You asked

What problems can teen substance abuse cause?

Teen substance abuse can cause serious problems including health issues, loss of friends, family issues, problems with school work and even legal implications which can last a lifetime.
 
Alcohol and drug abuse is one of the leading causes of teen death or injury due to car crashes, suicide and drowning. Substance abuse can also increase the risk of unprotected sex occurring which can lead to unplanned pregnancies and sexually transmitted diseases which can be life threatening.
 
Use of certain drugs, even casually can cause severe health problems, such as an overdose or brain damage.  Illegal drugs are often homemade and consist of dangerous ubstances which means strengths and reactions can vary greatly.  

More questions

Being a teenager isn’t easy, it is a time fraught with uncertainty, and mood swings are a common side effect.
Make sure that you talk to your child early about what you expect in his behaviour towards alcohol, tobacco and other drugs
If you suspect that your teen is using alcohol, tobacco or drugs, it’s vital that you take it seriously.
Alcohol and drug abuse is a leading cause of teen death or injury related to car crashes, suicides, violence, and drowning.

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