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Original Article
Personality disorders and nonfatal unintentional injuries among US adults
  1. G Chen1,
  2. S Sinclair1,
  3. G A Smith1,
  4. K Kelleher2,
  5. K A Pajer3,
  6. W Gardner2,
  7. H Xiang1
  1. 1
    Center for Injury Research and Policy, Research Institute at Nationwide Children’s Hospital, College of Medicine, Ohio State University, Ohio, USA
  2. 2
    Center for Innovation in Pediatric Practice, Research Institute at Nationwide Children’s Hospital, College of Medicine, Ohio State University, Ohio, USA
  3. 3
    Center for Biobehavioral Health, Research Institute at Nationwide Children’s Hospital, College of Medicine, Ohio State University, Ohio, USA
  1. Dr H Xiang, Center for Injury Research and Policy, Research Institute at Nationwide Children’s Hospital, 700 Children’s Drive, Columbus, OH 43205, USA; xiangh{at}pediatrics.ohio-state.edu

Abstract

Objective: To investigate the association between personality disorders and nonfatal unintentional injuries in a representative sample of US adults.

Methods: Data on self-reported nonfatal unintentional injuries during the 12 months before the interview were obtained from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) were analyzed; 43 093 adults ⩾18 years participated in the NESARC wave I survey in 2001–02. Personality disorders were determined using the NIAAA Alcohol Use Disorders and Associated Disabilities Interview Schedule-DSM-IV.

Results: Individuals with at least one personality disorder had a significantly higher 12-month incidence of injuries than people without any personality disorder (p<0.001). After accounting for sociodemographic characteristics or other mental disorders, OR was 1.54 (95% CI 1.39 to 1.71) for individuals with one personality disorder and 1.80 (95% CI 1.58 to 2.05) for individuals with two or more personality disorders compared with people with no personality disorder.

Conclusion: Personality disorders were associated with a significantly increased risk of unintentional injuries. This information has important implications for the treatment of patients with these disorders.

https://doi.org/10.1136/ip.2007.016857

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    Footnotes

    • Funding: GC, HX and SS were funded in part by a grant from the Centers for Disease Control and Prevention (HX, grant number R49/CE000241-01). The contents of this study are solely the responsibility of the authors and do not necessarily reflect the official views of the Centers for Disease Control.

    • Competing interests: None.