Over the past thirty years, adolescence has experienced unprecedented changes. Rapid technological advancements, ongoing health, climate, and social crises, rising academic pressure, and evolving family structures have deeply influenced the factors shaping adolescent health. The French High Council for Public Health (HCSP) examined these changes and presented a mixed picture: while mortality rates and certain risk behaviors have decreased, mental health has continuously worsened, especially among girls. This clinical summary reviews the major trends observed over three decades and considers their implications for pediatric practice and care pathways. The current challenge is to adapt clinical approaches to the realities of modern adolescence, emphasizing a comprehensive framework that includes digital environments, the school setting, social inequalities, and emerging psychological vulnerabilities.
Ibrahim et al. (2026) studied this question.