Skip to main content
Medicine LibreTexts

13.1: Introduction to Intentional and Unintentional Injuries

  • Page ID
    107006
  • \( \newcommand{\vecs}[1]{\overset { \scriptstyle \rightharpoonup} {\mathbf{#1}} } \)

    \( \newcommand{\vecd}[1]{\overset{-\!-\!\rightharpoonup}{\vphantom{a}\smash {#1}}} \)

    \( \newcommand{\dsum}{\displaystyle\sum\limits} \)

    \( \newcommand{\dint}{\displaystyle\int\limits} \)

    \( \newcommand{\dlim}{\displaystyle\lim\limits} \)

    \( \newcommand{\id}{\mathrm{id}}\) \( \newcommand{\Span}{\mathrm{span}}\)

    ( \newcommand{\kernel}{\mathrm{null}\,}\) \( \newcommand{\range}{\mathrm{range}\,}\)

    \( \newcommand{\RealPart}{\mathrm{Re}}\) \( \newcommand{\ImaginaryPart}{\mathrm{Im}}\)

    \( \newcommand{\Argument}{\mathrm{Arg}}\) \( \newcommand{\norm}[1]{\| #1 \|}\)

    \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\)

    \( \newcommand{\Span}{\mathrm{span}}\)

    \( \newcommand{\id}{\mathrm{id}}\)

    \( \newcommand{\Span}{\mathrm{span}}\)

    \( \newcommand{\kernel}{\mathrm{null}\,}\)

    \( \newcommand{\range}{\mathrm{range}\,}\)

    \( \newcommand{\RealPart}{\mathrm{Re}}\)

    \( \newcommand{\ImaginaryPart}{\mathrm{Im}}\)

    \( \newcommand{\Argument}{\mathrm{Arg}}\)

    \( \newcommand{\norm}[1]{\| #1 \|}\)

    \( \newcommand{\inner}[2]{\langle #1, #2 \rangle}\)

    \( \newcommand{\Span}{\mathrm{span}}\) \( \newcommand{\AA}{\unicode[.8,0]{x212B}}\)

    \( \newcommand{\vectorA}[1]{\vec{#1}}      % arrow\)

    \( \newcommand{\vectorAt}[1]{\vec{\text{#1}}}      % arrow\)

    \( \newcommand{\vectorB}[1]{\overset { \scriptstyle \rightharpoonup} {\mathbf{#1}} } \)

    \( \newcommand{\vectorC}[1]{\textbf{#1}} \)

    \( \newcommand{\vectorD}[1]{\overrightarrow{#1}} \)

    \( \newcommand{\vectorDt}[1]{\overrightarrow{\text{#1}}} \)

    \( \newcommand{\vectE}[1]{\overset{-\!-\!\rightharpoonup}{\vphantom{a}\smash{\mathbf {#1}}}} \)

    \( \newcommand{\vecs}[1]{\overset { \scriptstyle \rightharpoonup} {\mathbf{#1}} } \)

    \(\newcommand{\longvect}{\overrightarrow}\)

    \( \newcommand{\vecd}[1]{\overset{-\!-\!\rightharpoonup}{\vphantom{a}\smash {#1}}} \)

    \(\newcommand{\avec}{\mathbf a}\) \(\newcommand{\bvec}{\mathbf b}\) \(\newcommand{\cvec}{\mathbf c}\) \(\newcommand{\dvec}{\mathbf d}\) \(\newcommand{\dtil}{\widetilde{\mathbf d}}\) \(\newcommand{\evec}{\mathbf e}\) \(\newcommand{\fvec}{\mathbf f}\) \(\newcommand{\nvec}{\mathbf n}\) \(\newcommand{\pvec}{\mathbf p}\) \(\newcommand{\qvec}{\mathbf q}\) \(\newcommand{\svec}{\mathbf s}\) \(\newcommand{\tvec}{\mathbf t}\) \(\newcommand{\uvec}{\mathbf u}\) \(\newcommand{\vvec}{\mathbf v}\) \(\newcommand{\wvec}{\mathbf w}\) \(\newcommand{\xvec}{\mathbf x}\) \(\newcommand{\yvec}{\mathbf y}\) \(\newcommand{\zvec}{\mathbf z}\) \(\newcommand{\rvec}{\mathbf r}\) \(\newcommand{\mvec}{\mathbf m}\) \(\newcommand{\zerovec}{\mathbf 0}\) \(\newcommand{\onevec}{\mathbf 1}\) \(\newcommand{\real}{\mathbb R}\) \(\newcommand{\twovec}[2]{\left[\begin{array}{r}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\ctwovec}[2]{\left[\begin{array}{c}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\threevec}[3]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\cthreevec}[3]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\fourvec}[4]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\cfourvec}[4]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\fivevec}[5]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\cfivevec}[5]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\mattwo}[4]{\left[\begin{array}{rr}#1 \amp #2 \\ #3 \amp #4 \\ \end{array}\right]}\) \(\newcommand{\laspan}[1]{\text{Span}\{#1\}}\) \(\newcommand{\bcal}{\cal B}\) \(\newcommand{\ccal}{\cal C}\) \(\newcommand{\scal}{\cal S}\) \(\newcommand{\wcal}{\cal W}\) \(\newcommand{\ecal}{\cal E}\) \(\newcommand{\coords}[2]{\left\{#1\right\}_{#2}}\) \(\newcommand{\gray}[1]{\color{gray}{#1}}\) \(\newcommand{\lgray}[1]{\color{lightgray}{#1}}\) \(\newcommand{\rank}{\operatorname{rank}}\) \(\newcommand{\row}{\text{Row}}\) \(\newcommand{\col}{\text{Col}}\) \(\renewcommand{\row}{\text{Row}}\) \(\newcommand{\nul}{\text{Nul}}\) \(\newcommand{\var}{\text{Var}}\) \(\newcommand{\corr}{\text{corr}}\) \(\newcommand{\len}[1]{\left|#1\right|}\) \(\newcommand{\bbar}{\overline{\bvec}}\) \(\newcommand{\bhat}{\widehat{\bvec}}\) \(\newcommand{\bperp}{\bvec^\perp}\) \(\newcommand{\xhat}{\widehat{\xvec}}\) \(\newcommand{\vhat}{\widehat{\vvec}}\) \(\newcommand{\uhat}{\widehat{\uvec}}\) \(\newcommand{\what}{\widehat{\wvec}}\) \(\newcommand{\Sighat}{\widehat{\Sigma}}\) \(\newcommand{\lt}{<}\) \(\newcommand{\gt}{>}\) \(\newcommand{\amp}{&}\) \(\definecolor{fillinmathshade}{gray}{0.9}\)

