Prediction of Long-Term Outcomes in Young Adults with a History of Adolescent Alcohol-Related Hospitalization

AIMS:

Empirical data concerning the long-term psychosocial development of adolescents admitted to inpatient treatment with alcohol intoxication (AIA) are lacking. The aim of this study was to identify the factors that, at the time of admission, predict future substance use, alcohol use disorders (AUD), mental health treatment, delinquency and life satisfaction.

METHODS:

We identified 1603 cases of AIA treated between 2000 and 2007 in one of five pediatric departments in Germany. These former patients were invited to participate in a telephone interview. Medical records were retrospectively analyzed extracting potential variables predicting long-term outcomes.

RESULTS:

Interviews were conducted with 277 individuals, 5-13 [mean 8.3 (SD 2.3)] years after treatment, with a response rate of 22.7%; of these, 44.8% were female. Mean age at the interview was 24.4 (SD 2.2) years. Logistic and linear regression models revealed that being male, using illicit substances and truancy or runaway behavior in adolescence predicted binge drinking, alcohol dependence, use of illicit substances and poor general life satisfaction in young adulthood, explaining between 13 and 24% of the variance for the different outcome variables.

CONCLUSIONS:

This naturalistic study confirms that known risk factors for the development of AUD also apply to AIA. This finding facilitates targeted prevention efforts for those cases of AIA who need more than the standard brief intervention for aftercare.

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By:   Groß C1, Kraus L2, Piontek D3, Reis O4, Zimmermann US5; RISCA Group.

• 1Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden 01307, Germany cornelius.gross@uniklinikum-dresden.de.
• 2IFT Institut für Therapieforschung, Munich 80804, Germany Centre for Social Research on Alcohol and Drugs, SoRAD, Stockholm University, Stockholm 10691, Sweden.
• 3IFT Institut für Therapieforschung, Munich 80804, Germany.
• 4Clinic for Child and Adolescent Psychiatry, University Medicine of Rostock, Rostock 18147, Germany.
• 5Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden 01307, Germany. 

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