TY - JOUR
PY - 2015//
TI - Violence, self-harm and drug or alcohol misuse in adolescents admitted to hospitals in England for injury: a retrospective cohort study
JO - BMJ open
A1 - Herbert, Annie
A1 - Gilbert, Ruth
A1 - Gonzalez-Izquierdo, Arturo
A1 - Li, Leah
SP - e006079
EP - e006079
VL - 5
IS - 2
N2 - OBJECTIVES: Of adolescents in the general population in England, we aimed to determine (1) the proportion that has an emergency admission to hospital for injury related to adversity (violence, self-harm or drug or alcohol misuse) and (2) the risk of recurrent emergency admissions for injury in adolescents admitted with adversity-related injury compared with those admitted with accident-related injury only.
DESIGN: We used longitudinally linked administrative hospital data (Hospital Episode Statistics) to identify participants aged 10-19 years with emergency admissions for injury (including day cases lasting more than 4 h) in England in 1998-2011. We used the Office for National Statistics mid-year estimates for population denominators.
RESULTS: Approximately 4.3% (n=141 248) of adolescents in the general population (n=3 254 046) had one or more emergency admissions for adversity-related injury (girls 4.6%, boys 4.1%), accounting for 50% of all emergency admissions for injury in girls and 29.1% in boys. Admissions for self-harm or drug or alcohol misuse commonly occurred in the same girls and boys. Recurrent emergency admissions for injury were more common in adolescents with adversity-related injury (girls 17.3%, boys 16.5%) than in those with accident-related injury only (girls 4.7%, boys 7.4%), particularly for adolescents with adversity-related injury related to multiple types of adversity (girls 21.1%, boys 24.2%).
CONCLUSIONS: Hospital-based interventions should be developed to reduce the risk of future injury in adolescents admitted for adversity-related injury. Language: en
LA - en
SN - 2044-6055
UR - http://dx.doi.org/10.1136/bmjopen-2014-006079
ID - ref1
ER -