ArticlePLoS medicine2015
10-y Risks of Death and Emergency Re-admission in Adolescents Hospitalised with Violent, Drug- or Alcohol-Related, or Self-Inflicted Injury: A Population-Based Cohort Study.
Article in PLoS medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Effect of a Novel Brief Motivational Intervention for Alcohol-Intoxicated Young Adults in the Emergency Department: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Certified Community Behavioral Health Clinic Services for Clients With Co-occurring Disorders: A Latent Class Approach.Psychiatric services (Washington, D.C.) · 2024Article
- Prevalence and factors associated with serious injuries and aggressive behaviours among in-school adolescents in Panama.Dialogues in health · 2023Article
- Prevalence and Predictors of Alcohol Use among School-Going Adolescents in Panama: A Population-Based Cross-Sectional Study.Children (Basel, Switzerland) · 2023Article
- Incidence, Mortality and Survival in Young People with Co-Occurring Mental Disorders and Substance Use: A Retrospective Linked Routine Data Study in Wales.Clinical epidemiology · 2022Article
- Emergency Department Use and Inpatient Admissions and Costs Among Adolescents With Deliberate Self-Harm: A Five-Year Follow-Up Study.Psychiatric services (Washington, D.C.) · 2020Article
- Health outcomes associated with emergency department visits by adolescents for self-harm: a propensity-matched cohort study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2019Article
- Alcohol Misuse and Injury Outcomes in Young People Aged 10-24.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2018Article
- Data Resource Profile: Hospital Episode Statistics Admitted Patient Care (HES APC).International journal of epidemiology · 2017Article
- Self-harm and violent criminality among young people who experienced trauma-related hospital admission during childhood: a Danish national cohort study.The Lancet. Public health · 2017Article
- Chronic conditions in children and young people: learning from administrative data.Archives of disease in childhood · 2016Article
- Impact of medical reimbursement revision on ambulance transport of self-inflicted injury patients: a nationwide study in Japan.Acute medicine & surgeryArticle
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Abstract
backgroundHospitalisation for adversity-related injury (violent, drug/alcohol-related, or self-inflicted injury) has been described as a "teachable moment", when intervention may reduce risks of further harm. Which adolescents are likely to benefit most from intervention strongly depends on their long-term risks of harm. We compared 10-y risks of mortality and re-admission after adversity-related injury with risks after accident-related injury. METHODS AND
findingsWe analysed National Health Service admissions data for England (1 April 1997-31 March 2012) for 10-19 y olds with emergency admissions for adversity-related injury (violent, drug/alcohol-related, or self-inflicted injury; n = 333,009) or for accident-related injury (n = 649,818). We used Kaplan-Meier estimates and Cox regression to estimate and compare 10-y post-discharge risks of death and emergency re-admission. Among adolescents discharged after adversity-related injury, one in 137 girls and one in 64 boys died within 10 y, and 54.2% of girls and 40.5% of boys had an emergency re-admission, with rates being highest for 18-19 y olds. Risks of death were higher than in adolescents discharged after accident-related injury (girls: age-adjusted hazard ratio 1.61, 95% CI 1.43-1.82; boys: 2.13, 95% CI 1.98-2.29), as were risks of re-admission (girls: 1.76, 95% CI 1.74-1.79; boys: 1.41, 95% CI 1.39-1.43). Risks of death and re-admission were increased after all combinations of violent, drug/alcohol-related, and self-inflicted injury, but particularly after any drug/alcohol-related or self-inflicted injury (i.e., with/without violent injury), for which age-adjusted hazard ratios for death in boys ranged from 1.67 to 5.35, compared with 1.25 following violent injury alone (girls: 1.09 to 3.25, compared with 1.27). The main limitation of the study was under-recording of adversity-related injuries and misclassification of these cases as accident-related injuries. This misclassification would attenuate the relative risks of death and re-admission for adversity-related compared with accident-related injury.
conclusionsAdolescents discharged after an admission for violent, drug/alcohol-related, or self-inflicted injury have increased risks of subsequent harm up to a decade later. Introduction of preventive strategies for reducing subsequent harm after admission should be considered for all types of adversity-related injury, particularly for older adolescents.
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