Violence Related Injuries in the Emergency Room: Alcohol, Depression, and Conduct Problems

Borges, Guilherme; Cherpitel, Cheryl J.; Medina‐Mora, María Elena; Mondragón, Liliana

doi:10.1081/ja-120030893

Cited by 33 publications

(28 citation statements)

References 24 publications

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“…If subjects decided to drink, increased amounts may have pronounced consequences in their risk for triggering an injury, specially a violence-related injury. This work confirms prior reports in Argentina, 15,16 Brazil 17-21 and Mexico 7,12,22 showing the impact of alcohol consumption on violence. Alcohol was present in almost 50% of all patients with a violence-related injury, substantiating a common view in EDs across the region that alcohol consumption is a main problem among these patients.…”

Section: Discussionsupporting

confidence: 81%

Alcohol and violence in the emergency department: a regional report from the WHO collaborative study on alcohol and injuries

Borges¹,

Orozco²,

Cremonte³

et al. 2008

Salud pública Méx

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ResumenObjetivo. Determinar el riesgo relativo (RR) de lesiones no intencionales y relacionadas con la violencia, asociadas al consumo de alcohol en tres Servicios de Urgencia de América Latina (2001)(2002). Material y métodos. Se usó un diseño case-crossover en 447 pacientes de Argentina (A), 489 de Brasil (B) y 455 de México (M). Resultados. El 46% de los casos relacionados a la violencia consumieron alcohol (vs. 11.5% de los no-violentos). El riesgo de una lesión relacionada con la violencia se incrementó con el consumo, y tuvo una RM= 15.0, intervalo de confianza al 95% (IC= 5.8-39.1), pero correspondió a 4.2 (IC= 2.7-6.5) para las lesiones nointencionales. Conclusiones. Mayores cantidades de alcohol tienen consecuencias en el riesgo de desencadenar una lesión, especialmente en lesiones relacionadas con la violencia. Los estimadores del RR que se presentan pueden ser usados como nuevas fuentes para estimadores de la carga de la enfermedad asociada al consumo de alcohol.Palabras clave: intoxicación alcohólica; epidemiología; méto-dos; América Latina; servicio de urgencia AbstractObjective. To determine the relative risk (RR) of non-fatal unintentional and violence-related injury associated with alcohol consumption in three emergency departments in Latin America (2001)(2002). Material and Methods. Pairmatched case-crossover was used to obtain RR estimates for alcohol in non-fatal injuries among 447 patients in Argentina (A), 489 in Brazil (B) and 455 in Mexico (M). Intentional (violence) or unintentional (non-violence) injury status were the main outcomes Results. About 46% of violence-related cases involved alcohol (versus 11.5% for non-violence related cases). The risk of violence-related injury increased with drinking and had an OR= 15.0 (95% confidence interval (CI), 5.8-39.1), with an OR= 4.2 (CI= 2.7-6.5) for unintentional injuries. Conclusions. Increasing amounts of drinking may have pronounced consequences on the risk of triggering an injury, especially for a violence-related injury. The RR estimates provided here can be useful for new estimates on alcohol and the burden of disease.

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Section: Discussionsupporting

confidence: 81%

Alcohol and violence in the emergency department: a regional report from the WHO collaborative study on alcohol and injuries

Borges¹,

Orozco²,

Cremonte³

et al. 2008

Salud pública Méx

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“…Vinson et al 20 showed in case-control and case-crossover analyses that odds ratios for violence-related injuries are especially high when the injury is associ--ated with alcohol use during the 6 hours prior to injury (OR = 34; 95% CI = 4.7-250); this finding has been reported by others 6,36,44,45 and confirmed by this research. The risk of suicide attempts was especially high in our study, confirming a more limited finding from a frequency analysis of a case-crossover study in a sample of patients from Australia, Canada, Mexico and the United States 46 as well as a study in Texas 47 and a hospital-based case-control study in Mexico City.…”

Section: Research Guilherme Borges Et Al Alcohol Use and Injuries Trsupporting

confidence: 77%

“…5 A previous analysis by our group, using data only from Mexico, did not find an increase in the risk of injury when consuming only one drink 6 hours before an injury was compared with alcohol use during the same time period the day prior to or the month prior to the injury. 36 Some reports have tried to disen--tangle differences between acute alcohol use and risk of injury according to the participant's usual consumption pat--tern; 17 this is a matter of great interest to public health professionals. 37 Studies of drivers involved in fatal crashes 19 and cross-sectional data from a study of drinking and driving, 38 as well as data from population surveys of drinking and injury, 39 have suggested that episodes of intoxication may have a different im--pact among people who do not usually drink heavily.…”

Section: Main Findingsmentioning

confidence: 99%

Multicentre study of acute alcohol use and non-fatal injuries: data from the WHO collaborative study on alcohol and injuries

Borges

Cherpitel

Orozco

et al. 2006

Bull World Health Organ

120

121

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Objectives To study the risk of non-fatal injury at low levels and moderate levels of alcohol consumption as well as the differences in risk across modes of injury and differences among alcoholics. Methods Data are from patients aged 18 years and older collected in 2001-02 by the WHO collaborative study on alcohol and injuries from 10 emergency departments around the world (n = 4320). We used a case-crossover method to compare the use of alcohol during the 6 hours prior to the injury with the use of alcohol during same day of the week in the previous week. Findings The risk of injury increased with consumption of a single drink (odds ratio (OR) = 3.3; 95% confidence interval = 1.9-5.7), and there was a 10-fold increase for participants who had consumed six or more drinks during the previous 6 hours. Participants who had sustained intentional injuries were at a higher risk than participants who had sustained unintentional injuries. Patients who had no symptoms of alcohol dependence had a higher OR. Conclusion Since low levels of drinking were associated with an increased risk of sustaining a non-fatal injury, and patients who are not dependent on alcohol may be at higher risk of becoming injured, comprehensive strategies for reducing harm should be implemented for all drinkers seen in emergency departments.

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“…Prevalence distinctions among studies can be caused by different measuring tools used or different definitions of mental health problems. In the Borges et al [40] study, the percentage of people categorized in the most serious depression quartile was 16.8. In that study, depressed mood was measured by the Center for Epidemiologic Studies Depression Scale (CES-D), which was used for assessing depressive symptoms.…”

Section: Discussionmentioning

confidence: 99%

The association between serious psychological distress and emergency department utilization among young adults in the USA

Lin

Burgess

Carey

2011

Soc Psychiatry Psychiatr Epidemiol

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Violence Related Injuries in the Emergency Room: Alcohol, Depression, and Conduct Problems

Abstract: In the city of Pachuca, Mexico, a large relationship between drinking prior to the event and violence-related injury, regardless of alcohol dependence, was found. Depression was also related to violence, suggesting the need for more comprehensive intervention with these patients.

Cited by 33 publications

References 24 publications

Alcohol and violence in the emergency department: a regional report from the WHO collaborative study on alcohol and injuries

Alcohol and violence in the emergency department: a regional report from the WHO collaborative study on alcohol and injuries

Multicentre study of acute alcohol use and non-fatal injuries: data from the WHO collaborative study on alcohol and injuries

The association between serious psychological distress and emergency department utilization among young adults in the USA

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