Department of Intensive Care, Royal Perth Hospital, Perth, Australia.
PLoS One. 2012;7(2):e31776. doi: 10.1371/journal.pone.0031776. Epub 2012 Feb 15.
Risk-taking behavior is a leading cause of injury and death amongst young people.
This was a retrospective cohort study on the effectiveness of a 1-day youth injury awareness education program (Prevent Alcohol and Risk-related Trauma in Youth, P.A.R.T.Y.) program in reducing risk taking behaviors and injuries of juvenille justice offenders in Western Australia. Of the 3659 juvenile justice offenders convicted by the court magistrates between 2006 and 2010, 225 were referred to the P.A.R.T.Y. education program. In a before and after survey of these 225 participants, a significant proportion of them stated that they were more receptive to modifying their risk-taking behavior (21% before vs. 57% after). Using data from the Western Australia Police and Department of Health, the incidence of subsequent offences and injuries of all juvenile justice offenders was assessed. The incidence of subsequent traffic or violence-related offences was significantly lower for those who had attended the program compared to those who did not (3.6% vs. 26.8%; absolute risk reduction [ARR] = 23.2%, 95% confidence interval [CI] 19.9%-25.8%; number needed to benefit = 4.3, 95%CI 3.9-5.1; p = 0.001), as were injuries leading to hospitalization (0% vs. 1.6% including 0.2% fatality; ARR = 1.6%, 95%CI 1.2%-2.1%) and alcohol or drug-related offences (0% vs. 2.4%; ARR 2.4%, 95%CI 1.9%-2.9%). In the multivariate analysis, only P.A.R.T.Y. education program attendance (odds ratio [OR] 0.10, 95%CI 0.05-0.21) and a higher socioeconomic background (OR 0.97 per decile increment in Index of Relative Socioeconomic Advantage and Disadvantage, 95%CI 0.93-0.99) were associated with a lower risk of subsequent traffic or violence-related offences.
Participation in an injury education program involving real-life trauma scenarios was associated with a reduced subsequent risk of committing violence- or traffic-related offences, injuries, and death for juvenille justice offenders.
冒险行为是导致年轻人受伤和死亡的主要原因。
这是一项针对澳大利亚西部为期一天的青少年伤害意识教育计划（预防青少年酒精和相关创伤，PARTY）对减少青少年司法罪犯冒险行为和伤害的有效性的回顾性队列研究。在 2006 年至 2010 年期间，法院治安法官判决的 3659 名青少年司法罪犯中，有 225 人被转介到 PARTY 教育计划。在对这 225 名参与者的前后调查中，他们中的很大一部分人表示，他们更愿意改变自己的冒险行为（21%在参加前，57%在参加后）。利用西澳大利亚警方和卫生部的数据，评估了所有青少年司法罪犯随后的犯罪和伤害情况。与未参加该计划的罪犯相比，参加该计划的罪犯随后发生交通或暴力相关犯罪的比例显著降低（3.6%比 26.8%；绝对风险降低[ARR] = 23.2%，95%置信区间[CI] 19.9%-25.8%；需要治疗的人数[NNT] = 4.3，95%CI 3.9-5.1；p = 0.001），因伤住院（0%比 1.6%，包括 0.2%的死亡率；ARR = 1.6%，95%CI 1.2%-2.1%）和与酒精或药物相关的犯罪（0%比 2.4%；ARR 2.4%，95%CI 1.9%-2.9%）也显著降低。在多变量分析中，只有参加 PARTY 教育计划（比值比[OR] 0.10，95%CI 0.05-0.21）和较高的社会经济背景（社会经济优势和劣势相对指数每增加一个十进制，OR 0.97，95%CI 0.93-0.99）与随后发生暴力或交通相关犯罪的风险降低相关。
参加涉及现实创伤场景的伤害教育计划与减少青少年司法罪犯随后发生暴力或交通相关犯罪、伤害和死亡的风险有关。
