Alcohol use disorder symptoms and risk-taking behavior as predictors of alcohol-related medical events among young adults treated in emergency departments
Kelly, T.M.; Donovan, J.E.; Cornelius, J.R.; Bukstein, O.G.; Delbridge, T.R.; Kinnane, J.M.
Addictive Behaviors 30(9): 1674-1689
2005
ISSN/ISBN: 0306-4603 PMID: 16099594 DOI: 10.1016/j.addbeh.2005.07.005Document Number: 227225
Background: Studies of alcohol-positive patients in emergency departments are not clear on the relationship between alcohol use disorder (AUD) symptoms and risk for injury.Method: Two-hundred three young adults (118 males (58%); mean age=19.4 years) who were treated in two Level-1 emergency departments (ED) received comprehensive psychiatric interviews and completed the Alcohol Use Disorders Identification Test (AUDIT) and the Cognitive Appraisal of Risky Events (CARE).Results: Males diagnosed with the AUD symptom of "drinking more or over a longer period than intended" are at greatest risk for requiring emergency care for an alcohol-related medical problem (OR= 10.8, 95% CI=1.2,94.3, p<.04). Risk-taking behaviors increase risk for an alcohol-related medical event for both genders (OR=2.6, 95% CI=1.1,5.6.1, p<.03). Alcohol use disorder severity related negatively to risk for experiencing an alcohol-related medical problem (OR=0.6, 95% CI=0.4,0.9, p<.04).Conclusions: Young adults treated for alcohol-related medical problems often exhibit DSM-IV defined symptoms of AUD and are engaging in risk-taking behaviors and should be referred for an in-depth assessment of alcohol use disorders and risk-taking activities. (c) 2005 Elsevier Ltd. All rights reserved.