Binge drinking is one of the most serious problems on college campuses today. Parents should be talking to their teens about it long before they send them off to college.
According to the Centers for Disease Control and Prevention, binge drinking, or heavy episodic drinking, is defined as a pattern of drinking that brings a person's blood alcohol concentration to 0.08 grams percent or above. This equates to:
It should be noted, however, that the volumes above are general. The size of the drink and body weight of the drinker are not taken into consideration in this definition. The assumption here is that drinking occurs within a short period of time (a few hours or less) and leads to alcohol intoxication.
Alcohol poisoning—a severe and potentially fatal physical reaction to an alcohol overdose—is the most serious consequence of binge drinking. When a person drinks excessive amounts of alcohol within a short period of time, the brain is deprived of oxygen. In response to the overdose of alcohol and the lack of oxygen, the brain eventually shuts down the functions that regulate heart rate and breathing.
Symptoms of alcohol poisoning include:
Severe alcohol poisoning can lead to respiratory arrest, coma, and death.
If you suspect alcohol poisoning, don’t worry that the person may be offended or embarrassed when they sober up. Your decision to help may save the person’s life.
Binge drinking can not only lead to alcohol poisoning, but also to drunk driving, accidents, poor school performance, risky sexual activity, property damage, illicit drug use, and even death.
Furthermore, studies suggest that heavy drinking in adolescence is strongly associated with heavy drinking in young adult life as well. Rather than “growing out” of binge drinking behavior, many young persons “grow into” a pattern of alcohol dependence or abuse.
Binge drinking is influenced by a number of social factors and marketing forces in the college community. Parents should be aware of these factors, which include:
Ideally, you should begin talking to your children about the dangers of alcohol at a young age. Here are some tips that can help you establish more open communication:
National Institute on Alcohol Abuse and Alcoholism
http://www.niaaa.nih.gov
Substance Abuse and Mental Health Services Administration
http://www.samhsa.gov
Alcohol intoxication. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated February 1, 2016. Accessed May 31, 2016.
Alcohol use disorder. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated October 23, 2015. Accessed May 31, 2016.
Binge drinking. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/alcohol/fact-sheets/binge-drinking.htm. Updated October 16, 2015. Accessed May 31, 2016.
Binge drinking on college campuses. Center for Science in the Public Interest website. Available at: http://www.cspinet.org/booze/collfact1.htm. Accessed May 31, 2016.
McCarty CA, Ebel BE, Garrison MM, DiGiuseppe DL, Christakis DA, Rivara FP. Continuity of binge and harmful drinking from late adolescence to early adulthood. Pediatrics. 2004;114(3):714-719.
Mothers Against Drunk Driving parent handbook for talking with teens about alcohol. Mothers Against Drunk Driving website. Available at: http://support.madd.org/docs/madd_handbook_email.pdf. Accessed May 31, 2016.
Last reviewed May 2016 by Michael Woods, MD