Individual 

• Lack of knowledge about the risks 

• Poor ability to regulate and deal with strong emotions 

• Untreated mental health issues: mood disorders like depression, bi-polar, disruptive mood dysregulation, anxiety disorders including social anxiety, panic attacks, Schizophrenia, PTSD 

• Learning disabilities, ADHD 

• Poor self-esteem, shame 

• Low assertiveness  

• Poor behavioral self-control 

• Genetics 

• Personality traits like impulsivity, high levels of sensation seeking 

• Conduct disorder: aggressive, violent, destructive, and deceptive behavior, violation of the rules  

• Same gender attraction, transgender, bisexual 

• Isolation 

• Early onset of harmful substance use 

• Poor interpersonal relationships 

• Physical or emotional trauma 

• Adverse Childhood Experiences 

• Grief or loss 

• Chronic health problems