Risk Taking Behaviours Amongst Adolescents

This paper discusses the risk-taking behaviours in Australian adolescents and the strategies put forward to curb these behaviours. The targeted audience is mainly the adolescent aging between 10 and 18 years. The program aims to decrease the behaviours of risk-taking in adolescents as well as the associated injuries.

Risk Taking Behaviours Amongst Adolescents 1
RISK TAKING BEHAVIOURS AMONGST ADOLESCENTS
By (Name)
Course
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Date of submission

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Introduction
Modernisation in a world that has no boundaries greatly affects the social factors of the
adolescent; statistics indicate that juvenile cases are increasing yearly in Australia (Shoemaker
2017). This paper aims at discussing the risk-taking behaviours in Australian adolescents and the
strategies put forward to curb these behaviours. The risk-taking youth behaviours have been of
great concern in Australia and are ranked as one of the severe public health concern that requires
special attention. The risk behaviours of the adolescent continue to pose a great problem to social
amenities, erode families and troubled societies. Risk-taking behaviours denote the trend of
engaging in dangerous or harmful behaviours, adolescents at the age of about 14 years are
exposed to a variety of social risk. This behavioural issues in adolescents involve; smoking,
stealing, drug abuse, gangsters and physical fighting (Goldson and Muncie 2015). The
behaviours of risk-taking among adolescent is an issue of discussion in this assignment because,
these risk-taking issues have been on a rise in Australia and in the world as a whole. These
behaviours result in various short-term and long-term effects impacts to the community, family
and adolescents.
Risk-taking behaviours tend to cause more long-term negative effects than short-term
effects, and sometime the short-term effects can be long term, for instance certain injuries
sustained in accidents can result to amputation of some body parts such as the limbs. The short
term effects to the adolescents include; injuries as a result of violence and crush injuries which is
an outcome of alcohol intake as well as increased youth deaths due to various unintentional
accidents. The long term effects include rise in sexually transmitted infections among
adolescents and unwanted teenage pregnancies as a result of indulging in reckless sexual

Risk Taking Behaviours Amongst Adolescents 3
activities, rise in chronic diseases such as cancer during the later life as a result of smoking and
drug use and negative effect on the psychological welfare during adult life.
To the family the effects of risky behaviours of the adolescents are mainly long-term,
these include; income deficiency (adolescents infected with the STIs or cancer require quality
medical care, this process comprises high costs of expenditure, and these expenses are usually
catered for by the family members) and trauma as a result of losing their loved ones in occasions
such as accidents. To the community the negative effects of these risky behaviours are also
mainly long term, for instance, reduced productivity as most of the youths indulge in
unproductive activities such as alcoholism instead of participating in practices that develop the
society. The increased rates of this adolescent risk behaviours calls for the need of allocation of
the governmental efforts and resources to offer appropriate information to the adolescents,
relating to the consequences associated with the risk activities (Ellis et al. 2012).
Discussion
Target audience
The Australian government put in place the Skills for Preventing Injury to Youth (SPIY)
program in the year 2012. This program aims to decrease the behaviours of risk-taking in
adolescents as well as the associated injuries. The targeted audience is mainly the adolescent
aging between 10 and 18 years (Chapman et al. 2013). This group of audience was chosen
mainly because the young adults and the adolescents tend to be susceptible to injury as the
appreciation of risks and development of a decision-making brain function continues at this
period of growth. Therefore, the high-risk adolescents tend to endanger their health functioning
and social future and put other individuals as well as themselves at an immediate threat. The

