Traumatic Brain Injury (TBI)

Adolescent Substance Misuse and Driving

Motor vehicle accidents are the leading cause of death and serious injury in adolescents (Johnston, O’Malley, and Bachman, 2012).
19% of Illinois Youth reported riding with a driver who had been drinking alcohol in the last 30 days. (YRSB).
Of Illinois Youth who had driven a car in the last 30 days, 5% had driven after using alcohol (YRSB).

Adolescent Risk of Traumatic Brain Injury

• According to the CDC, between 2006 and 2010, excessive drinking accounted for approximately 4,300 deaths each year among youth under 21 years of age.

• Loss of psychomotor functioning associated with alcohol consumption increases the likelihood of an accident, thus increasing the risk of traumatic brain injury (Weil, Corrigan & Karelina, 2016).

Role of Primary Care Provider

Discuss “Contract for Life” with your patients, a document that asks adolescents to pledge never to accept a ride from an impaired driver.
Encourage parents to pledge to always provide a safe ride home.

History of TBI and Impact on Adolescent Substance Misuse

What is the impact in adolescence of a history of early childhood TBI?

What behaviors and conditions in adolescents are associated with a history of TBI?

Why are adolescents with a history of TBI more at risk?

What are the risks associated with alcohol use following TBI?

⇒ Up next: Screening

⇐ Back to: Binge Drinking

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1.Johnston LD, O’Malley PM, Bachman JG, Schulenberg JE. Monitoring the Future:National Survey Results on Drug Use,1975–2012, Vol. I: Secondary SchoolStudents. Ann Arbor, MI: Institute forSocial Research, University of Michigan; 2012.

2.YRSB data accessed via: https://www.cdc.gov/healthyyouth/data/yrbs/data.htm

3. https://www.cdc.gov/alcohol/fact-sheets/underage-drinking.htm

4. Weil, Zachary M, Corrigan, John D., & Karelina, Kate (2016). Alcohol abuse after traumatic brain injury: Experimental and clinical evidence. Neuroscience and Biobehavioral Reveiws 62, 89-99.

5. Corrigan, John D. PhD, Bogner, Jennifer PhD, Mellick, Dave MA, Bushnik, Tamara PhD, Dams-O’Connor, Kristen, PhD, Hammond, Flora M. PhD, Hart, Tessa PhD, and Kolakowsky-Hayner, Stephanie, PhD. (2013). Prior History of Traumatic Brain Injury Among Persons in the Traumatic Brain Injury Model Systems National Database. Archives of Physical Medicine and Rehabilitation 94: 1940-50

6. McKinlay, Audrey PhD, Grace, Randolph, PhD, Horwood, John PhD, Fergusson, David PhD, MacFarlane, Martin, PhD (2009). Adolescent Psychiatric Symptoms Following Preschool Childhood Mild Traumatic Brain Injury: Evidence From a Birth Cohort. Journal of Head Trauma Rehabilitation. 24:3 221-227.

7. Ilie, Gabriela PhD; Mann, Robert E. PhD; Hamilton, Hayley PhD; Adlaf, Edward M. PhD; Boak, Angela MA; Asbridge, Mark PhD; Rehm, Jürgen PhD; Cusimano, Michael D. MD, PhD. Section Editor(s): Caplan, Bruce PhD, ABPP; Bogner, Jennifer PhD, ABPP; Brenner, Lisa PhD, ABPP. Journal of Head Trauma Rehabilitation: September/October 2015 – Volume 30 – Issue 5 – p 293–301.6