Attacks Intended to Seriously Harm and Co-occurring Drug Use Among Youth in the United States

Christopher P. Salas-Wright, Michael G. Vaughn, Jennifer M. Reingle Gonzalez, Qiang Fu, Trenette Clark Goings

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)


Background: While it is known that substance use and violence co-occur, less is understood in terms of how this relationship might vary based on the degree of youth involvement in violence. Objectives: This study sought to examine the prevalence and degree that substance use disorders (SUD) and related intrapersonal and contextual factors were associated with violent attacks. Method: Repeated cross-sectional data from a population-based study (National Survey on Drug Use and Health) of youth ages 12–17 (n = 216,852) in the United States between 2002 and 2013 were pooled to increase the analytic sample size. Survey multinomial regression was used to examine psychosocial and substance use differences between youth reporting episodic (1–2 times, n = 13,091; 5.84%) and repeated violent attacks (3+ times, n = 1,819; 0.83%) in contrast with youth reporting no attacks. Additional analyses examined the association of sociodemographic, intrapersonal, and contextual factors with SUD among youth reporting violent attacks. Results: The prevalence of SUD among youth with no attacks was 6% compared to 22% among episodic and 36% among repeatedly violent youth. Violence-involved youth were substantially more likely to experience elevated sensation-seeking, easy drug access, and recent drug offers and less likely to benefit from religiosity and protective substance use beliefs. Conclusions/Importance: Findings highlight the importance of distinguishing between the various gradations of violence among youth in understanding the relationship between substance use and violence, and shed light on the intrapersonal and contextual factors that can help identify violent youth at greatest risk for substance use problems.

Original languageEnglish
Pages (from-to)1681-1692
Number of pages12
JournalSubstance Use and Misuse
Issue number13
Publication statusPublished - 2016 Nov 9

Bibliographical note

Publisher Copyright:
© 2016 Taylor & Francis Group, LLC.

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Medicine (miscellaneous)


Dive into the research topics of 'Attacks Intended to Seriously Harm and Co-occurring Drug Use Among Youth in the United States'. Together they form a unique fingerprint.

Cite this