Titre : | Adolescent emergency department presentations with alcohol- or other drug-related problems in Perth, Western Australia |
Titre traduit : | (Adolescents se présentant dans un service d'urgence avec des problèmes liés à l'alcool ou à d'autres drogues, à Perth, Australie) |
Auteurs : | G. K. HULSE ; S. I. ROBERTSON ; R. J. TAIT |
Type de document : | Périodique |
Année de publication : | 2001 |
Format : | 1059-1067 / fig. ; tabl. |
Note générale : |
Addiction, 2001, 96, (7), 1059-1067 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus mots-clés ADOLESCENT ; URGENCE ; HOPITAL ; EPIDEMIOLOGIE DESCRIPTIVE ; ALCOOL ; MEDICAMENTS ; SEXE ; COMPARAISONThésaurus géographique AUSTRALIE |
Résumé : |
ENGLISH : Aims. To identify the morbidity, type of substance used and the pattern of presentation 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. Deliberate self-harm (DSH) occurred in more female than male cases. Presentations were more frequent over the weekend (102, 64%) than on weekdays, and the length of stay was significantly shorter for weekend cases. Conclusions. Given the small window of opportunity to provide 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 with prescription/over-the-counter drug use by female adolescents. In addition, Indigenous youth are over-represented in hospital presentations, but there is currently a lack of evaluated interventions designed for them. (Author' s abstract) |
Note de contenu : | fig. ; tabl. |
Domaine : | Plusieurs produits / Several products |
Refs biblio. : | 22 |
Affiliation : |
Department of Psychiatry and Behavioural Science, QE II Campus, Univ. of Western Australia, Nedlands WA, 6009 Australie. Australia. |
Numéro Toxibase : | 208594 |
Centre Emetteur : | 02 Coordonnateur |
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