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Drinking alcohol and smoking also play a factor

Theyre not afraid to jump headfirst into a dangerous situation if it means they and their friends can live for a few more days in the twisted competition

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In 1977, the Royal College of Physicians published a report, Smoking or Health , that asserted that some children started smoking as young as age 5, and one in three regular smokers had taken up smoking before the age of 9 (Royal College of Physicians, 1977)