Introduction: The present study was conducted to investigate the relationship between high-risk behaviors (HRB) and mental health in adolescents in Rabor.Methods: The present study was a cross-sectional analytical study that was performed on 334 girle and boy students aged 12-18 years in Rabor city in 2021. In this study, adolescents answered high risk behaviors and mental health questionnaire. Data were analyzed using SPSS software version 26. Results: In this study, the mean age was 15/25 ± 1/78. The findings indicate that smoking and hookah use were higher in boys than girls. Among the demographic variables, age and level of education had a positive and significant relationship with HRB and mental health (p<0/05), The mean score of total mental health for all subjects was 12/83±10/82. The variables of age, sex, marital status of parents, number of children in the family, educational level, smoking, hookah and alcohol have been determined as influential and facilitating factors in HBR of adolescents. Fathers literacy was considered as a facilitator and age variables, alcohol consumption and parents' marital status were considered as deterrents to mental health. Conclusion: The present study showed that male gender is one of the risk factors for alcohol, smoking and other substances, tendency to high-risk sexual behaviors, depression and suicide in adolescents. Among the determinants of tendency to HRB in adolescents, psychological variables are of particular importance at the individual, social and family levels. Good mental health can improve quality of life, while poor mental health can make it worse.
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