The “IN” Things
What Everyone Needs
Pamela Williams, MA,
Mercy Behavioral Health
Current Trends in Risky Adolescent Behavior
Warning Signs of Risky Behavior
What Can We Do to Help????
U.S. Students Enrolled in 9-12 Grade in 2001:
47.1% Drank Alcohol
23.9% Used Marijuana
45.6% Had Sexual Intercourse at Least Once
Why Do Adolescents Engage
in Risk-Taking Behaviors?
Poor Decision Making Process
External Forces such as:
Need for Attention
What is the Choking Game?
This activity is not a game
Is played in groups as well as by a single child
The object of this activity is asphyxiation, applying pressure
to restrict oxygen and blood flow to the brain
This action creates a “high” sensation,described as a tingly
and floaty feeling. When the child becomes unconscious
the pressure is released and the secondary high is
Rising Sun Game American Dream Game Pass-out Game
Sleeper Hold Natural High
Space Monkey Flatliner Game Cloud Nine
Hanging Game Black Out Game
Black Hole Dreaming Game Gasp
Teen Choking Game Suffocation Roulette
Fainting Game California High Purple Dragon
The Fainting Game California Choke
Tingling Game Tingling Game Funky Chicken
Kids are Dying from This
Deaths of the Adolescents Often Ruled as a Suicide
9 out of 10 Students Know about this Game
82 Probable deaths from 1995-10/2007 among 6-19 year
Peak age was 13.3
87% were male
45 States have reported cases of the game.
(as of 7/1/09 10:00am)
Cases Injury Death In the Other
Total 499 42 454 405 94
2009 25 6 19 24 1
2008 50 2 48 44 6
2007 63 6 57 56 7
2006 117 14 103 106 11
2005 96 8 88 82 14
2004-1974 148 8 140 93 55
Any suspicious mark on the side of the neck, sometimes hidden by
means of a turtle neck,scarf or turned up collar.
Changes in personality, such as overly aggressive or agitated.
Any kind of strap,belt or rope lying near the child without any reason –
questions about this subject are often alluded.
Headaches, sometimes excruciatingly bad ones, loss of concentration, a
Bloodshot eyes or any other noticeable stress on the eyes.
A thud in the bedroom against the wall-meaning a fall in cases of solitary
Any questions about the effects,sensations or dangers of strangulation.
Unusual need for privacy, i.e. -locked bedroom door.
Who is Doing It?
The ages of kids that are participating in this activity is 9-14
Many kids participate in this game out of curiosity, not
because they are rebellious, depressed, or angry
The game is played by kids that are not visibly at-risk, kids
that do good in school, and are close with their families
These kids believe this game is not harmful like other forms
of getting high
Kids from all socioeconomic status backgrounds
Kids from all cultures
“THERE IS NO TYPICAL PROFILE”
Chris P – 14
Dylan B – 11
Kodee A – 14
Braden E – 13
Gabriel M – 13
Evan O – 12
Jason L- 14
Nick S – 16
Stephen C – 16
Daniel S – 11
Jeffery P – 14
Cory M – 14
Louis B – 12
Shawntae C – 14
Leo M – 16
Daniel S – 11
Robo Skittles Tussin Dexing
Kids as young as 12 years old are abusing over the
counter cough medicine
At least 5 adolescent deaths have occurred in the
past 2 years
Adolescents used to drink the medicine because of the
alcohol contained in the syrup
Now it contains “Dextromethorphan” “DXM”
This cough suppressant can produce hallucinations, & loss of
motor control similar to PCP.
Getting a hallucinogenic high
Since 2006 use among younger teens has increased 15 fold.
According to a survey done in May 2006 one in 10 U.S.
teens abuse cough medicine.
High Body Temperature
Itchy or Flaky skin
Loss of consciousness
Numbness in toes & fingers
A normal dose of DXM is 15-30 Milligrams.
Mind altering effects can occur at dose as low as
100 milligrams, but abusers consume much more
(say ½ a 12oz bottle) to result in a dose of 240-360
DXM is used in more than 120 non-prescription
Vicks Formula 44
Teens are over dosing on Coricidin tablets.
Since the pills look like candy kids are able to pass
they off as candy.
In large Doses Coricidin can cause hallucinations.
In March 2007 5 teenagers overdosed on this.
The Pills can cause kidney and liver damage and
Adolescents feel that the blood sucking action can
give them a high.
This is not true.
Huffing: A New Low Point for
Kids Getting High
Inhalant use refers to the intentional
breathing of gas or vapors with the
purpose of reaching a high.
Inhalants are legal, everyday
products which have a useful
purpose, but can be misused.
