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However, health outcomes in both studies were limited to blood alcohol levels, or to alcohol-attributable mental health conditions such as intoxication, dependence and abuse. These form the minority of alcohol-attributable conditions for which young people are admitted, unintentional and intentional injuries being the most common causes in both males (66%) and females (59%).

In addition, the Australia-wide study did not apply time series techniques to adjust for underlying secular trends.17

Two further studies included a wider range of alcohol-related harms, including trauma and used interrupted time series to adjust for seasonal and secular trends.

Two further studies included a wider range of alcohol-related harms, including trauma and used interrupted time series to adjust for seasonal and secular trends.

Both found no change in either ED presentations or hospital admissions.

However, they also had limitations. One was confined to the Gold Coast, a popular tourist destination in Queensland for end-of-school celebrations, which may affect generalisability to elsewhere in Australia or overseas.

The other used a more representative sample from wider Queensland, including all hospital admissions in the state, as identified by both hospital administrative data and the Queensland Trauma Registry, but only covered 29% of the jurisdiction's EDs.

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intentional injuries

Journal of Epidemiology and Community Health