Self-harm and risk of motor vehicle crashes in youth: the DRIVE prospective cohort study. (1st March 2011)

• Record Type: Journal Article
• Authors: Martiniuk, A L C; Ivers, R Q; Glozier, N; Patton, G C; Lam, L T; Boufous, S; Senserrick, T; Williamson, A; Stevenson, M; Norton, R
• Is Part Of: Injury prevention. Volume 16(2010)Supplement 1
• Page Start: A100
• Page End: A100
• Publication Date: 2011-03-01
• Subjects: Children's accidents -- Prevention -- Periodicals; Accidents -- Prevention -- Periodicals; 617.1
• DOI: 10.1136/ip.2010.029215.360
• Languages: English
• ISSNs: 1353-8047

Abstract

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.