This publication reports on a survey to develop a profile of adolescent health in Hawaii in order to develop effective prevention and intervention strategies. The survey covered: general health status; family, peer, and school problems; depression and suicide; use of licit and illicit substances; sexuality and sexually transmitted diseases; and self-esteem. Study participants were 1,335 tenth-grade students at 6 Oahu public high schools. Survey data are presented in 44 graphs and tables displaying analysis by gender, ethnicity, and socioeconomic status. The data indicated that: (1) 42 percent of teenagers engage in sexual intercourse, of whom 39 percent use birth control; (2) 40 percent had problems at home with their parents or family; by gender, 50 percent of females compared to 30 percent of males reported problems at home; (3) 17 percent had attempted suicide; (4) 10 percent (17 percent of females and 4 percent of males) had been sexually abused; (5) 18 percent (23 percent of females and 14 percent of males) use cigarettes; (6) 14 percent had used marijuana; 41 percent had used alcohol; and (7) 15 percent used drugs. By ethnicity, 18 percent of native Hawaiians had low self-esteem and 21 percent of Caucasians had high self-esteem. Those with low self-esteem were more likely to engage in high risk behaviors than those with high self-esteem. Recommendations include the creation of multi-service centers that are school based or school linked where teenagers can receive an array of health, social, and vocational services; expanded state-wide violence prevention and conflict resolution programs; improved accessibility to reproductive health services; more preventive mental health services, including substance use and abuse education, available at accessible locations; and relationship counseling including decision-making skills and life planning education as a mandatory requirement at all high schools in Hawaii. (ND)