A descriptive study of trauma, alcohol, and alcoholism in young adults.
Young adults, 18-20 years of age, admitted to a trauma center via the emergency department, were studied to determine if they had been drinking prior to their injury event. The prevalence of self-reported chronic alcohol problems was examined using the short Michigan Alcohol Screening Test (SMAST). Of the 319 subjects, 131 (41%) tested positive for alcohol, including about one-half of those with intentional injuries and 38% with unintentional injuries. Approximately 22% had blood alcohol concentrations of 100 mg/dL or more, indicating they were legally intoxicated at the time of their injury. Of study subjects who completed the SMAST, 49% attained scores suggesting potential or probable alcoholism, and 20% had already sought some type of treatment, despite their young age. Health-care practices and policies related to these findings include routine screening of trauma patients for alcohol abuse and integration of chemical dependency intervention services with trauma care.
Rivara
F P
FP
Harborview Injury Prevention and Research Center, Seattle, WA 98104.
Gurney
J G
JG
Ries
R K
RK
Seguin
D A
DA
Copass
M K
MK
Jurkovich
G J
GJ
D000293:Adolescent; D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects / Q000453:epidemiology*; D000437:Alcoholism / Q000150:complications / Q000453:epidemiology*; D015331:Cohort Studies; D004630:Emergencies; D005260:Female; D006760:Hospitalization; D006801:Humans; D008297:Male; D015995:Prevalence; D014193:Trauma Centers; D014861:Washington; D014947:Wounds and Injuries / Q000453:epidemiology / Q000209:etiology*