Health Risk Reduction Projects, Integrated Substance Abuse Programs, Department of Psychiatry, University of California, Los Angeles, CA, USA.
Psychol Health Med. 2010 Oct;15(5):574-83. doi: 10.1080/13548506.2010.507770.
Ethnic minority youth living in urban areas experience disproportionately high rates of violent intentional injuries. This study investigates the association of violent intentional injuries with psychological distress and alcohol use among adolescents treated in trauma centers for facial injuries. Interviews were conducted with 67 adolescents treated at two urban trauma centers (predominantly males [86%], and minority [Latino, 72%; African American, 19%]). Adolescents reported experiencing several different types of accidental and assault-related injuries that required medical attention in the past six months. About half (53%) reported experiencing only unintentional injuries (e.g. car accidents, falls, sports injury); 23% experienced one type of intentional injury resulting from either fighting or being attacked; and 24% experienced two types of intentional injuries resulting from both fighting and being attacked. Measures of alcohol use and psychological distress were examined in relation to these three types of injuries. Overall, 30% of study participants reported they had been drinking alcohol at the time of injury. Compared to adolescents without intentional injuries, those who experienced a physical fight and/or attack had higher levels of alcohol problems, depression, paranoia and somatic symptoms, and were more likely to have family members with alcohol problems. There is a considerable need for adolescents with intentional assault-related injuries to be screened for alcohol and mental health problems, and to be referred for appropriate treatment interventions if they score at problem levels.
生活在城市地区的少数民族青年经历暴力蓄意伤害的比例过高。本研究调查了在创伤中心接受面部创伤治疗的青少年中，暴力蓄意伤害与心理困扰和酒精使用之间的关联。对在两家城市创伤中心接受治疗的 67 名青少年（主要为男性[86%]和少数民族[拉丁裔占 72%；非裔美国人占 19%]）进行了访谈。青少年报告在过去六个月中经历了几种不同类型的需要医疗关注的意外和与攻击有关的伤害。大约一半（53%）报告仅经历了非故意的伤害（例如车祸、跌倒、运动损伤）；23%经历了一种由打架或被攻击导致的故意伤害；24%经历了两种由打架和被攻击导致的故意伤害。研究中检查了酒精使用和心理困扰与这三种伤害类型的关系。总体而言，30%的研究参与者报告在受伤时饮酒。与没有故意受伤的青少年相比，经历过身体打架和/或攻击的青少年有更高的酒精问题、抑郁、偏执和躯体症状水平，并且更有可能有酗酒的家庭成员。对于因故意袭击而受伤的青少年来说，有相当大的需求需要对他们进行酒精和心理健康问题的筛查，如果他们的得分达到问题水平，则需要转介接受适当的治疗干预。