Risk Taking Behaviours Amongst Adolescents 4
parents of these adolescents are also targeted, as there is a great relationship between
delinquencies and parenting, research indicates that adolescent risk-taking behaviours are based
on the kind of family the adolescent has been raised (Ellis et al. 2012).
Describing the strategy
The Skills for Preventing Injury to Youth program is a school centered intervention
program that is meant to reduce the behaviour of risk-taking and injury in adolescents focusing
on the age group of between 13 to14 years. The SPIY intrusion involves interactive lessons per
week which aim at changing the: interpersonal violence, transport associated risks, and alcohol
use. This program was executed in fifteen middle schools within Queensland, Australia; it
involved the implementation of a case study. This case study involved the comparison of the
behavioural outcomes (including, violence, alcohol use, and transport associated risks) in high-
risk adolescents with the low-medium adolescents for a period of about six months. The
difference of the results found from these two groups was analyzed by the use of a chi-square
(Gouws and Kruger 2014).
The results indicated that the high-risk adolescents conveyed a higher continuous
commitment in negative and dangerous behaviours; however, the resultant effects of the risky
behaviours are similar in both groups. This intervention looked into the outcomes of risk
exposure and age, with the engagement in the negative behaviours consolidating with time. The
high-risk adolescents tend to have a stronger inclination towards continuing into the problem,
therefore, increasing their possibilities of over-representing the negative effects such as road
accidents due to alcohol intake and teenage pregnancies. These high-risk adolescents remain at

Risk Taking Behaviours Amongst Adolescents 5
higher risks of harm due to the greater levels of commitment into the risk behaviours, therefore,
need for prompt intervention (National Research Council 2011).
The purpose of the Skills for Preventing Injury to Youth program is to reduce violence
among the youths, violence is becoming a great threat within Australia, the various forms of
violence include; sexual assault, murder, fighting injuries, rioting at entertainment or sporting
events and child abuse (Chapman et al. 2013). Acts of violence are viewed negatively within
Australian society (Wallis et al 2015). The program comprises principles of community-based
and effective health advancement plans that are applied in the addressing a number of youth
problems and the chronic diseases, for instance, the sexually transmitted diseases associated with
the risk-taking youth behaviours (World Health Organization 2015). SPIY involves activities that
are put in place to reduce and prevent violence in youths, which involves the strategies and
setting for youth violence prevention, the main focus of these activities is to destroy the chain of
happenings that result in youth violence (Chapman et al. 2013). The program collects and
evaluates information required for describing the outcome of youth violence, leading to the
management of the problem (Ellis et al. 2012).
Another purpose of this program is the implementation of strategies to avoid underage
drug abuse including; alcohol intake has become a great public health condition amongst the
Australian adolescents (Hemphill et al. 2011). This school-based tactic which involves courses
that target the prevention of tobacco and alcohol use among the young adults has greatly reduced
drug intake among the adolescents. This program also involves extracurricular activities that
campaign for the prevention of alcoholic intake strategies among the youths. The program also
comprises the involvement of the adolescents’ families in the drug abuse prevention plans

Risk Taking Behaviours Amongst Adolescents 6
(World Health Organization 2015). The policy approaches include the increase of the minimum
legal age of drinking, therefore, reducing the social and commercial access of adolescents to
drugs.
The third purpose of this strategy is the avoidance of transport associated risks among the
adolescents; the program comprises the creation and assessment of the Plan a Safe Strategy
(PASS) program. The aim of the PASS program is to weaken the intentions of the students to
drink while driving, or to be passengers of drivers who are drunk. The PASS program also
reinforces the students’ intentions to apply other strategies in avoiding road accidents (Sawyer et
al 2012). Lessons are offered to students aging between 13 to 14 years to make them aware of
the program and the risk avoidance strategies. Creation and evaluation of the Centre for Accident
Research and Road Safety’s Skills for Preventing Injury to Youth program (2012) helps to
integrate the prevention of cognitive behaviour with the training of first aid strategies whose
objective is to inspire peer protection and reduce risk-taking behaviour in adolescents.
Enablers and barriers
The enablers
Severity of the injury and the burden of the population; the number and severity of a
possible injury, for example the accidents that occur as a result of drinking and driving this is an
enabler to the implementation of the strategies of Skills for Preventing Injury to Youth (2012)
program. This motivates the youths in knowing the various first aid skills to be undertaken in
case of an injury (Hyder and Lunnen 2013).

