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Ole Brink

Publications and source records attributed to Ole Brink.

9 recordsLinked to original sources
PubMed2006

What is the lifetime risk of contact with an A&E Department or an Institute of Forensic Medicine following violent victimisation?

OBJECTIVE: The aim of the study was to estimate the age and gender specific incidence rates of first time contact with an A&E Department and/or an Institute of Forensic Medicine due to violent victimisation in a Danish low-risk urban population and, secondly to estimate the corresponding lifetime risk of violence based upon these incidence rates. METHODS: All first time contacts of victims of violence with the A&E Department at Odense University Hospital and/or the Institute of Forensic Medicine, University of Southern Denmark 1991-2002 were included. Based on estimated age and gender specific annual incidence rates of first time violence and on the survival rates of the background population, the lifetime risk was estimated assuming calendar time stationarity of incidence and survival rates. RESULTS: The overall annual incidence rate of first time violence was 9.2 [95% CI: 9.0-9.4] per 1000 population/year for males and 2.6 [95% CI: 2.5-2.7] per 1000 population/year for females. The estimated lifetime risk was 0.440 [95% CI: 0.438-0.442] for males and 0.180 [95% CI: 0.178-0.181] for females. The highest cumulative risk for both males and females was in the age group 15-24 years, 0.192 [95% CI: 0.188-0.195] for males and 0.048 [95% CI: 0.046-0.051] for females. CONCLUSION: The current study shows, that even in a country with a relatively low risk of violent victimisation a considerable part of the population over a lifetime will need medical assistance after violent victimisation.

Adolescent↗
PubMed2006

Trends in deliberate interpersonal violence in the Odense Municipality, Denmark 1991-2002. The Odense study on deliberate interpersonal violence.

A 12-year study was carried out to investigate the development of interpersonal violence based on A and E department and/or forensic data from a Danish urban population. Included in the study were all victims of violence from the Odense municipality treated at the Odense University Hospital or subjected to medicolegal autopsy at the Institute of Forensic Medicine, University of Southern Denmark 1991-2002. Overall 14,316 victims of violence were included in the study. The incidence rates of violence were 9.9 and 3.4 per 1000 population/year for males and females. For males the incidence rate decreased in the study period whereas the incidence rate was unchanged among females. Less serious lesions and wounds were the most common type of lesions. The percentage of less serious lesions increased in the study period. The percentage of potential severe lesions such as bone fractures and deep lesions decreased in the study period. The percentage of patients stabbed or cut with knives, the percentage of gunshots, and the mortality rate did not change in the study period. The present study showed no evidence of an increased frequency or severity of interpersonal violence which contrasts with the increased public concern about violence.

Adolescent↗
PubMed2004

City centre violence.

Emergency medicine departments have often proved to be an important source of information concerning violence. These resulting studies of violence have not previously focused on city centre violence, but instead described violence from an entire casualty department or police district. Results from the Aarhus violence study of 1999-2000 revealed differences in characteristics of victims, place of assault and alcohol consumption when violence in the city was compared to violence elsewhere. The present study constitutes a one-year period (1999-2000), during which a total of 1106 assault victims were registered, and among these 230 were assaulted downtown. Forty-six percent of victims from the city centre were assaulted in public houses or streets nearby compared to 5% in the district outside city centre. Both in- and outside the city centre the number of victims decreased significantly in relation to the previous period. However, women who experienced violence in the city were then more likely to be assaulted in the streets, when compared to previous studies. Victims who were assaulted in the city were more frequently under the influence of alcohol than victims from the outside. It is believed that the present results are comparable with other major cities.

Alcohol Drinking↗
PubMed2004

Acute stress disorder as a predictor of post-traumatic stress disorder in physical assault victims.

