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Dr Bobby Smyth's presentation about current trends in alcohol consumption among young people in Ireland and the impact drinking is having on their mental health. Dr Smyth is a Consultant Child and Adolescent Psychiatrist with the HSE, Senior Clinical Lecturer with the Department of Public Health & Primary Care in Trinity College Dublin, and a board member of Alcohol Action Ireland. This presentation was given at Alcohol Action Ireland's conference, Facing 'The Fear': Alcohol and Mental Health in Ireland, on November 20, 2013.
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Facing ‘The Fear’: Alcohol and Mental Health in
Ireland
This conference is part-funded by the National Office of Suicide Prevention
Adolescent drinking in our Intoxicated State
AAI ConferenceNov 2013
Dr Bobby Smyth
Overview
• Update on some harms
• Culture & Language
• Influence of adults
Correlation = -0.96
P<0.001
Why worry?
“… in the population aged 25–59 years alcohol is the world’s number one risk factor for impaired health and premature death, and far more significant than unsafe sex, tobacco use or diabetes.”
Teens, Alcohol and Depression
Teens, Alcohol and Anxiety
The Adolescent brain – a work in progressGiedd et al, 1999, Nature Neuroscience, 2, 861-863
http://www.nimh.nih.gov/press/prbrainmaturing.cfm
Zeigler DW et al (2004)
"Underage alcohol is associated with brain damage and neurocognitive deficits, with implication for learning and intellectual development"
Casey & Jones (2010)
“Many studies have reported altered brain structure and function in alcohol dependent or abusing adolescents…… smaller frontal & hippocampal volumes……suggesting that early adolescence may be a period of heightened risk to alcohol’s neurotoxic effects”
Learning which shoulder to cry on…..
Summarising harms• Damage to brain development
• Increased risk of later alcohol & drug problems
• Increased risky behaviour -> Accidents
• Hampers acquisition of healthy coping skills
• Lose ability to “have fun” sober…..
Adolescents and Substance Use: The handbook for professionals working with young people
http://www.radcliffehealth.com/shop/adolescents-and-substance-use-handbook-professionals-working-young-people
“This highly practical manual presents an ideal introduction to adolescent substance use. It offers invaluable guidance for all professionals involved with adolescents including social workers, health and social care professionals, family support workers, teachers, counsellors, mental health teams, A&E staff, police and probation officers. The approach these practitioners take in dealing with the problem has considerable influence over outcomes”
Irish Adults & Alcohol
all over the shop, annihilated, Backward, Balubas,Banjoed,Battered, bin towed, binted, bladdered, blasted, Blended, BLITZED, Blocked, Blootered, Blotto, Bollixed, BOMBED, Bunkered,
Buzzing, Cockeyed, Cut, Drunk, Etched, f*cked, f*cked off yer face, floored, Fluthered, FullFull, full as a sheugh, fullers, gee-eyed,
giddy, giggly, goothered, half-cut, HAMMERED, Happy, Hockeyed, in bits, in the horrors, Inebriated, intoxicated, Jarred,
Jayrolled, Jiggered, Jolly, Juiced, just nice, Kaned, Lamped, Langered, Langers, Lashed, Legless, light Headed, Like a monkey
without a tree, Loaded, Locked, Loo-balled, Lorried, Manky, Mellow, merry, mouldy, Muntered, Newted, Nicely, Obliterated, off the scullion, off my head,off me trolley, on the way, ossified,
out of it, Out of your mind, Pajamaed, Pallatic, Paralytic, Phlanxed, Pickled , Piddled, Pished, Pissed, pissed as a fart,
Plastered, PLOWED, Plutered, Poleaxed, Polluted, Rat-arsed, Rinsed, Rotten, rubbered, Sauced, Scuttered, Sh1t-faced, Sideways, Sizzled, Slaughtered, SLOSHED, Smashed, Snattered, Snookered, Sozzled, Spiflicated, Squiffy,
Steamboats, Steaming, Stewed, Stocious, Stoven, TankedTanked, Three sheets to the wind, TIDDLEY, Tight , Tinkered, Tipsey, tired and emotional, TOASTED, TRASHED, Trollied, Twatted, Twisted,
Under the weather, Under the table, Volcanoes, w*nkered, Wangoed, Wasted, wiped out, Woozy, Wrecked, Writ, Wrote off,
Yeltsined, Zonked
Moral language and discourse around alcohol
“Drink Responsibly”
“Drink Moderately”
“Drink Sensibly”
Correlation = -0.96
P<0.001
At what age is that Irish people loose their ability to have the
‘craic’ without alcohol?
van Hout M.C.A. (2009) Rural Remote Health 9: 1171
• Parents underestimate their influence
• View drinking as inevitable
• Give drink in effort to exert control
• Too busy to supervise
Ryan et al, 2010. Systematic Review
1. Parental drinking increases risk
2. Provision of alcohol by parents to their children increases risk
3. Presence of clear rules in the family home reduces risk
4. Parental monitoring of their children’s activities reduces risk
5. Warmth and affection in the relationship between parents and children reduces risk
6. General positive communication between parents and children reduces risk
Mama’s (& Daddy’s) little helper….
“Adult-supervised settings for alcohol use resulted in higher levels of harmful alcohol consequences”
Mediterranean Culture….
• Lost in translation….
Key Messages• Unhealthy drinking is the norm in Ireland• For the first time ever, an Irish government
appears willing to name and tackle this• Our generation of adults has permitted alcohol
use to move earlier into adolesnce• Early onset drinking is associated with mutliple
risks and NO benefits• The more teenagers drink, the more likely they
are to experience anxiety and depressive symptoms
• Parents are a powerful influence, but often misunderstand what they can do to reduce risk.