Risk Taking Behaviours Amongst Adolescents 7
The evidence of Risk Reduction and Preventability; the presence of adequate evidence of
how the SPIY program is transforming lives, particularly the lives of adolescents is a strong
enabler towards implementing the program in schools and various governmental institutions in
Australia (Wallis et al 2015).
The disposal of Surveillance statistical data; the availability of Surveillance statistical
data systems that show up-to-date evidence data will be a great step towards implementing the
strategy as the adolescents is monitored to ensure they follow the required strategies put in place
to prevent the transport associated risks (Catalano et al 2012).
The availability of the program in other jurisdiction is a great enabler for the
implementation of the SPIY program. This is because the people are already aware of the
strategies and the ‘good’ that is associated with the plans of the program this makes it easier for
the acceptance of the program in the society. Therefore, increase in access to the program in
schools since there is compulsory schooling of children (13-14 years).
Time is an enabler towards the implementation of the SPIY program, the development,
and analysis. The implementation of the program can be of high demand when someone from a
high profile status is affected and the program will be easily accepted in the governmental
institutions such as schools (World Health Organization 2015).
Enforcement; the existence of corporate donations and community set promotions avert
the equipment costs, therefore, enabling the implementation of the program. The government is
also providing great support in form of resources and money, therefore, enabling the
implementation of SPYI in various schools (World Health Organization 2015).

Risk Taking Behaviours Amongst Adolescents 8
Barriers
The combined views that oppose the topics of injury prevention are barriers to the
implementation of the strategy, there has been the disagreement from the adults towards the use
of helmets such as the bicycle helmets, as they believe to be more skilled in riding than the
children, however, the implementation program requires collaboration of all individuals as the
children tend to copy the adults’ ways of behaving. The bicycle helmet application plan is said to
be a good idea towards reducing the possibility of head injuries that are severe, however, there
are mixed reactions towards this implication (Cao, Chen & Wang 2014). The misunderstanding
on where the strategies should be implemented, whether in the urban areas or rural areas is also a
barrier towards the promotion of the SPIY program (2012). It is also thought that these protective
programs affect the physical activities negatively as they limit the ‘activeness’ in the children
and this has posed a great barrier towards the implication of the program.
Enforcement; inadequate enforcement poses a great barrier towards the implementation
of the strategy; there has been skepticism about the execution of the program in schools or in
other institutional facilities such as hospitals. There have been very few enforcement programs to
ensure reduction of risk-taking behaviours in Australia (World Health Organization 2015).
Severity of the injury and the burden of the population; research indicates that a low
burden of the population in a barrier to this strategy since the implementation of the program, for
instance, putting on a helmet while cycling to avoid transport associated risks, would only be of
effect to a small population portion (Hyder and Lunnen 2013).

Risk Taking Behaviours Amongst Adolescents 9
The evidence of Risk Reduction and Preventability; lack of strong evidence indicating the
legislative effectiveness in avoiding injuries in adolescents are identified as the significant barrier
to the implementation of the SPIY strategies (Catalano et al 2012).
The disposal of Surveillance statistical data; the absence of up-to-date surveillance data
systems is thought to be an obstacle towards the use of cellphones while driving as well as of
bicycle helmets regulation, this has increased the number of crush accidents as a result of
careless using of the cell phones while driving or cycling (Catalano et al 2012).
The equipment costs, for instance, the first aid kits used in training the adolescents as
well as the manpower costs for paying those training this adolescent poses a great barrier
towards the implementation of the program. Even though the program has a lot of positive
outcome in the behaviour of the youths, the costs to be incurred to ensure the smooth running of
the program might be very high and this might result to the failure of the occurrence of the
program in some institutions (Cao, Chen & Wang 2014).
Role of nurse
There are various roles of nurses in ensuring the implementation of the Skills for
Preventing Injury to Youth program. The roles of these nurses include those for the family which
are: Strengthening and supporting functioning of the family, promoting the improvement of a
sustainable correlation with the caring adults and making the communities supportive and safe
for the youths and children. Those for the adolescents are: Increasing the association between
schools and students, promoting the participation in the high quality school schedules, offering
the youth and children education of high quality during their middle and early childhood,

