A teenager’s everyday life should be concerned with first crushes, final exams, and new friends at school, not whether they’ll get to eat today. But for some, their most vital years of youth are a time of gnawing hunger.

New research by the Urban Institute reveals hidden starvation nationwide among adolescents. The interview-based study suggests that nutritional deprivation is intensifying and forcing barely mature youth into “expedited adulthood.” This is happening even when they live in otherwise stable families; the pattern suggests a new normal for teen hunger, which is apparently impacting not just socially dislocated teenagers but also those in relatively “conventional” households with caregivers.

“These kids get pushed into a position that higher income peers just can’t imagine,” says Susan Popkin, co-author of the report, “where they feel responsible for helping their parents, they’re worried along with their parents, they’re going hungry along with their parents so that younger kids can eat.”

Surveys indicate an “estimated 6.8 million food-insecure young people ages 10 through 17, including 2.9 million with very low food security.” Facing food insecurity, meaning they cannot secure adequate food on a daily basis, undergoing a time in life that’s supposed to be carefree and full of potential leads to internalized shame.

“Teens fear stigma around hunger and actively hide it,” researchers observed. “Consequently, many teens refuse to accept food or assistance in public settings or from people outside a trusted circle of friends and family.” Many do not understand how to navigate social services to access food aid like local pantries.

In cities and rural towns, struggling from meal to meal induces emotional stress and frustration, along with deterioration of physical and mental health, which can impede teens’ cognitive development. Severe deprivation can also push many out of school, potentially leading to massive long-term impacts on young people’s career prospects in future years.

But food-insecure teens are almost disturbingly adaptable: they employ coping strategies ranging from self-sacrifice to “self-sabotage.” Focus-group discussions showed adolescents carefully calculating choices to secure the bare minimum for themselves and their families. A teenage boy in San Diego reflected that he knew people who “really struggle to get food…. they have to go through a starving period where they have to cut down on how much they eat.”

Scarcity often compels youths to put family needs first. A girl in Chicago told researchers, “I will go without a meal if that’s the case, as long as my two young siblings is good, that’s all that really matters to me.”

The survival strategies attest both to resilience and youths’ consciousness of their role as providers, and a desire for basic dignity: avoiding dinnertime on some days so as not to burden their parents; saving leftover food from school lunches. Bucking stereotypes of youth as selfish or irresponsible, after social services have abandoned them they display remarkable discipline. They scrambled for odd jobs, even though wages and work hours are often inadequate—the underemployment rate of black teens is above 50 percent, and over a third for Latino and white teens. Yet one study indicates teens who leave school might contribute as much as one-fifth of household income.

At their most desperate, teens found ways to survive outside the law, perhaps pilfering from the grocery store or “selling drugs and stealing items to resell for cash. These behaviors were most common among young men in communities with the most limited job options.”

In most of the communities surveyed, researchers reported, food-insecure teens often turned to survival sex work. Relationships of economic dependency such as girls’ “transactional dating relationships with older adults” were prevalent “in high-poverty communities where teens also described sexually coercive environments.”

Often teens weren’t proud of what they did to survive. One boy in Chicago matter-of-factly explained:

I ain’t talking about robbing nobody. I’m just talking like going there and get what you need, just hurry up and walk out, which I do…. They didn’t even know. If you need to do that, that’s what you got to do, that’s what you got to do.

Teenage resilience should be better used through programs that help them toward independence and give them choices in life. Young people can find social nourishment in community-based free-meal programs, for instance, and direct food-stamp assistance. Even part-time summer work could restore a youth’s economic and social dignity—the portion of 16-to-19-year-olds with jobs has plunged since the 1990s, depriving many of a historically vital resource for income and for building work credentials, which is sorely needed for youth who do not finish high school.