You're probably familiar with many
of these substances -- paint, glue
One on five students in America has used an
inhalant to get high by the time he or she
reaches the eighth grade.
Parents don't know that inhalants, cheap, legal and
accessible products, are as popular among middle
school students as marijuana.
POOR MAN’S POT
SHOOT THE BREEZE
TEXAS SHOE SHINE
How it affects us
Inhalants affect the brain with great speed and force.
They keep oxygen from reaching the lungs
The intoxication produced usually lasts just a few
minutes; therefore, users often try to extend the
“high” by continuing to inhale repeatedly over
• In addition to these physical and mental health
problems, recent research shows that inhalant use is
associated with symptoms of depression. Between
2004 and 2006, an estimated 218,000 youths aged
12-17 used inhalants and also experienced
depression in the past year. The same research
showed that depressed teens were more than three
times as likely to start using inhalants than teens
with no symptoms of depression.
Signs of Inhalant Use
There is a common link between inhalant use and problems in
school -- failing grades, chronic absences and general apathy.
Other signs include the following:
Paint or stains on body or clothing
Spots or sores around the mouth
Red or runny eyes or nose
Chemical breath odor
Drunk, dazed or dizzy appearance
Nausea, loss of appetite
Anxiety, excitability, irritability
They're all over your house. They're in your child's school. In
fact, you probably picked some up the last time you went to
the grocery store. Educate yourself. Find out about inhalants
before your children do!
Products Abused as Inhalants
Adhesives model airplane glue, rubber cement, household glue
spray paint, hairspray, air freshener, deodorant, fabric
protector, computer keyboard cleaner
nail polish remover, paint thinner, type correction fluid and
thinner, toxic markers, pure toluene, cigar lighter fluid,
gasoline, carburetor cleaner, octane booster
dry cleaning fluid, spot remover, degreaser
Food vegetable cooking spray, dessert topping spray (whipped
products cream), whippets
Gases nitrous oxide, butane, propane, helium
What to do When Someone is
Remain calm and do not panic.
Do not excite or argue with the abuser when they are under the influence, as
they can become aggressive or violent.
If the person is unconscious or not breathing, call for help. CPR should be
administered until help arrives.
If the person is conscious, keep him or her calm and in a well-ventilated room.
Excitement or stimulation can cause hallucinations or violence.
Activity or stress may cause heart problems which may lead to "Sudden Sniffing
Talk with other persons present or check the area for clues to what was used.
Once the person is recovered, seek professional help for abuser: school nurse,
counselor, physician, other health care worker.
If use is suspected, adults should be frank but not accusatory in discussions with
youth about potential inhalant use.
Amped - High on Amphetamines
Bang - Inhalants; to inject a drug
Banging - Under the influence of drugs
Blunt - Marijuana inside a cigar; cocaine and marijuana inside a cigar
Candy Blunt - Blunts dipped in cough syrup
Care bears - Methylenedioxymethampehtamine (MDMA)
Cat Valium - Ketamine
Cocktail - Cigarette laced with cocaine or crack; partially smoked marijuana
cigarette inserted in regular cigarette; to smoke cocaine in a cigarette
Coco rocks - Dark brown crack made by adding chocolate pudding during
Dime bag - $10 worth of drugs
Dirty joints - Combination of crack cocaine and marijuana
E (or) Ecstasy - Methylenedioxymethamphetamine (MDMA)
Easy lay - Gamma hydroxybutyrate (GHB)
Finger - Marijuana cigarette
GHB - Gamma hydroxybutyrate
• Hugs and Kisses - Combination of methamphetamine and
Jack - Steal someone else’s drugs
Jib - Gamma hydroxybutyrate (GHB)
Joint - Marijuana cigarette
Kiddie dope - Prescription drugs
Legal speed - Over the counter asthma drug; trade name-MiniThin
Loaded - High on drugs
Magic mushroom - Psilocybin/psilocin
Meth - Methamphetamine
Nail - Marijuana cigarette
Nexus - 2-(4-Bromo-2,5 diethoxyphenyl)-ethylamine; also just know as 2CB
Oolies - Marijuana cigarettes laced with crack
Oz - Inhalants
Pink elephants - Methamphetamine
Pikachu - Pills containing PCP and Ecstasy
• Qat - Methcathinone
Rib - Rohypnol; methylenedioxymethamphetamine (MDMA)
Ritz and Ts - A combination of Ritalin and Talwin injected
Roach - Butt of marijuana cigarette
Roach clip - Holds partially smoked marijuana cigarette
Roofies - Rohypnol
Ruffies - Rohypnol
Ruffles - Rohypnol
**Shebanging - Mixing cocaine with water and squirting it up nose
Sheet rocking - Crack and LSD
Shotgun - Inhaling marijuana smoke forced into one’s mouth by another’s exhaling
Skin popping - Injecting drugs under the skin; to inject drugs on any part of the body
without hitting a vein
Skittling - Abuse of cold tablets containing dextromethorphan (a cough suppressant)
Special “K” - Ketamine
Stoned - Under the influence of drugs
• Thai sticks - Bundles of marijuana soaked in hashish oil; marijuana buds
bound on short sections of bamboo
THC - Tetrahydrocannabinol
TNT - Fentanyl
Toke - To inhale cocaine; to smoke marijuana; marijuana
Ts and Rits - Talwin and ritalin combination is injected and produces an
effect similar to the effect of heroin mixed with cocaine.
