Document Detail

Alcohol and drug use as predictors of intentional injuries in two emergency departments in British Columbia.
MedLine Citation:
PMID:  23414491     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: While a substantial literature exists demonstrating a strong association of alcohol and intentional injury, less is known about the association of intentional injury with recreational drug use, either alone, or in combination with alcohol.
OBJECTIVES: The risk of intentional injury due to alcohol and other drug use prior to injury is analyzed in a sample of emergency department (ED) patients.
METHODS: Logistic regression was used to examine the predictive value of alcohol and drug use on intentional versus non-intentional injury in a probability sample of ED patients in Vancouver, BC (n = 436).
RESULTS: Those reporting only alcohol use were close to four times more likely (OR = 3.73) to report an intentional injury, and those reporting alcohol combined with other drug(s) almost 18 times more likely (OR = 17.75) than those reporting no substance use. Those reporting both alcohol and drug use reported drinking significantly more alcohol (15.7 drinks) than those reporting alcohol use alone (5 drinks).
CONCLUSIONS: These data suggest that alcohol in combination with other drugs may be more strongly associated with intentional injury than alcohol alone.
CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: The strong association of alcohol combined with other drug use on injury may be due to the increased amount of alcohol consumed by those using both substances, and is an area requiring more research with larger samples of intentional injury patients.
Cheryl J Cherpitel; Gina Martin; Scott Macdonald; Jeffrey R Brubacher; Rob Stenstrom
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal on addictions / American Academy of Psychiatrists in Alcoholism and Addictions     Volume:  22     ISSN:  1521-0391     ISO Abbreviation:  Am J Addict     Publication Date:    2013 Mar-Apr
Date Detail:
Created Date:  2013-02-18     Completed Date:  2013-12-16     Revised Date:  2014-09-09    
Medline Journal Info:
Nlm Unique ID:  9208821     Medline TA:  Am J Addict     Country:  England    
Other Details:
Languages:  eng     Pagination:  87-92     Citation Subset:  IM    
Copyright Information:
Copyright © American Academy of Addiction Psychiatry.
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MeSH Terms
Alcohol Drinking / psychology*
British Columbia / epidemiology
Canada / epidemiology
Emergency Medical Services / statistics & numerical data*
Emergency Service, Hospital / statistics & numerical data*
Logistic Models
Risk Factors
Self-Injurious Behavior / complications,  epidemiology*
Substance-Related Disorders / complications,  epidemiology*
Grant Support
P50 AA005595/AA/NIAAA NIH HHS; R01 2 AA013750-04/AA/NIAAA NIH HHS; R01 AA013750/AA/NIAAA NIH HHS; R01 AA013750-07/AA/NIAAA NIH HHS; RAA 79917//Canadian Institutes of Health Research

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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