European Journal of Pediatrics

, Volume 176, Issue 1, pp 31–39 | Cite as

Acute alcohol intoxication among adolescents—the role of the context of drinking

  • Bettina Grüne
  • Daniela Piontek
  • Oliver Pogarell
  • Armin Grübl
  • Cornelius Groß
  • Olaf Reis
  • Ulrich S. Zimmermann
  • Ludwig Kraus
Original Article


This study aims (1) to describe the context of drinking among adolescents with acute alcohol intoxication (AAI) by gender, (2) to explore temporal changes in the context of drinking and (3) to analyse the association between the context of drinking and blood alcohol concentration (BAC). A retrospective chart review of 12- to 17-year-old inpatients with AAI (n = 1441) of the years 2000 to 2006 has been conducted in five participating hospitals in Germany. Gender differences in the context of drinking were tested with t test and chi2 test. Differences over time were analysed using logistic regressions. Multivariate linear regression was used to predict BAC. Girls and boys differed in admission time, drinking situation, drinking occasion and admission context. No temporal changes in drinking situation and in admission to hospital from public locations or places were found. Higher BAC coincided with male gender and age. Moreover, BAC was higher among patients admitted to hospital from public places and lower among patients who drank for coping.

Conclusion: The results suggest gender differences in the context of drinking. The context of drinking needs to be considered in the development and implementation of target group-specific prevention and intervention measures.

What is known:

• The context of drinking, e.g. when, where, why and with whom is associated with episodic heavy drinking among adolescents.

What is new:

• Male and female inpatients with acute alcohol intoxication differ with regards to the context of drinking, i.e. in admission time, drinking situation, drinking occasion and admission context.

• Being admitted to hospital from public places is associated with higher blood alcohol concentration.


Adolescence Acute alcohol intoxication Episodic heavy drinking Context of drinking Inpatient treatment 



