ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2009
Self-harm and risk of motor vehicle crashes among young drivers: findings from the DRIVE Study.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Means restriction for the prevention of suicide on roads.The Cochrane database of systematic reviews · 2020Pooled it
- Self-harm in adolescence and risk of crash: a 13-year cohort study of novice drivers in New South Wales, Australia.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2023Article
- The gap between perceived mental health needs and actual service utilization in Australian adolescents.Scientific reports · 2022Article
- Are there sex differences in crash and crash-related injury between men and women? A 13-year cohort study of young drivers in Australia.SSM - population health · 2021Article
- The effects of age, gender, hopelessness, and exposure to violence on sleep disorder symptoms and daytime sleepiness among adolescents in impoverished neighborhoods.Journal of youth and adolescence · 2015Article
- Substance use in adulthood following adolescent self-harm: a population-based cohort study.Acta psychiatrica Scandinavica · 2015Article
- Factors Contributing to Crashes among Young Drivers.Sultan Qaboos University medical journal · 2014Review
- Preventing road deaths--time for data.PLoS medicine · 2010Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundSome motor vehicle crashes, particularly single-vehicle crashes, may result from intentional self-harm. We conducted a prospective cohort study to assess the risk that intentional self-harm poses for motor vehicle crashes among young drivers.
methodsWe prospectively linked survey data from newly licensed drivers aged 17-24 years to data on licensing attempts and police-reported motor vehicle crashes during the follow-up period. We investigated the role of recent engagement in self-harm on the risk of a crash. We took into account potential confounders, including number of hours of driving per week, psychological symptoms and substance abuse.
resultsWe included 18 871 drivers who participated in the DRIVE Study for whom data on self-harm and motor vehicle crashes were available. The mean follow-up was 2 years. Overall, 1495 drivers had 1 or more crashes during the follow-up period. A total of 871 drivers (4.6%) reported that they had engaged in self-harm in the year before the survey. These drivers were at significantly increased risk of a motor vehicle crash compared with drivers who reported no self-harm (relative risk [RR] 1.42, 95% confidence interval [CI] 1.15-1.76). The risk remained significant, even after adjustment for age, sex, average hours of driving per week, previous crash, psychological distress, duration of sleep, risky driving behaviour, substance use, remoteness of residence and socio-economic status (RR 1.37, 95% CI 1.09-1.72). Most of the drivers who reported self-harm and had a subsequent crash were involved in a multiple-vehicle crash (84.1% [74/88]).
interpretationEngagement in self-harm behaviour was an independent risk factor for subsequent motor vehicle crash among young drivers, with most crashes involving multiple vehicles.
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