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Predicting adolescent alcohol drinking patterns after major injury.

Chris Dunn¹, Frederick P Rivara, Dennis Donovan

¹Department of Psychiatry, University of Washington School of Medicine, Seattle, WA 98104-2499, USA. cdunn@u.washington.edu

The Journal of Trauma

|September 12, 2008

Summary

Adolescent drinking increases in the year after traumatic injury, particularly for those with higher preinjury alcohol use and life stress. This pattern helps identify youth for extended counseling to prevent heavy drinking and reinjury.

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Area of Science:

Trauma surgery
Adolescent medicine
Addiction research

Background:

Bedside alcohol counseling for injured adolescents reduces alcohol use and reinjury.
Extending counseling post-hospitalization can improve outcomes for injured youth.
Understanding adolescent drinking patterns after injury is crucial for effective intervention.

Purpose of the Study:

To describe the natural history of adolescent drinking in the year following traumatic injury.
To identify predictors of increased alcohol use during the year after injury.

Main Methods:

Prospective cohort study of 12-18 year olds admitted to a Level I trauma center.
Alcohol consumption assessed at baseline, 2, 5, and 12 months post-injury.
Identified predictors of increased alcohol use.

Main Results:

Adolescent drinking increased steadily throughout the year post-injury.
Higher preinjury alcohol consumption, more preinjury traumatic life experiences, and older age predicted increased drinking.
Greater injury severity was associated with less drinking post-injury.

Conclusions:

The study documents a specific post-injury drinking pattern in adolescents.
Predictors identified can help target adolescents at higher risk for heavy drinking.
Findings support the development of extended counseling interventions for injured youth.