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Self-harm and risk of motor vehicle crashes in youth: the DRIVE prospective cohort study
  1. A L C Martiniuk*,
  2. R Q Ivers,
  3. N Glozier,
  4. G C Patton,
  5. L T Lam,
  6. S Boufous,
  7. T Senserrick,
  8. A Williamson,
  9. M Stevenson,
  10. R Norton
  1. Correspondence The George Institute for International Health, M201 Missenden Rd, Camperdown -Sydney, NSW 2050, Australia


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.

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