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Violence, self-harm and drug or alcohol misuse in adolescents admitted to hospitals in England for injury: a retrospective cohort study

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 adole...

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Autores principales: Herbert, Annie, Gilbert, Ruth, González-Izquierdo, Arturo, Li, Leah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322205/
https://www.ncbi.nlm.nih.gov/pubmed/25667148
http://dx.doi.org/10.1136/bmjopen-2014-006079
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author Herbert, Annie
Gilbert, Ruth
González-Izquierdo, Arturo
Li, Leah
author_facet Herbert, Annie
Gilbert, Ruth
González-Izquierdo, Arturo
Li, Leah
author_sort Herbert, Annie
collection PubMed
description 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.
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spelling pubmed-43222052015-02-13 Violence, self-harm and drug or alcohol misuse in adolescents admitted to hospitals in England for injury: a retrospective cohort study Herbert, Annie Gilbert, Ruth González-Izquierdo, Arturo Li, Leah BMJ Open Paediatrics 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. BMJ Publishing Group 2015-02-07 /pmc/articles/PMC4322205/ /pubmed/25667148 http://dx.doi.org/10.1136/bmjopen-2014-006079 Text en Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Paediatrics
Herbert, Annie
Gilbert, Ruth
González-Izquierdo, Arturo
Li, Leah
Violence, self-harm and drug or alcohol misuse in adolescents admitted to hospitals in England for injury: a retrospective cohort study
title Violence, self-harm and drug or alcohol misuse in adolescents admitted to hospitals in England for injury: a retrospective cohort study
title_full Violence, self-harm and drug or alcohol misuse in adolescents admitted to hospitals in England for injury: a retrospective cohort study
title_fullStr Violence, self-harm and drug or alcohol misuse in adolescents admitted to hospitals in England for injury: a retrospective cohort study
title_full_unstemmed Violence, self-harm and drug or alcohol misuse in adolescents admitted to hospitals in England for injury: a retrospective cohort study
title_short Violence, self-harm and drug or alcohol misuse in adolescents admitted to hospitals in England for injury: a retrospective cohort study
title_sort violence, self-harm and drug or alcohol misuse in adolescents admitted to hospitals in england for injury: a retrospective cohort study
topic Paediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4322205/
https://www.ncbi.nlm.nih.gov/pubmed/25667148
http://dx.doi.org/10.1136/bmjopen-2014-006079
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