Factors | Definition | Examples |
Biological | Pubertal and metabolic factors | Incomplete growth |
Decreased bone density/osteoporosis |
Lack of physical activity |
Behavioral/psychologic (including neurocognitive) | Mental health, neurologic, and emotional factors | Poor self-esteem and self-efficacy |
Declining grades |
Learning disability |
Impulsive behavior |
Depression |
Substance abuse |
Environmental | Parental/other caretaker supervision and monitoring | Chaotic living situation |
Difficulty managing behavioral issues |
Depression and/or alcohol-substance use in parent |
Parental consent (active or passive) to date in late middle school or early high school |