Dataset Information

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

ABSTRACT:

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.

SUBMITTER: Herbert A

PROVIDER: S-EPMC4322205 | biostudies-literature | 2015 Feb

REPOSITORIES: biostudies-literature

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Publications

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

Herbert Annie A Gilbert Ruth R González-Izquierdo Arturo A Li Leah L

BMJ open 20150209 2

<h4>Objectives</h4>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.<h4>Design</h4>We used longitudinally linked administrative hospital data (Hospital ...[more]

PMID: 25667148

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Dataset Information

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

Objectives

Design

Results

Conclusions

Publications

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

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