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Durham Committee on the Affairs of Black People
THE DANGERS OF MARIJUANA USE TO YOUTH
Dr. Wanda Boone, CEO TRY &
Chair DCABP Health and Safety Committee
Mental Health Risks Including Bipolar Disorder
and Schizophrenia
Based on Colorado Department of Public Health
and Environment Data
Executive Summary
The Colorado Department of Public Health and Environment has extensively documented the significant health risks marijuana poses to youth, particularly regarding mental health conditions. This report synthesizes findings from Colorado’s health surveillance systems, emergency department data, and peer-reviewed research to provide a comprehensive overview of marijuana’s dangers to young people.
Introduction - Following Colorado’s legalization of recreational marijuana in 2012, the Colorado Department of Public Health and Environment (CDPHE) established comprehensive monitoring systems to track health impacts. The Retail Marijuana Public Health Advisory Committee has conducted systematic reviews of available research, while the state’s health surveillance systems have documented concerning trends in youth mental health outcomes.
This report focuses on the serious mental health risks marijuana poses to youth, with particular emphasis on psychotic disorders including schizophrenia and bipolar disorder. The evidence from Colorado’s experience provides critical insights for understanding how marijuana use affects developing brains and mental health.
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General Dangers of Marijuana to Youth Brain Development Concerns
According to CDPHE, brain development is not complete until age 25. For youth to reach their full potential, they should not use cannabis. The developing adolescent brain is particularly vulnerable to the effects of marijuana’s primary psychoactive compound, THC (tetrahydrocannabinol).
Cognitive and Academic Impacts
Colorado’s health data demonstrates that youth who use cannabis regularly experience:
ï‚· Difficulty learning and problems with memory retention
ï‚· Lower math and reading achievement scores
ï‚· Cognitive impairments that persist for weeks after last use
ï‚· Effects that increase with more frequent marijuana use
Research indicates that regular marijuana use by adolescents and young adults is associated with impaired learning, memory, and academic achievement even 28 days after last use.
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How Much Marijuana Is Dangerous?
Parents often ask: If my teen tried marijuana once or twice, should I panic? The overall message is clear: when it comes to developing brains, there is no truly safe level of marijuana use. Here’s how medical experts classify marijuana use:
Occasional Use: 1-3 Times Per Month - The equivalent of less than one joint per week
The risks: Still significant for teens. Can impair learning and memory for days to weeks.
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May trigger anxiety attacks or paranoia, especially with today’s high-potency products. While the risk is lower than with heavier use, it’s not zero—especially for teens with a family history of mental illness.
Regular Use: 1-4 Times Per Week The equivalent one to four joints per week
The risks: This is where serious problems begin to show. Grades drop. Memory problems become noticeable. The risk of developing addiction increases substantially. Mood and anxiety disorders become more likely. Think of this as the danger zone where occasional experimentation crosses into regular use that changes brain chemistry.
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Heavy Use: Daily or Nearly Every Day The equivalent of three to six joints per day, or 1-3 grams of marijuana daily
The risks: This is where we see the most devastating outcomes. Daily users face dramatically increased risks of psychosis and schizophrenia. About 30% will develop marijuana addiction. They may experience severe vomiting episodes (cannabinoid hyperemesis syndrome) that send them to the emergency room. Cognitive problems become severe. This level of use fundamentally changes how the brain works.
A critical warning: Todays marijuana is not your parent’s marijuana. In Colorado, THC levels (the part that gets you high) have risen from about 20% before legalization to 30-35% now. Some concentrated products like dabs and waxes contain 70-95% THC. This means it takes less marijuana to reach dangerous levels than it did just a decade ago.
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Addiction Risk - Cannabis is addictive, and it is harder to stop using cannabis if use begins at a young age. Youth who start using marijuana, alcohol, or other drugs may be more likely to continue using substances later in life, establishing patterns of substance dependence.
Suicide Risk - Colorado’s data reveals that youth who use cannabis are more likely to have suicidal thoughts or attempt suicide. Studies have found moderate evidence of a statistical association between cannabis use and suicidal ideation, with the risk increasing substantially among heavy cannabis users.
Marijuana and Serious Mental Health Conditions: Psychosis and Schizophrenia
The relationship between marijuana use and psychotic disorders represents one of the most concerning findings from Colorado’s post-legalization health surveillance. Multiple data sources have documented a significant increase in psychosis-related healthcare encounters among youth.
Risk Factors for Psychosis: Key risk factors identified by Colorado researchers include, earlier age of cannabis initiation, use of high-concentration THC products (edibles), greater frequency of use, especially daily use, longer duration of use and genetic predisposition or family history of psychotic disorders
Prevention and Education: Talk early and often with youth about the risks of cannabis use, particularly mental health risks, emphasize that
four out of five high school students don’t use cannabis - most teens are not using, educate about the specific risks of high-potency products and concentrates and make clear that brain development continues until age 25, making youth particularly vulnerable.
Conclusion
As North Carolina considers marijuana legalization, Colorado’s experience provides critical lessons. Comprehensive monitoring, robust prevention education, accessible mental health treatment, and careful regulation of product potency are all essential components of a public health approach to minimize harm to young people. The clear message from Colorado’s health data is that marijuana use poses serious risks to youth mental health, particularly regarding psychotic disorders, schizophrenia, and bipolar disorder. Prevention, early intervention, and education remain our best tools to protect young people from these devastating outcomes.
Key Data Sources: Colorado Department of Public Health and Environment (CDPHE) - Official state health surveillance data and public health statements, University of Colorado School of Medicine - Research on cannabis-induced psychosis and mental health impacts Peer-reviewed medical literature published in journals including JAMA Psychiatry, Psychological Medicine, Drug and Alcohol Dependence, and The Lancet Psychiatry, National Academies of Sciences, Engineering, and Medicine (NASEM) - Comprehensive reviews of cannabis health effects.

Dr. Wanda Boone, Chair

Zion Tankard, Vice Chair
