Helmkamp James C, Hungerford Daniel W, Williams Janet M, Manley William G, Furbee Paul M, Horn Kimberly A, Pollock Daniel A
Center for Rural Emergency Medicine, West Virginia University, Morgantown, USA.
J Am Coll Health. 2003 Jul-Aug;52(1):7-16. doi: 10.1080/07448480309595718.
The authors evaluated a protocol to screen and provide brief interventions for alcohol problems to college students treated at a university hospital emergency department (ED). Of 2,372 drinkers they approached, 87% gave informed consent. Of those, 54% screened positive for alcohol problems (Alcohol Use Disorders Identification Test score < or = 6). One half to two thirds of the students who screened positive drank 2 to 3 times a week, drank 7 or more drinks per typical drinking day, or had experienced alcohol dependence symptoms within the past year. Ninety-six percent of screen-positive students accepted counseling during their ED visit. Three quarters of those questioned at 3-month follow-up reported that counseling had been helpful and that they had decreased their alcohol consumption. The prevalence of alcohol problems, high rates of informed consent and acceptance of counseling, and improved outcomes suggest that the ED is an appropriate venue for engaging students at high risk for alcohol problems.
作者评估了一项协议，该协议旨在对在大学医院急诊科（ED）接受治疗的大学生的酒精问题进行筛查并提供简短干预措施。在他们接触的2372名饮酒者中，87% 给予了知情同意。其中，54% 的人酒精问题筛查呈阳性（酒精使用障碍识别测试得分≤6）。筛查呈阳性的学生中有二分之一至三分之二的人每周饮酒2至3次，在典型饮酒日饮用7杯或更多酒，或在过去一年中出现过酒精依赖症状。96% 的筛查呈阳性的学生在急诊科就诊期间接受了咨询。在3个月随访中接受询问的学生中有四分之三报告称咨询很有帮助，并且他们减少了饮酒量。酒精问题的患病率、高知情同意率和咨询接受率以及改善的结果表明，急诊科是接触有酒精问题高风险学生的合适场所。