Risk Taking Behaviours Amongst Adolescents 10
providing the youths and children with the chances to enhance their emotional and social
competence (Maurer and Smith, 2013).
In strengthening and supporting the functioning of the family; the nurses have a role to
teach the parents on how to withstand stress, eradicate coercive associations, reward affirmative
behaviours and communicate expectations clearly with their children. Positive parenting
techniques have been found to be an essential strategy towards deterring risky behaviours among
the adolescents (Gitterman 2014.). These nurses teach the teen mothers on positive skills of
partnering and supporting their young children improves the long-term social growth of the
health outcomes that are reproductive and the development of children. The creation of the
Nurse-Family Partnership (NFP) program ensures the assistance of the mothers with children
who are still young has shown great positive effects towards the young mothers, for instance,
decreased rates of repeated pregnancies, decrease in smoking as well as improved care for their
children (Zolkoski and Bullock 2012). The nurses also teach the parents of the adolescents in
being the good role models to their children they do so through conducting conferences that
discuss on how effective parenting should be done. Ellis et al. (2012) states that, that adolescent
risk-taking behaviours are based on the kind of family the adolescent has been raised, therefore,
there is need for educating parents on good parenting skills. The nurses’ role can involve
advising parents to avoid drinking alcohol in presence of their children, as children, particularly,
the teenagers tend to look up to their parents as role models this confirms the statement that,
there is a great relationship between delinquencies and parenting (Ellis et al. 2012).
In offering the youth and children education of high quality during their middle and early
childhood; primary school nurses have been employed to provide early and high-quality
education as well as care for the children, this step is taken ensure the children grow up with

Risk Taking Behaviours Amongst Adolescents 11
adequate knowledge and therefore fewer incidences of dangerous sexual behaviours and drug
abuse when they grow up to the adolescent stage. Intensive programs for early childhood greatly
advance the early features of a healthy-social growth in children, therefore, decreasing the risk-
taking behaviours during adolescence (Shonkoff et al 2012).
Increasing the association between schools and students is another role of nurses,
particularly the secondary school nurse. These nurses link the health information with education
that has positive impact towards reducing the risk-taking behaviours among the adolescents.
Youths and children who sense a connection to their educational centers are expected to be rarely
bullied or be involved in bullying or to be part of various delinquent behaviours as well as abuse
drugs. Durlak et al. (2011) states that, the character learning programs have been implemented to
enhance positive values such as showing respect, supporting and caring for others as well as
displaying empathy. Shonkoff et al. (2012) indicates that, the Positive Action Program
involvement decreases school bullying, misconduct, substance use, early sexual behaviours, and
truancy which are the characteristic behaviours of alcohol intake among adolescents.
In making the communities supportive and safe for the youths and children, the nurses
ensure a supportive and safe environment for the children and youth to enhance decrease in drug
abuse, engagement in violence, sexual behaviours, and school dropping activities (Stanhope
&Lancaster 2015). This strategy involves intervening and connecting with risky behaviour
participant, work together in changing their behaviour and connecting these individuals to
required resources this has enabled a decrease in the adolescent risk-taking behaviours within
Australia. The nurses ensure that the talented youths are referred to other resources such as
institutions that focus on talent development, this step allows the adolescents to focus on

Risk Taking Behaviours Amongst Adolescents 12
productive activities such as sports instead of indulging in alcoholism (Stanhope &Lancaster
2015).
Conclusion
In conclusion, there is a common theme that an increasing focus on adolescence is
warranted, with a need for research to understand the epidemiological, sociodemographic
determinants and effectiveness of intervention in regards to risk-taking behaviours in the
adolescents. The high-risk behaviours in the adolescents usually have a common origin and they
co-occur, for this reason the need for the improvement of the risk behaviours outcomes among
the youths might need an approach that is more integrated between the nurses, other health
practitioners, the community, school, family, peer and the government (Pena et al 2012). This
assignment has explored the risk-taking behaviours in youths and their outcomes, the strategy put
forward to reduce it and the nurses’ and families role in reducing these behavioural risks.

