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To be a U.S. teenager in 2023 is both the same as it ever was and astoundingly different from even a generation ago. Along with all the classic challenges of growing up—grades, parents first loves—looms a crop of newer ones: TikTok, gun violence, political division, the whipsaw of COVID-19, the not-so-slow creep of climate change.
“The main domains are the same: school, home, family, and peers,” says Dr. Asha Patton-Smith, a child and adolescent psychiatrist at Kaiser Permanente in Virginia. But the stressors that emerge within those domains have changed tremendously in a world where the internet and real life have largely blurred into one, with everything from school to social interaction now happening at least partially online and a fire hose of bad news always only a swipe away.
This new world has taken a toll on U.S. teenagers if the staggering data on adolescent mental health are any indication. In 2020, 16% of U.S. kids ages 12 to 17 had anxiety, depression, or both, a roughly 33% increase since 2016, according to an analysis by health-policy research group KFF. The following year, 42% of U.S. high school students said they felt persistently sad or hopeless, 29% reported experiencing poor mental health, 22% had seriously considered suicide, and 10% had attempted suicide, according to the U.S. Centers for Disease Control and Prevention (CDC).
These data are sometimes used to argue that kids aren’t as tough as they used to be. But kids see it differently. “Other generations are telling us that we’re a weak generation … and we haven’t lived through this and that,” says 16-year-old Jasmine. “But we’re in a new world experiencing new things … They haven’t experienced half of what we’ve experienced.”
It’s not only big, macro-level societal shifts that are having an effect. CDC data also show that personal traumas like sexual violence, bullying, and social isolation are concerningly common, particularly among teen girls and teens who do not identify as straight—two groups at particularly high risk for poor mental health.
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