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Adolescents' Perceived Risk of Dying

Baruch Fischhoff, Ph.D.aCorresponding Author Informationemail address, Wändi Bruine de Bruin, Ph.D.a, Andrew M. Parker, Ph.D.b, Susan G. Millstein, Ph.D.c, Bonnie L. Halpern-Felsher, Ph.D.c

Received 15 October 2008; accepted 30 June 2009. published online 28 August 2009.
Corrected Proof

Abstract 

Purpose

Although adolescents' expectations are accurate or moderately optimistic for many significant life events, they greatly overestimate their chances of dying soon. We examine here whether adolescents' mortality judgments are correlated with their perceptions of direct threats to their survival. Such sensitivity would indicate the importance of ensuring that adolescents have accurate information about those threats, as well as the psychological support needed to deal with them.

Methods

Data from two separate studies were used: a national sample of 3,436 14–18-year-old adolescents and a regional sample of 124 seventh graders and 132 ninth graders, 12–16 years old. Participants were asked about their chance of dying in the next year and before age 20, and about the extent of various threats to their physical well-being.

Results

Adolescents in both samples greatly overestimated their chance of dying. Those mortality estimates were higher for adolescents who reported direct threats (e.g., an unsafe neighborhood). Thus, adolescents were sensitive to the relative size of threats to their survival, but not to the implications for absolute risk levels.

Conclusions

Contrary to the folk wisdom that adolescents have a unique sense of invulnerability, the individuals studied here reported an exaggerated sense of mortality, which was highest among those reporting greater threats in their lives. Such fears could affect adolescents' short-term well-being and future planning.

a Department of Social and Decision Sciences, Carnegie Mellon University, Pittsburgh, Pennsylvania

b RAND Corporation, Pittsburgh, Pennsylvania

c Department of Pediatrics, University of California, San Francisco, San Francisco, California

Corresponding Author InformationAddress correspondence to: Baruch Fischhoff, Ph.D., Carnegie Mellon University, Department of Social and Decision Sciences, Pittsburgh, PA 15213-3890

PII: S1054-139X(09)00263-8

doi:10.1016/j.jadohealth.2009.06.026