Version Date: Sep 23, 2016 View help for published
Principal Investigator(s): View help for Principal Investigator(s)
Rebecca Cunningham, University of Michigan
https://doi.org/10.3886/ICPSR36558.v1
Version V1
This project was an investigation into the natural course of service needs, use, and trajectories among high-risk youth and young adults with drug use who presented to an inner-city Emergency Department with multiple risk behaviors (with and without acute violent injury). Eligible participants included youth/young adults (ages 14-24) who sought care at the Hurley Medical Center (HMC) Emergency Department (ED) located in Flint, Michigan between December 19, 2009 and September 7, 2011. Consenting youth completed a self-administered computerized screening survey. All participants who self-reported past year drug use were recruited for the longitudinal study. For a comparison group, a randomly selected sample of drug using youth seeking ED care for other reasons (e.g. abdominal pain, motor vehicle crash) were selected for longitudinal study (equilibrated monthly proportionally for age/gender with the acute violent injury group). Participants in the violent injury and comparison group completed a baseline assessment during their ED visit.
Dataset 1 (DS1) contains the Baseline Screener Data of both young adults and youth. This data file has 1,448 cases and 314 variables. Each case represents an individual seeking treatment in the emergency department.
Dataset 2 (DS2) contains the Baseline Youth Data. This data file has 89 cases and 531 variables. Of these 89 cases, 51 of the youths (ages 14-17) presented to the Emergency Department with a violent injury. The remaining 38 respondents reported to the Emergency Department for non-violent injury and are part of the comparison group.
Dataset 3 (DS3) contains the Baseline Young Adult Data. This file contains 511 cases and 483 variables. Of these 511 cases, 299 of the young adults (ages 18-24) presented to the Emergency Department with a violent injury. The remaining 212 respondents reported to the Emergency Department for non-violent injury and are part of the comparison group.
The Baseline Screener Data includes demographics and information about public assistance, income, work, marital status, insurance, the injury visit, school/grades, retaliation attitudes, fights, violence, gang affiliation, weapons, partner violence, nicotine use, alcohol use, drug use, HIV risk-taking behaviors, needle use, sexual behavior, STD/HIV, past adolescent injuries, age on onset of drug use, and current conflict and aggression.
The Baseline Youth and Young Adult Data include sexual behavior, threat of retaliation, brief symptom inventory/suicide risk, drug and alcohol refusal efficacy, drinking and driving (DUI), community involvement, peer influences, non-partner aggression, parental support, parent influence on drug and alcohol use, family conflict, mentors, fight self-efficacy, community violence, sexual risk behaviors, medical care, alcohol dependence/abuse, drug dependence/abuse, substance abuse service utilization, post traumatic stress disorder (PTSD), conduct disorder (youth) or antisocial personality disorder (young adult), legal system involvement, major depressive episodes, and mental health service utilization.
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Access to this study is restricted. Users interested in obtaining these data must complete a Restricted Data Use Agreement, specify the reasons for the request, and obtain IRB approval or notice of exemption for their research.
Users are reminded that these data are to be used solely for statistical analysis and reporting of aggregated information, and not for the investigation of specific individuals or organizations.
This data collection provides the baseline data collected between December 19, 2009 and September 7, 2011.
Followups were conducted with the cohort at 6, 12, 18, and 24 months. These data are not currently part of this collection.
The variable DEID should be used to link respondents between the screener and wave data.
ICPSR created all of the variable labels for each dataset.
Substance Use Among Violently Injured Youth in an Urban Emergency Department was an investigation into the natural course of service needs, use, and trajectories among high-risk youth with drug use who present to an inner-city Emergency Department with multiple risk behaviors (with and without acute violent injury). By over-sampling of a violently injured group, the study was able to obtain a sufficient sample size that has been lacking in prior work limiting conclusions and intervention development. The specific aims of the study included:
This study was designed to oversample youth (14-24 years) presenting to the ED for violent injury (i.e., assault related) and reporting past 6 month substance use. Patients completed screening and surveys during their ED visit. However, those with violent injuries too severe to participate in the ED were recruited if they stabilized in the hospital within 72 hours. Based on the age block (14-17, 18-20, 21-24) and sex (male/female) of enrolled youth presenting with violent injury, a proportionally selected comparison group was sampled of youth who presented for non-assault related complaints (e.g., abdominal pain, fever) and reported past 6 month substance use. Comparison youth were approached based on triage time, to mirror the proportion of participants in each age/sex group of violently injured participants. Patients were approached by research assistants to participate in a screening survey to determine eligibility. Patients presenting to the ED for an acute sexual assault, child abuse, or suicidal ideation or attempt were excluded. Upon written consent/assent from the patient (and parent/guardian if age was less than 18), participants self-administered a computerized screening survey(~25 minutes) and chose a $1.00 gift (i.e., cards and lotion). Participants completed the surveys in treatment spaces without others present, in order to ensure confidentiality. Screened participants in the violently injured and comparison group reporting past 6 month substance use on the ASSIST (i.e., marijuana, cocaine, prescription stimulant, opiates, or sedatives/sleeping pills, methamphetamine, inhalants, hallucinogens, street opiates; World Health Organization ASSIST Working Group, 2002) were enrolled in the longitudinal study and completed a baseline assessment (~90 minutes; $20 remuneration), and a urine drug screen ($5) as well as oral HIV testing ($5; not reported here). The baseline interview included self-administered and research assistant administered portions (e.g., Time Line Follow Back [TLFB] interview). Our IRB did not allow for collection of additional data from refusals without written informed consent.
Emergency department patients aged 14-24 presenting for violent injury and a similarly aged comparison population of patients presenting for any medical reason were eligible for screening. During screening, participants were included on the basis of self-reported drug use in the previous year.
Exclusions from study participation included:
Recruitment started on December 20, 2009 between the hours of 2 p.m. and 12 a.m. with additional weekend sampling between 5 a.m. to 7 a.m. Violently injured patients who were still in the ED at the time of shift start or who triaged up to shift end and were sent into a waiting room or put in a patient room were recruited. Potential comparison group participants with triage times one hour after the time of shift start and up to one hour before shift end were recruited.On January 14 recruitment hours changed to 4 p.m. to 2 a.m. seven days a week. On January 22 recruitment hours were changed to 3 p.m. through 1 a.m. Starting April 15 recruitment hours were 5 a.m. through 2 a.m. On April 27 recruitment times were between 5 a.m. and 1 a.m. except for Tuesdays and Wednesdays when shifting began at 7 a.m. On September 2, a third shift (11 p.m. - 7 a.m.) was added 5 days a week, which provided 24 hour a day coverage Thursday through Monday. Winter holidays were excluded. However, recruitment days included summer holidays.
High-risk youth (ages 14-17) and young adults (ages 18-24) with drug use who present to an inner-city emergency department with multiple risk behaviors.
The baseline survey had a response rate of 85.4 percent.
Established scales used for this study include:
2016-09-23
2016-09-23 ICPSR data undergo a confidentiality review and are altered when necessary to limit the risk of disclosure. ICPSR also routinely creates ready-to-go data files along with setups in the major statistical software formats as well as standard codebooks to accompany the data. In addition to these procedures, ICPSR performed the following processing steps for this data collection:
The public-use data files in this collection are available for access by the general public. Access does not require affiliation with an ICPSR member institution.
One or more files in this data collection have special restrictions. Restricted data files are not available for direct download from the website; click on the Restricted Data button to learn more.
