Injury and poisoning mortality among young men--are there any common factors amenable to prevention?
BACKGROUND
Deaths from injury and poisoning (suicide, accidents, undetermined deaths, and homicide) are the major cause of death among young men aged 15-39 years in England and Wales and have been increasing in recent years.


OBJECTIVE
To describe common characteristics among young men who die from injury and poisoning.


METHODS
We employed a retrospective survey methodology to investigate factors associated with deaths by injury and poisoning among young men aged 15-39 years (n = 268) in Merseyside and Cheshire during 1995. Data were collected from Coroner's inquest notes and General Practitioner records.


RESULTS
The most common cause of death was poisoning by alcohol and drugs (29.1%, n = 78). A high proportion of cases were unemployed (39.4%, n = 106). Cases were also more likely to be single compared to the general population (74.2% vs 55.5%). Self-destructive behaviour was evident in 77% of deaths (n = 206).


CONCLUSIONS
Alcohol and drug use are important contributory factors to injury and poisoning deaths. More research is needed into the effects of unemployment and being single on the health of young men, and to investigate the motivations behind risk taking and self-destructive behaviour.
D000293:Adolescent; D000328:Adult; D002423:Cause of Death; D003625:Data Collection; D004739:England / Q000453:epidemiology; D006801:Humans; D008297:Male; D011041:Poisoning / Q000401:mortality*; D012189:Retrospective Studies; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000523:psychology; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D013405:Suicide / Q000523:psychology / Q000706:statistics & numerical data; D014852:Wales / Q000453:epidemiology; D014947:Wounds and Injuries / Q000401:mortality*; D000092864:Suicide Prevention