|
Citation
|
Martiniuk ALC, Ivers RQ, Glozier N, Patton GC, Lam LT, Boufous S, Senserrick TM, Williamson A, Stevenson MR, Norton R. Inj. Prev. 2010; 16(Suppl 1): A100. |
|
Abstract
|
Safety 2010 World Injury Conference, London, Abstract: : Background Some crashes, particularly single vehicle crashes, may result from intentional self-harm behaviour but research on this topic is limited. Self-harm is the deliberate injuring of oneself and includes actions such as cutting, attempted hanging and poisoning. This study aimed to assess the risk that intentional self-harm poses for prospective motor vehicle crashes among novice drivers.
Methods Questionnaire responses from 20 822 newly licensed drivers aged 17 to 24 were prospectively linked to licensing and police-reported crash data. The mean follow-up was 2 years. Multivariable Poisson regression models were used to investigate the role of recent self-harm on the risk of crash, taking into account potential confounders including driving exposure, duration of sleep, remoteness of residence, socio-economic status, psychological symptoms and substance abuse.
Results A total of 871 drivers reported engaging in self-harm in the year before the survey. Self-harm was more common among youth who were women, Australian-born, living in rural areas, driving more per week, sleeping less and using drugs and alcohol. Young people who reported engaging in self-harm behaviour were at significantly increased risk of crash (RR 1.42; 95% CI 1.15 to 1.76 unadjusted; RR 1.37; 95% CI 1.09 to 1.72 adjusted).
Interpretation This first and largest ever study of the relationship between self-harm and crash in young drivers found self-harm to be a predictor of subsequent motor vehicle crash, with most crashes involving multiple vehicles. |