Uppers - Amphetamine
Vitamin K - Ketamine
Vitamin R - Ritalin (methylphenidate)
Wigging - Odd behavior resulting from the use of mind-altering drugs
Wooly blunts - Marijuana and crack or PCP
XTC - Methylenedioxymethamphetamine (MDMA)
Ya Ba - A pure and powerful form of methamphetamine from Thailand;
Z - 1 ounce of heroin
Zen - LSD
an unprovoked physical attack on an individual,
recorded by an accomplice with a camera, esp. a
camera phone; the practice of slapping or punching
an unsuspecting victim and recording it with a
The act of sending explicit messages or photos
electronically, primarily between cell phones.
Reported as early as 2005.
Has been reported in Great Britain, Australia, New
Zealand, United States, and Canada.
In January 2009 survey of 1,200 teenagers by a
Burlington Vermont TV station claimed that one in
five had sent explicit photos of themselves.
A 2009 UK survey found that 38% of under 18’s had
“received an offensive or distressing sexual image
via text or email.
when a child, preteen or teen is tormented,
threatened, harassed, humiliated, embarrassed or
otherwise targeted by another child, preteen or teen
using the Internet, interactive and digital
technologies or mobile phones.
It has to have a minor on both sides, or at least have
been instigated by a minor against another minor.
Once adults become involved, it is plain and simple
cyber-harassment or cyberstalking. Adult cyber-
harassment or cyberstalking is NEVER called
Cyberbullying is usually not a one time
communication, unless it involves a death threat or a
credible threat of serious bodily harm.
Kids usually know it when they see it, while parents
may be more worried about the lewd language used
by the kids than the hurtful effect of rude and
How it works
There are two kinds of cyberbullying:
direct attacks (messages sent to your kids directly)
cyberbullying by proxy (using others to help
cyberbully the victim, either with or without the
Instant Messaging/Text Messaging Harassment
Sending Pictures through E-mail and Cell Phones
Sending Malicious Code
Sending Porn and Other Junk E-Mail and IMs
The four types of cyberbullies
The Vengeful Angel
The Power-Hungry or Revenge of the Nerds
The “Mean Girls”
The Inadvertent Cyberbully or “Because I Can
How Can We Help?
Encourage Positive/ Healthy Risk Taking.
Positive impact on development
Participation in sports
Making friends, volunteering,
Artistic talents and abilities.
Model Healthy risk taking as a positive experience. Share your history of
risk-taking. Encourage to make better choices than you made.
Teach adolescents to learn how to evaluate risk, anticipate choices and
create strategies that place energy into healthier activities when
How Can We Help?
Know where your child is and who they are spending
their time with.
Let your teen know you are interested, and you are
willing to help with whatever they need.
Turn off television when your child wants to talk.
Practice good listening skills; do not interrupt your
Praise him or her for good communication skills.
Create rules for decision making. If your child wants to do
something that is not safe, explain why he or she can not
make that decision.
To help them understand how and why they make both
healthy and unhealthy choices, ask them some or all of the
Do you feel pressured to make risky choices by
Do you rush into decisions?
Do you think it is uncool to try things in a safe manner?
Are dangerous risks more exciting to you?
Does it feel as though it is happening “in a dream”
when you make dangerous choices?
All teenagers take risks as a normal part of growing up. Risk
taking is a tool an adolescent uses to define and develop his
or her identity; healthy risk taking is a valuable experience.
Unhealthy risk taking may appear as rebellion or angry
gesture directed at parents and teachers. However, risk
taking, whether healthy or unhealthy, is simply part of a
teen’s struggle to test out an identity and separation from
Parents and teachers should pay attention to their own
current patterns of risk-taking behaviors. Adolescents are
watching and imitating you.
The Challenge for any person is to
make sense of facts in ways that
are meaningful in life – in ways
that help them think and make
This is happening in Our Area
in Memory of
Mercy Behavioral Health