Adolescents and young adult are uniquely vulnerable to the effects of social media in particular and digital communication in general: they are at once early adopters, nearly ubiquitous users, and highly susceptible to peer influences (Lenhart, Madden et al. 2005, Ellison, Steinfield et al. 2007, Lenhart and Madden 2007, Lenhart, Purcell et al. 2010). Our workgroup considered the risks of digital communication in regard to three domains: enhanced exposure to favorable presentations of alcohol and other substances on social media, distractions due to cell phones and text messages while driving, and increased opportunities for behavioral addictions, such as online gambling. We discuss potential recommendations for each in turn.