Fatal passenger vehicle crashes with at least 1 driver younger than 15 years: a fatality analysis reporting system study.
Creator
Frisch Larry; Plessinger Alexander
Publisher
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
Date
2007
1905-06
Description
CONTEXT: A small number of fatalities continue to occur due to motor vehicle crashes on highways in which at least 1 passenger vehicle (automobile, van, or small truck) is driven by a child younger than 15 years. PURPOSE: The purpose of this study was to extend previous work suggesting that such crashes occur frequently in the Southern states and have relatively high rates in rural areas in the South and Great Plains. METHODS: This study utilizes data for the 5-year period 1999-2003 from the National Highway Transportation Safety Administration's online Fatality Analysis Reporting System. All cases were identified in which at least 1 conventional passenger vehicle in a fatal crash was being driven by a child younger than 15 years. FINDINGS: During the 5-year period, 350 fatal crashes occurred with at least 1 driver younger than 15 years involved. Twenty-one of these drivers were licensed (11) or driving with a learner's permit (10). A total of 987 individuals in 419 vehicles were involved in these crashes, and 402 deaths resulted (1.16 deaths/crash). These crashes occurred primarily in Texas, Florida, Arkansas, and Arizona, but the highest rates per 100,000 children were found in North and South Dakota and predominantly in a band of Intermountain and Plains states. There was a strong correlation between crash rates and several measures of rurality. CONCLUSIONS: Crashes involving young, largely unlicensed, drivers account for about 70 deaths yearly.
Subject
Accidents; Adolescent; Age Factors; Automobile Driving/legislation & jurisprudence/*statistics & numerical data; Child; Female; Geography; Humans; Licensure; Male; Midwestern United States/epidemiology; Pilot Projects; Rural Health/*statistics & numerical data; Southeastern United States/epidemiology; Southwestern United States/epidemiology; Traffic/*mortality/statistics & numerical data
Characteristics Associated with Depression and Suicidal Thoughts Among Medical Residents: Results from the DEPRESS-Ohio Study
Creator
Levy Alan B; Nahhas Ramzi W; Sampang Suzanne; Jacobs Karen; Weston Christina; Cerny-Suelzer Cathleen; Riese Amy; Munetz Mark R; Shaw Janet
Publisher
Academic Psychiatry: The Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry
Date
2019
2019-07
Description
OBJECTIVE: This study describes the characteristics that are associated with depression in residents and also examines resident perception of available mental health support. METHODS: Residents and their program directors from each of 10 specialties across all academic training institutions in Ohio were electronically surveyed over a 2-month period. Generalized logistic regression was used to test for association between risk factors and depression and, among depressed residents, with suicidal thoughts. RESULTS: Using the PHQ-9, 19% of residents met criteria for at least moderate depression and 31.1% of depressed residents had suicidal thoughts. Over 70% of depressed residents were not receiving treatment, including 70% of depressed residents with suicidal thoughts. Residents who were unaware of wellness programming or did not believe their program director would be supportive of a depressed resident were significantly more likely to be depressed. Residents who believed depression treatment would negatively impact medical licensure were significantly more likely to be depressed. Male program directors and those in their position for fewer than 5 years were significantly more likely to have depressed residents in their program. CONCLUSIONS: A substantial proportion of depressed residents have suicidal thoughts, and most are not receiving treatment. Depressed residents may perceive the availability of support from their program director differently than their non-depressed colleagues, and may perceive greater risk to medical licensure if they seek treatment.
Subject
depression; Licensure; No terms assigned; Residents; Treatment; Wellness
Telehealth in developmental-behavioral pediatrics.
Creator
Soares NS; Langkamp DL
Publisher
Journal of Developmental & Behavioral Pediatrics
Date
2012
2012-10
Subject
Child; United States; Health Services Accessibility; Health Insurance Portability and Accountability Act; Licensure; Child Development; Patient Education; Caregivers – Education; Pediatrics – Legislation and Jurisprudence; Telemedicine – Legislation and Jurisprudence