The authors' objective was to examine the ability of acute stress disorder (ASD) and other trauma-related factors in a group of physical assault victims in predicting post-traumatic stress disorder (PTSD) 6 months later. Subjects included 214 victims of violence who completed a questionnaire 1 to 2 weeks after the assault, with 128 participating in the follow-up. Measures included the Harvard Trauma Questionnaire, the Trauma Symptom Checklist, and the Crisis Support Scale. Twenty-two percent met the full PTSD diagnosis and 22% a subclinical PTSD diagnosis. Previous lifetime shock due to a traumatic event happening to someone close, threats during the assault, and dissociation explained 56% of PTSD variance. Inability to express feelings, hypervigilance, impairment, and hopelessness explained another 15% of PTSD variance. The dissociative, the reexperiencing, the avoidant, and the arousal criteria of the ASD diagnosis correctly classified 79% of the subsequent PTSD cases.

Adaptation, Psychological↗
PubMed2003

Acute Stress Disorder in physical assault victims visiting a Danish emergency ward.

UNLABELLED: The purpose of this article is to assess the prevalence of Acute Stress Disorder (ASD) following violent assault in victims who come to the emergency ward, and compare the effects with degrees of injury. Two hundred and fourteen victims of violence completed a questionnaire 1 to 2 weeks after the assault. Measures included the Harvard Trauma Questionnaire, the Trauma Symptom Checklist and the Crisis Support Scale. RESULTS: Twenty-four percent met the full ASD diagnosis and 21% a subclinical ASD diagnosis. Childhood sexual and physical abuse and shock due to a traumatic event that happened to someone close increased the likelihood of ASD four to ten times. Feeling of security and ability to express feelings reduced the likelihood of ASD by one-quarter, while feeling let down by others and hopelessness increased the likelihood of ASD respectively 1.4 and 2.6 times.

Acute Disease↗
PubMed2002

[Violence in Aarhus over two decades].

INTRODUCTION: Data collected from hospitals and the police have on several occasions proved to be useful in gaining knowledge about violence. The casualty departments, the Institute of Forensic Medicine, and the police in Aarhus have co-operated in three earlier studies of inter-person violence, the latest in 1993-1994. The aim of this study was to update knowledge about the incidence and character of violence in Aarhus. MATERIAL AND METHODS: A dynamic cohort study was carried out in the period 1 April 1999 to 31 March 2000. Persons who arrived at the casualty wards or Institute of Forensic Medicine after having been exposed to violence were registered and interviewed. Data from the police were also collected. All results were compared to corresponding data collected in 1981-1982, 1987-1988, and 1993-1994. RESULTS: The number of victims decreased significantly to 1496. The annual incidence rate dropped to 4.6 victims/1000. This decrease in violence was particularly seen among 15-24-year-old males. The extent of violence against women remained unchanged in the years 1999-2000. Foreigners were significantly higher represented among the victims. The character and severity of the violence were unchanged. DISCUSSION: Similar findings with an overall decrease in the incidence of violence and, at the same time, an increase in violence among foreigners have been reported in studies from Norway and Britain. Preventive action should be considered in the groups of 15-24-year-old males and foreigners.

Adolescent↗
PubMed2002

Two decades of violence. A cohort study from the Danish municipality of Aarhus.

INTRODUCTION: Data collected from hospitals and the police has on several occasions proved to be useful in gaining knowledge about violence. The two casualty departments, Institute of Forensic Medicine and the police in Aarhus have co-operated in three earlier studies about interpersonal violence, the latest in 1993-1994. The purpose of this recent study is to reveal updated information about the incidence and character of violence in Aarhus. METHODOLOGY: Dynamic cohort study during the period the 1st of April 1999 to the 31st of March 2000. Persons who after having been exposed to violence arrived at the casualty wards and Institute of Forensic Medicine were registered and interviewed. Also data from the police was collected. All results were compared to corresponding data collected from equally conducted studies in 1981-1982, 1987-1988, and 1993-1994. RESULTS: The number of victims significantly decreased to 1496. The annual incidence rate decreased to 4.6 victims/1000. The decrease in violence was particularly among the 15-24 year old males. The extent of violence against women remained unchanged in 1999-2000. Foreigners were significantly higher represented among victims. The character and severity of violence were unchanged. CONCLUSION: Similar findings with overall decreasing incidence of violence, and on the other hand increasing violence among foreigners have been found in similar studies from Norway and England. Preventive actions should be regarded against the 15-24 year old males and foreigners.

Adolescent↗