Journal of Pediatric Psychology 29(2) pp. 119-130, 2004
Journal of Pediatric Psychology vol. 29 no. 2 © Society of Pediatric Psychology 2004; all rights reserved
Childhood Psychiatric Disorder and Unintentional Injury: Findings from a National Cohort Study
1 MRC Social, Genetic, and Developmental Psychiatry Center, Institute of Psychiatry, King's College London, UK, and 2 Department of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College London, UK
All correspondence concerning this article should be addressed to Dr Richard Rowe, MRC Social, Genetic, and Developmental Psychiatry Research Center, Box P046, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF, UK. E-mail: r.rowe{at}iop.kcl.ac.uk.
Objective We set out to examine the relationship between unintentional injury and common child psychiatric disorders, including both internalizing and externalizing diagnoses. Methods The 1999 British Child and Adolescent Mental Health Survey provided a nationally representative sample of over 10,000 children aged 5–15 years. Measures included assessment of diagnoses of psychiatric disorder from the Diagnostic and Statistical Manual of Mental Disorders, fourth edition, unintentional injury, and a range of potentially related psychosocial factors. Results Children with psychiatric disorders had higher rates of unintentional injury. After accounting for psychosocial risk factors and comorbid psychopathology, oppositional defiant disorder (ODD) was independently associated with burns and poisoning. Attention deficit hyperactivity disorder (ADHD) was related to fractures, and depression and anxiety also showed independent links to some injury types. Conclusions ODD and ADHD, rather than conduct disorder, appear to be the externalizing disorders associated with unintentional injury. We discuss possible models of the relationships between internalizing disorders and unintentional injury.
Key words: accident; psychopathology; children; adolescents.
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