The seventh bulletin documents trends in alcohol-attributable harms due to under-aged drinking among 14-17 year olds in Australia. Between 1993-2002, an estimated 501 under-aged drinkers (aged 14-17) died from alcohol-attributable injury and disease, due mainly to road injury, suicide and violence. Over 80% of alcohol consumed by 14-17 year olds is drunk at high risk levels for acute harm. This bulletin presents state trends in alcohol-attributable deaths and hospitalisations and compares the proportion of alcohol drunk at high risk levels by 14-17 years old with the general population.