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Titolo:
Adolescent emergency department presentations with alcohol- or other drug-related problems in Perth, Western Australia
Autore:
Hulse, GK; Robertson, SI; Tait, RJ;
Indirizzi:
Univ Western Australia, Queen Elizabeth II Med Ctr, Dept Psychiat & Behav Sci, Nedlands, WA 6009, Australia Univ Western Australia Nedlands WA Australia 6009 nds, WA 6009, Australia Princess Margaret Hosp Children, Adolescent Serv, Subiaco, WA, Australia Princess Margaret Hosp Children Subiaco WA Australia iaco, WA, Australia
Titolo Testata:
ADDICTION
fascicolo: 7, volume: 96, anno: 2001,
pagine: 1059 - 1067
SICI:
0965-2140(200107)96:7<1059:AEDPWA>2.0.ZU;2-R
Fonte:
ISI
Lingua:
ENG
Soggetto:
BRIEF INTERVENTION; SUBSTANCE-ABUSE; SCHOOL-STUDENTS; PUBLIC-HEALTH; PREVALENCE; ADMISSIONS; TRAUMA;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Tait, RJ Univ Western Australia, Queen Elizabeth II Med Ctr, Dept Psychiat& Behav Sci, QEII Campus, Nedlands, WA 6009, Australia Univ Western Australia QEII Campus Nedlands WA Australia 6009 lia
Citazione:
G.K. Hulse et al., "Adolescent emergency department presentations with alcohol- or other drug-related problems in Perth, Western Australia", ADDICTION, 96(7), 2001, pp. 1059-1067

Abstract

Aims. To identify the morbidity, type of substance used and the pattern ofpresentation by adolescents with problems related to alcohol or other drug(AOD) use. Design. A 4-week retrospective review of hospital records. Setting. Four metropolitan hospitals in Perth, Australia. Participants. There were 1064 presentations by people aged 12-19 years of which 160 (15%) were related to AOD use. The median age of the AOD cases was 17 (interquartile range 16-19) of whom 97 (61%) were male and 19 (12%) were Indigenous Australians. Findings. Alcohol was the most frequent precursor to presentation (66,41%) followed by heroin (24, 15%) and prescription/over-the-counter drugs (24, 15%). Injury was the most common diagnosis at presentation (50, 31%), followed by overdose/drug use (47, 29%). A diagnosis of injury was significantly more likely following the use of alcohol than other categories of substances (chi (2) = 42.07, df = 3, p<0.001). Deliberate self-harm (DSH) occurred in more female than male cases (<chi>(2) = 7.4, df = 1, p<0.01). Presentations were more frequent over the weekend (102, 64%) than on weekdays, and the length of stay was significantly shorter for weekend cases (Mann-Whitney U 2132, p<0.05). Conclusions. Given the small window of opportunity toprovide AOD treatment to youth following hospital presentation, a number of suggestions are made. From a harm-minimization perspective the focus of interventions should be on alcohol use by male youth and DSH associated withprescription/over-the-counter drug use by female adolescents. In addition,Indigenous youth are over-represented in hospital presentations, but thereis currently a lack of evaluated interventions designed for them.

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Documento generato il 20/01/20 alle ore 07:21:43