Evidence map›Paper›PMID 36813554›Full record

ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2023

Self-harm in adolescence and risk of crash: a 13-year cohort study of novice drivers in New South Wales, Australia.

Patricia Cullen, Holger Mőller, Rachel Baffsky, Alexandra Martiniuk, Teresa Senserrick, Kris Rogers, Mark Woodward, Mark R Stevenson, Rebecca McLean, Susan Sawyer and 2 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 4 countries.

Patricia CullenSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia patricia.cullen@unsw.edu.au.ORCID 0000-0003-4652-0936
Holger MőllerSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0003-0675-8712
Rachel BaffskySchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia.
Alexandra MartiniukThe George Institute for Global Health, Sydney, New South Wales, Australia.
Teresa SenserrickCentre for Accident Research and Road Safety - Queensland (CARRS-Q), Queensland University of Technology (QUT), Brisbane, Queensland, Australia.
Kris RogersThe George Institute for Global Health, Sydney, New South Wales, Australia.
Mark WoodwardThe George Institute for Global Health, Sydney, New South Wales, Australia.
Mark R StevensonTransport Health and Urban Design Research Hub, The University of Melbourne, Melbourne, Victoria, Australia.
Rebecca McLeanDepartment of Population Health, University of Otago Christchurch, Christchurch, New Zealand.
Susan SawyerDepartment of Pediatrics, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia.
George PattonDepartment of Pediatrics, The University of Melbourne Faculty of Medicine Dentistry and Health Sciences, Melbourne, Victoria, Australia.
Rebecca Q IversSchool of Population Health, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0003-3448-662X
UNSW Sydney · AURoyal Children's Hospital · AUQueensland University of Technology · AUThe George Institute for Global Health · GBThe University of Melbourne · AUThe University of Sydney · AUUniversity of Otago · NZUniversity of Technology Sydney · AUUniversity of Wollongong · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSelf-harm and suicide are leading causes of morbidity and death for young people, worldwide. Previous research has identified self-harm is a risk factor for vehicle crashes, however, there is a lack of long-term crash data post licensing that investigates this relationship. We aimed to determine whether adolescent self-harm persists as crash risk factor in adulthood.

methodsWe followed 20 806 newly licensed adolescent and young adult drivers in the DRIVE prospective cohort for 13 years to examine whether self-harm was a risk factor for vehicle crashes. The association between self-harm and crash was analysed using cumulative incidence curves investigating time to first crash and quantified using negative binominal regression models adjusted for driver demographics and conventional crash risk factors.

resultsAdolescents who reported self-harm at baseline were at increased risk of crashes 13 years later than those reporting no self-harm (relative risk (RR) 1.29: 95% CI 1.14 to 1.47). This risk remained after controlling for driver experience, demographic characteristics and known risk factors for crashes, including alcohol use and risk taking behaviour (RR 1.23: 95% CI 1.08 to 1.39). Sensation seeking had an additive effect on the association between self-harm and single-vehicle crashes (relative excess risk due to interaction 0.87: 95% CI 0.07 to 1.67), but not for other types of crashes. DISCUSSION: Our findings add to the growing body of evidence that self-harm during adolescence predicts a range of poorer health outcomes, including motor vehicle crash risks that warrant further investigation and consideration in road safety interventions. Complex interventions addressing self-harm in adolescence, as well as road safety and substance use, are critical for preventing health harming behaviours across the life course.

Indexed as

Automobile DrivingAccidents, TrafficAdolescentAustraliaCohort StudiesHumansNew South WalesProspective StudiesRisk FactorsYoung AdultAdolescentMotor vehicle � OccupantSuicide/Self?Harm

Identifiers

PMID36813554
PMCPMC10423516
OpenAlexW4321489189

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.