Indications for psychosocial screening-include but are not limited to: Taking a psychosocial history is an important part of the health interview of young people as physical, emotional and social well being are closely interlinked. These questions will also allow exploration of the developmental stage of the young person.
Drove a car while under the influence This information, however, may have a significant bearing on the interpretation of survey findings and on the identification of appropriate targets for effective interventions and social policies.
Adolescents consume alcohol in a variety of contexts, including their own homes, homes of friends or acquaintances, bars or restaurants, outdoor settings e. Drinking outdoors and drinking in a car or truck were both significant predictors of alcohol—impaired driving i. Drinking in a car or truck including drinking by drivers was associated with a 2.
Several studies have indicated that living circumstances are a major contextual influence on college student drinking behaviors Perkins For example, using data from the College Alcohol Study of 17, students from campuses in 40 States and the District of Columbia, Wechsler and colleagues reported that fraternity residence relative to nonfraternity residence was associated with an almost sevenfold increase in the probability of bingeing or of episodic drinking.
After statistically controlling for several other variables that might influence binge drinking in college—such as binge drinking in high school, school grades, cigarette use, and importance of religion—fraternity residence was still associated with a fourfold increase in the probability of binge drinking.
Similar findings have been reported in other studies Presley et al. Fraternity residence could account for at least some of the college versus noncollege differences in episodic heavy drinking reported above.
Similarly, with a representative sample of almost 2, New York State college students ages 18 to 25 yearsBarnes and colleagues reported that living in a dormitory instead of living at home with parents was associated with substantially higher levels of alcohol use and alcohol—related adverse consequences.
In another study of drinking contexts, Wechsler and colleagues used data from a College Alcohol Study that surveyed 14, students from colleges. The researchers first categorized college campuses as low, medium, or high with respect to the prevalence of binge drinking among students.
Binge drinking was defined as low on campuses if it was reported by less than 36 percent of students; medium, if reported by 36 to 50 percent of students; or high, if reported by more than 50 percent of students.
The researchers then assessed the association between the level of binge drinking on campus and adverse secondhand effects caused by students who were drinking but experienced by students who were nonbingeing drinkers or abstainers.
Secondhand effects included events such as having been insulted or humiliated; having been pushed, hit, or assaulted; having experienced an unwanted sexual advance; having had studying or sleep interrupted; and having had to take care of a drunken student. The findings indicated that significantly higher levels of adverse secondary effects occurred on campuses with higher levels of binge drinking.
For example, 74 percent of nonbinge and abstaining students reported having had their studying or sleep interrupted on high binge—drinking campuses, compared with only 40 percent on low binge—drinking campuses.
Similarly, 20 percent of students reported property damage on the high binge—drinking campuses, compared with only 6 percent on low binge—drinking campuses. Hence, binge drinking varies across campuses and can have negative effects for both the binge drinkers and nonbinge—drinking and abstaining students.
Based on data collected from more than 4, adolescents ages 13 to 18 years in the NHSDA, Johnson and colleagues reported strong relationships between binge drinking and smoking.
For example, adolescents who reported binge drinking in the 30 days before the survey were 17 times more likely to have smoked during that time than adolescents who did not report binge drinking.
Also, among adolescents who did not binge drink in the previous 30 days, more than 82 percent did not smoke during that time. These findings indicate that alcohol use in this instance, specifically binge drinking and smoking are highly associated with each other.
Findings from the National College Health Risk Behavior Survey CDC have also demonstrated significant associations between alcohol use and co—occurring risky behaviors among college students.
For example, during the 30 days preceding the survey, Males were more likely to report driving after drinking than females Similarly, of the During the 30 days preceding the survey, Among sexually active college students, · To further investigate this topic, the purpose of this study was to examine the impact of educational and demographic factors on the self-esteem of adolescents from divorced and intact families.
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Recent studies have shown that greater than 20% of adolescents in the general population have emotional problems and one-third of adolescents attending psychiatric clinics suffer from depression.