What causes some adolescents to thrive while other teenagers struggle with substance abuse and mental health? Through years of research, the scientists who study development and the clinicians who treat troubled teenagers have developed a list of risk factors that predict the problems faced by adolescents.

Although attending a high-achieving school might not seem as risky as living in poverty or facing racism or discrimination, decades’ worth of research has shown that in fact it is.

“Teens in high-achieving schools face different kinds of pressure, but it is substantial pressure nonetheless,” said Ashley Ebbert, Arizona State University psychology graduate student.

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