Past-Year Violence Typologies Among Patients with Cocaine-Related Chest Pain

This study examines a consecutive cohort of patients (n = 219) presenting to an urban Emergency Department (ED) for cocaine-related chest pain (June 2002 to February 2005). Patients were interviewed regarding violence, substance use, and psychosocial factors. Significant markers of violence were inc...

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Bibliographic Details
Published in:The American journal of drug and alcohol abuse 2007-01, Vol.33 (4), p.571-582
Main Authors: Cunningham, Rebecca, Walton, Maureen A., Tripathi, Shanti P., Weber, Jim Edward, Maio, Ronald F., Booth, Brenda M.
Format: Article
Language:English
Subjects:
Adult
Alcohol
Alcohol Drinking - epidemiology
Alcohol Drinking - psychology
Alcoholism
Alcoholism - diagnosis
Alcoholism - epidemiology
Chest pain
Chest Pain - epidemiology
Chest Pain - psychology
Cocaine
Cocaine-Related Disorders - epidemiology
Cocaine-Related Disorders - psychology
Cohort Studies
Comorbidity
Correlation analysis
Crime Victims - psychology
Crime Victims - statistics & numerical data
Diagnosis, Computer-Assisted
Drug abuse
Drug addicts
emergency department
Emergency Medical Services - statistics & numerical data
Emergency Medical Services - utilization
Female
Health psychology
Health Services - utilization
Humans
Interpersonal Relations
Life Style
Male
Marijuana Abuse - diagnosis
Marijuana Abuse - epidemiology
Patient Selection
Patients
Psychosocial factors
Research Design
Spouse Abuse - psychology
Spouse Abuse - statistics & numerical data
Substance-Related Disorders - diagnosis
Substance-Related Disorders - epidemiology
Violence
Violence - classification
Violence - psychology
Violence - statistics & numerical data
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Description
Summary:This study examines a consecutive cohort of patients (n = 219) presenting to an urban Emergency Department (ED) for cocaine-related chest pain (June 2002 to February 2005). Patients were interviewed regarding violence, substance use, and psychosocial factors. Significant markers of violence were increases in: past-year medical service use, binge drinking, marijuana use, cocaine diagnosis, but not cocaine use days. Rates and correlates of violence differed by relationship type (intimate partner, nonpartner) and role context (victimization, perpetration). Understanding these correlates has public health implications, both for preventing future violence and its associated ED service utilization, and for future interventions in cocaine users presenting to the ED.
ISSN:0095-2990
1097-9891
DOI:10.1080/00952990701407512