    Introduction to Intentional and Unintentional Injuries

    Throughout the world, injuries, both unintentional and violence-related, take the lives of 4.4 million people each year (nearly 8% of all deaths). For people ages 5-29, three of the top five causes of death are injury-related. In the United States, unintentional injuries are the leading cause of death in children, adolescents, and adults younger than 45 years. In 2018, unintentional injuries were the cause of 24.8 million people visiting their doctor and 97.9 million visiting the emergency room with an additional 1.2 million visiting the emergency room due to an assault. Unintentional injuries ranked as the 4th overall leading cause of death in 1980, increased to the 3rd leading cause of death by 2018, and moved back to 4th in 2020 when COVID took the 3rd ranking. Some good news is that data from 1950-2018 show a reduction in deaths due to unintentional injuries from 78 per 100,000 to 48 per 100,000, however, homicide has remained relatively the same from 5.1 to 5.9 per 100,000 people [1].

    Injuries and violence cost billions of dollars each year in health care costs, lost productivity, and law enforcement. There are also numerous costs to personal well-being including:

    • Premature death
    • Years of potential lives lost
    • Disability and disability-adjusted life years lost
    • Poor mental health
    • Increased risk of suicide
    • High medical costs
    • Lost productivity
    • Chronic diseases like heart disease, diabetes and cancer
    • Social problems such as poverty, crime and violence

    Both intentional and unintentional injuries are public health concerns that are addressed worldwide and in the U.S. The National Center for Injury Prevention and Control (NCIPC) was launched in 1992 to focus specifically on injuries as an important topic for public health. The NCIPC, along with the CDC and NIH, provide research-based evidence and resources to meet goals to reduce injuries.

    Table \(\PageIndex{1}\) : Year 2020 Intentional and Unintentional Death Rates[2]
    Cause of Death Number of Deaths Deaths per 100,000 people
    Unintentional fall deaths 42,112 12.8
    Motor Vehicle traffic deaths 40,698 12.4
    Unintentional Poisoning deaths 87,404 26.5
    All poisoning deaths 97,034 29.5
    Firearm homicides 19,384 5.9
    All firearm deaths 45,222 13.7
    All homicide deaths 24,576 7.5
    Firearm suicides 24,292 7.4
    Suffocation suicides 12,495 3.8
    Poisoning suicides 5,528 1.7
    All suicides 45,979 14.0
    All injury deaths 278,345 84.5
    All unintentional deaths 200,995 61

     

    Health Assessment: Risky, Impulsive, and Self-Destructive Behavior Questionnaire

    The Risky, Impulsive, and Self-Destructive Behavior Questionnaire (RISQ) is a tool designed to assess behaviors that may pose risks to your physical and mental health. This self-assessment can help you understand patterns in your decision-making and behavior, as well as identify areas where support or intervention may be beneficial.

    Instructions

    1. Access the Questionnaire:

    2. Complete the Questionnaire:

      • Carefully read each question and respond honestly based on your experiences and behaviors.
      • The questionnaire includes questions about various domains of risky, impulsive, and self-destructive behaviors.
    3. Score Your Responses:

      • Total your scores for each domain to identify patterns or areas of concern.
    4. Reflect on Your Results:

      • Summarize Your Scores: Note which domains had higher scores and what they indicate about your behavior.
      • Describe Your Feelings: Reflect on your reaction to the results. Were you surprised, concerned, or motivated to make changes?
    5. Identify Next Steps:

      • If your results suggest significant risky or self-destructive behaviors, consider reaching out to a mental health professional for further evaluation and support.
      • Explore resources such as therapy, support groups, or educational materials to address any areas of concern.
    6. Set a SMART Goal for Positive Change:

      • Create a specific, measurable, achievable, relevant, and time-bound (SMART) goal to reduce risky or impulsive behaviors and promote healthier decision-making. For example: "I will limit my alcohol consumption to no more than two drinks per weekend and will alternate alcoholic beverages with water to maintain control and avoid impulsive decisions over the next month.

    Additional Resources

    • National Suicide Prevention Lifeline: Call 1-800-273-TALK (1-800-273-8255) or text HOME to 741741 to connect with a crisis counselor.
    • American Psychological Association (APA): Visit apa.org for resources on mental health and behavior management.
    • Therapy Resources: Search for therapists near you through platforms like Psychology Today.

    This assessment encourages self-awareness and empowers you to make positive changes to reduce risks and support overall well-being.


    This page titled 13.1: Introduction to Intentional and Unintentional Injuries is shared under a CC BY-SA 4.0 license and was authored, remixed, and/or curated by Kelly Falcone.

    • Was this article helpful?