From a public health perspective, motor vehicle accidents (MVAs) are one of the most serious health issues facing adolescents. Several factors influence adolescent risk-taking, including ego-centrism. Adolescents devote tremendous attention to their own cognitive abilities, magnifying the importance of their own ideas and displaying a form of cognitive arrogance. Risk-taking behavior and age form a lethal combination behind the wheel. The American Academy of Pediatrics Committee on Injury, Violence and Poison Prevention and its Committee on Adolescence and the National Research Council identified the following reasons why adolescents are at greater risk for MVAs: inexperience, risk taking, adolescent passengers, night driving, substance use, seat belts, vehicles, distractions, unlicensed drivers, attention deficit hyperactivity disorder (ADHD), and sleep deprivation. The National Research Council described five critical elements that adolescents need to drive safely: skills, knowledge, experience, maturity, and environment.