title: Traumatic Life Events Prior to Alcohol-Related Admission of Injured Acute Care Inpatients: A Brief Report.
abstract: OBJECTIVE
  Approximately 30 million Americans present to acute care medical settings annually after incurring traumatic injuries. Posttraumatic stress disorder (PTSD) and depressive symptoms are endemic among injury survivors. Our article is a replication and extension of a previous report documenting a pattern of multiple traumatic life events across patients admitted to Level I trauma centers for an alcohol-related injury.
  
  
  METHODS
  This study is a secondary analysis of a nationwide 20-site randomized trial of an alcohol brief intervention with 660 traumatically injured inpatients. Pre-injury trauma history was assessed using the National Comorbidity Survey trauma history screen at the six-month time point.
  
  
  RESULTS
  Most common traumatic events experienced by our population of alcohol-positive trauma survivors were having had someone close unexpectedly die, followed by having seen someone badly beaten or injured. Of particular note, there is high reported prevalence of rape/sexual assault, and childhood abuse and neglect among physically injured trauma survivors. Additional trauma histories are increasingly common among alcohol-positive patients admitted for a traumatic injury.
  
  
  CONCLUSIONS
  Due to the high rate of experienced multiple traumatic events among acutely injured inpatients, the trauma history screen could be productively integrated into screening and brief intervention procedures developed for acute care settings.
authors.affiliation: a Division of Public Behavioral Health and Justice Policy at the University of Washington in Seattle.
authors.forename: Roselyn
authors.initials: R
authors.lastname: Peterson
authors.affiliation: b Department of Psychiatry and Behavioral Sciences at the University of Washington in Seattle.
authors.forename: Joan
authors.initials: J
authors.lastname: Russo
authors.affiliation: b Department of Psychiatry and Behavioral Sciences at the University of Washington in Seattle.
authors.forename: Doyanne
authors.initials: D
authors.lastname: Darnell
authors.affiliation: c Department of Psychiatry and Behavioral Sciences and the Harborview Injury Prevention and Research Center, both at the University of Washington in Seattle.
authors.forename: Jin
authors.initials: J
authors.lastname: Wang
authors.affiliation: b Department of Psychiatry and Behavioral Sciences at the University of Washington in Seattle.
authors.forename: Leah
authors.initials: L
authors.lastname: Ingraham
authors.affiliation: c Department of Psychiatry and Behavioral Sciences and the Harborview Injury Prevention and Research Center, both at the University of Washington in Seattle.
authors.forename: Douglas
authors.initials: D
authors.lastname: Zatzick
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000009:adverse effects*; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007297:Inpatients / Q000523:psychology* / Q000706:statistics & numerical data*; D008016:Life Change Events; D008297:Male; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology*; D017741:Survivors / Q000523:psychology / Q000706:statistics & numerical data; D014193:Trauma Centers; D014481:United States / Q000453:epidemiology; D055815:Young Adult