Risk Taking Behaviours Amongst Adolescents 13
References
Cao, Z.J., Chen, Y. and Wang, S.M., 2014. Health belief model based evaluation of school health
education programme for injury prevention among high school students in the community
context. BMC Public Health, 14(1), p.26.
Catalano, R.F., Fagan, A.A., Gavin, L.E., Greenberg, M.T., Irwin Jr, C.E., Ross, D.A. and Shek,
D.T., 2012. Worldwide application of prevention science in adolescent health. The Lancet,
379(9826), pp.1653-1664.
Chapman, R.L., Buckley, L., Sheehan, M. and Shochet, I.M., 2013. Pilot evaluation of an
adolescent risk and injury prevention programme incorporating curriculum and school
connectedness components. Health education research, 28(4), pp.612-625.
Durlak, J.A., Weissberg, R.P., Dymnicki, A.B., Taylor, R.D. and Schellinger, K.B., 2011. The
impact of enhancing students’ social and emotional learning: A meta‐analysis of school‐based
universal interventions. Child development, 82(1), pp.405-432.
Ellis, B.J., Del Giudice, M., Dishion, T.J., Figueredo, A.J., Gray, P., Griskevicius, V., Hawley,
P.H., Jacobs, W.J., James, J., Volk, A.A. and Wilson, D.S., 2012. The evolutionary basis of risky
adolescent behaviour: implications for science, policy, and practice. Developmental psychology,
48(3), p.598.
Gitterman, A. ed., 2014. Handbook of social work practice with vulnerable and resilient
populations. Columbia University Press.
Goldson, B. and Muncie, J. eds., 2015. Youth crime and justice. Sage.Gouws, E. and Kruger, N.,
2014. The adolescent: an educational perspective. Butterworth-Heinemann.

Risk Taking Behaviours Amongst Adolescents 14
Hemphill, S.A., Heerde, J.A., Herrenkohl, T.I., Patton, G.C., Toumbourou, J.W. and Catalano,
R.F., 2011. Risk and protective factors for adolescent substance use in Washington State, the
United States and Victoria, Australia: A longitudinal study. Journal of Adolescent Health, 49(3),
pp.312-320.
Hyder, A.A. and Lunnen, J.C., 2013. 13 STRUCTURAL APPROACHES FOR
UNINTENTIONAL INJURY PREVENTION. Structural Approaches in Public Health.
Maurer, F.A. and Smith, C.M., 2013. Community/public health nursing practice: Health for
families and populations. Elsevier Health Sciences.
National Research Council, 2011. The science of adolescent risk-taking: Workshop report.
National Academies Press.
Pena, J.B., Matthieu, M.M., Zayas, L.H., Masyn, K.E. and Caine, E.D., 2012. Co-occurring risk
behaviours among White, Black, and Hispanic US high school adolescents with suicide attempts
requiring medical attention, 1999–2007: Implications for future prevention initiatives. Social
Psychiatry and Psychiatric Epidemiology, 47(1), pp.29-42.
Sawyer, S.M., Afifi, R.A., Bearinger, L.H., Blakemore, S.J., Dick, B., Ezeh, A.C. and Patton,
G.C., 2012. Adolescence: a foundation for future health. The Lancet, 379(9826), pp.1630-1640.
Shoemaker, D.J., 2017. Juvenile delinquency. Rowman & Littlefield.
Shonkoff, J.P., Garner, A.S., Siegel, B.S., Dobbins, M.I., Earls, M.F., McGuinn, L., Pascoe, J.,
Wood, D.L., Committee on Psychosocial Aspects of Child and Family Health and Committee on
Early Childhood, Adoption, and Dependent Care, 2012. The lifelong effects of early childhood
adversity and toxic stress. Pediatrics, 129(1), pp.e232-e246.

Risk Taking Behaviours Amongst Adolescents 15
Stanhope, M. and Lancaster, J., 2015. Public Health Nursing-E-Book: Population-Centered
Health Care in the Community. Elsevier Health Sciences.
Wallis, B.A., Watt, K., Franklin, R.C., Taylor, M., Nixon, J.W. and Kimble, R.M., 2015.
Interventions associated with drowning prevention in children and adolescents: systematic
literature review. Injury prevention, 21(3), pp.195-204.
World Health Organization, 2015. Core competencies in adolescent health and development for
primary care providers: including a tool to assess the adolescent health and development
component in pre-service education of health-care providers. World Health Organization.
Zolkoski, S.M. and Bullock, L.M., 2012. Resilience in children and youth: A review. Children
and youth services review, 34(12), pp.2295-2303.