Alcohol kills more teens annually than all other drugs combined and is a factor in the three leading causes of teen death - accidents, homicides, and suicides. Binge drinking and chronic alcohol use are associated with many short-term effects like slurred speech, vomiting, and drowsiness as well as long-term health problems including unintentional injury, liver disease, brain and nerve damage, and various cancers. The document warns that while drugs and alcohol may seem like solutions, they often become problems over time.