PMID: 20385640 www.ncbi.nlm.nih.gov/pubmed/20385640.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Publishing. 2013.
National Institute on Alcohol Abuse and Alcoholism and American Academy of Pediatrics. Alcohol screening and brief intervention for youth: a practitioner's guide. 2011. Available at: pubs.niaaa.nih.gov/publications/Practitioner/YouthGuide/YouthGuide.pdf. Accessed on May 14, 2014.
Sherin K, Seikel S. Alcohol use disorders. Rakel RE, Rakel DP, eds. Textbook of Family Medicine. 8th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 49.
Update Date 5/14/2014
Updated by: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.