A community collaborative coming together to address addiction.

Risk & Protective Factors

While many factors influence one’s likelihood of developing a substance use problem, most agree that reducing risk factors—experiences, attributes, and environments that put certain individuals at higher risk—and improving protective and resiliency factors can influence outcomes. This calls for a holistic approach to prevention and intervention programming that seeks to enhance protective factors and diminish risk factors.

RISK FACTORS


A number of individual and environmental risk factors for developing a substance use problem have been identified.5 Individual risk factors include but are not limited to: genetic vulnerability, mental health issues (such as depression, anxiety, and attention deficit disorder), traumatic experiences, struggles with sexual identity, physical injury, chronic pain, stress, and individual perception of risk. One study found the number and severity of adverse childhood experiences has a direct relationship with the severity of alcohol use.19 Additionally, involvement in child welfare systems, such as foster care or the juvenile justice system, may be risk factors for substance use problems. Environmental factors may include parental substance use, peer group substance use, family conflict, and neighborhood factors.

People of any age, sex or economic status can become addicted to drugs/alcohol. Certain risk factors can affect the likelihood and speed of developing an addiction (List from the CDC, NIH, and other sources):

Having risk factors for substance abuse does not mean that it is inevitable. If you or someone you care about has one or more of these, you need to be especially aware of and watching for warning signs.

The National Institute on Drug Abuse introduces The Swiss Cheese Model of Drug Addiction. This video is an application of James Reason’s Swiss Cheese Model of accident causation (1990) to the risk of addictive disorders. The model helps us understand why not everyone who abuses a drug becomes addicted and why it is currently not possible to predict who will.