Presented at the Kettil Bruun Society for Social and Epidemiological Research on Alcohol, Melbourne, Australia, April 11–15, 2011.
Alcohol and Drug Use as Predictors of Intentional Injuries in Two Emergency Departments in British Columbia†
Article first published online: 15 FEB 2013
Copyright © American Academy of Addiction Psychiatry
The American Journal on Addictions
Volume 22, Issue 2, pages 87–92, March-April 2013
How to Cite
Cherpitel, C. J., Martin, G., Macdonald, S., Brubacher, J. R. and Stenstrom, R. (2013), Alcohol and Drug Use as Predictors of Intentional Injuries in Two Emergency Departments in British Columbia. The American Journal on Addictions, 22: 87–92. doi: 10.1111/j.1521-0391.2013.00316.x
- Issue published online: 15 FEB 2013
- Article first published online: 15 FEB 2013
- Manuscript Accepted: 15 AUG 2011
- Manuscript Revised: 10 AUG 2011
- Manuscript Received: 30 MAR 2011
While a substantial literature exists demonstrating a strong association of alcohol and intentional injury, less is known about the association of intentional injury with recreational drug use, either alone, or in combination with alcohol.
The risk of intentional injury due to alcohol and other drug use prior to injury is analyzed in a sample of emergency department (ED) patients.
Logistic regression was used to examine the predictive value of alcohol and drug use on intentional versus non-intentional injury in a probability sample of ED patients in Vancouver, BC (n = 436).
Those reporting only alcohol use were close to four times more likely (OR = 3.73) to report an intentional injury, and those reporting alcohol combined with other drug(s) almost 18 times more likely (OR = 17.75) than those reporting no substance use. Those reporting both alcohol and drug use reported drinking significantly more alcohol (15.7 drinks) than those reporting alcohol use alone (5 drinks).
These data suggest that alcohol in combination with other drugs may be more strongly associated with intentional injury than alcohol alone.
Conclusions and Scientific Significance
The strong association of alcohol combined with other drug use on injury may be due to the increased amount of alcohol consumed by those using both substances, and is an area requiring more research with larger samples of intentional injury patients. (Am J Addict 2013;22:87-92)