Acute alcohol intoxication


Blood alcohol concentration


Episodic heavy drinking


  1. 1.
    Bitunjac K, Saraga M (2009) Alcohol intoxication in pediatric age. Ten-year retrospective study. Croat Med J 50(2):151–156. doi:10.3325/cmj.2009.50.151 CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Bolier L, Voorham L, Monshouwer K, van Hasselt N, Bellis M (2011) Alcohol and drug prevention in nightlife settings: a review of experimental studies. Subst Use Misuse 46(13):1569–1591. doi:10.3109/10826084.2011.606868 CrossRefPubMedGoogle Scholar
  3. 3.
    Bouthoorn SH, van Hoof JJ, van der Lely N (2011) Adolescent alcohol intoxication in Dutch hospital centers of pediatrics. Characteristics and gender differences. Eur J Pediatr 170(7):953–954. doi:10.1007/s00431-011-1449-y CrossRefGoogle Scholar
  4. 4.
    Calle P, Hautekiet A, François H, Sundahl N, Cornelis C, Calle S, Damen J, Vanbrabant P, Turck B de, Graeve K de, Mpotos N, Paepe P de (2015) Alcohol-related emergency department admissions among adolescents in the Ghent and Sint-Niklaas area. Acta Clin Belg 1–5. doi:10.1179/2295333715Y.0000000031
  5. 5.
    Champion HLO, Foley KL, DuRant RH, Hensberry R, Altman D, Wolfson M (2004) Adolescent sexual victimization, use of alcohol and other substances, and other health risk behaviors. J Adolesc Health 35(4):321–328. doi:10.1016/j.jadohealth.2003.09.023 CrossRefPubMedGoogle Scholar
  6. 6.
    Clapp JD, Reed MB, Holmes MR, Lange JE, Voas RB (2006) Drunk in public, drunk in private: the relationship between college students, drinking environments and alcohol consumption. Am J Drug Alcohol Abuse 32(2):275–285. doi:10.1080/00952990500481205 CrossRefPubMedGoogle Scholar
  7. 7.
    Cooper ML (1994) Motivations for alcohol use among adolescents: development and validation of a four-factor model. Psychol Assess 6(2):117–128CrossRefGoogle Scholar
  8. 8.
    de Boo GM, Thijssen MA, Lasham C, Plotz FB (2016) Short- and long-term psychosocial of a single episode of alcoholic intoxication: a cohort study among Dutch adolescents. Eur J Pediatr. doi:10.1007/s00431-016-2721-y PubMedGoogle Scholar
  9. 9.
    Demers A, Kairouz S, Adlaf E, Gliksman L, Newton-Taylor B, Marchand A (2002) Multilevel analysis of situational drinking among Canadian undergraduates. Soc Sci Med 55(3):415–424. doi:10.1016/S0277-9536(01)00258-1 CrossRefPubMedGoogle Scholar
  10. 10.
    Gallimberti L, Chindamo S, Buja A, Forza G, Tognazzo F, Galasso L, Vinelli A, Baldo V (2011) Underage drinking on saturday nights, sociodemographic and environmental risk factors: a cross-sectional study. Subst Abuse Treat Prev Policy 6:15. doi:10.1186/1747-597X-6-15 CrossRefPubMedPubMedCentralGoogle Scholar
  11. 11.
    Gomes de Matos E, Kraus L, Pabst A, Piontek D (2014) Trends im Substanzkonsum Jugendlicher. Gibt es regionale Unterschiede? (Time trends in adolescent substance use: are there regional differences?). Sucht 60(3):163–172. doi:10.1024/0939-5911.a000307 CrossRefGoogle Scholar
  12. 12.
    Gross C, Kraus L, Piontek D, Reis O, Zimmermann US (2016) Prediction of long-term outcomes in young adults with a history of adolescent alcohol-related hospitalization. Alcohol Alcohol 51(1):47–53. doi:10.1093/alcalc/agv072 CrossRefPubMedGoogle Scholar
  13. 13.
    Harford TC, Wechsler H, Seibring M (2002) Attendance and alcohol use at parties and bars in college. A national survey of current drinkers. J Stud Alcohol 63(6):726–733. doi:10.15288/jsa.2002.63.726 CrossRefPubMedGoogle Scholar
  14. 14.
    Hibell B, Guttormsson U, Ahlström S, Balakireva O, Bjarnason T, Kokkevi A, Kraus L (2012) The 2011 ESPAD report. Substance use among students in 36 European countries. The Swedish Council for Information on Alcohol and Other Drugs (CAN), StockholmGoogle Scholar
  15. 15.
    Hughes K, Anderson Z, Morleo M, Bellis MA (2008) Alcohol, nightlife and violence: the relative contributions of drinking before and during nights out to negative health and criminal justice outcomes. Addiction 103(1):60–65. doi:10.1111/j.1360-0443.2007.02030.x CrossRefPubMedGoogle Scholar
  16. 16.
    Kassel JD, Jackson SI, Unrod M (2000) Generalized expectancies for negative mood regulation and problem drinking among college students. J Stud Alcohol 61(2):332–340. doi:10.15288/jsa.2000.61.332 CrossRefPubMedGoogle Scholar
  17. 17.
    Kraus L, Pabst A, Piontek D (2012) Europäische Schülerstudie zu Alkohol und anderen Drogen 2011 (ESPAD). Befragung von Schülerinnen und Schülern der 9. und 10. Klasse in Bayern, Berlin, Brandenburg, Mecklenburg-Vorpommern und Thüringen, MünchenGoogle Scholar
  18. 18.
    Kraus L, Hannemann T, Pabst A, Müller S, Kronthaler F, Grübl A, Stürmer M, Wolstein J (2013) Stationäre Behandlung von Jugendlichen mit akuter Alkoholintoxikation: die Spitze des Eisbergs? (Inpatient treatment of adolescents with acute alcohol intoxication: the tip of the iceberg?). Gesundheitswesen 75(7):456–464. doi:10.1055/s-0032-1321755 PubMedGoogle Scholar
  19. 19.
    Kuntsche E, Gabhainn SN, Roberts C, Windlin B, Vieno A, Bendtsen P, Hublet A, Tynjälä J, Välimaa R, Dankulincová Z, Aasvee K, Demetrovics Z, Farkas J, van der Sluijs W, de Matos MG, Mazur J, Wicki M (2014) Drinking motives and links to alcohol use in 13 European countries. J Stud Alcohol Drugs 75(3):428–437. doi:10.15288/jsad.2014.75.428 CrossRefPubMedGoogle Scholar
  20. 20.
    Kuntsche E, Wicki M, Windlin B, Roberts C, Gabhainn SN, van der Sluijs W, Aasvee K, Gaspar de Matos M, Dankulincova Z, Hublet A, Tynjala J, Valimaa R, Bendtsen P, Vieno A, Mazur J, Farkas J, Demetrovics Z (2015) Drinking motives mediate cultural differences but not gender differences in adolescent alcohol use. J Adolesc Health 56(3):323–329. doi:10.1016/j.jadohealth.2014.10.267 CrossRefPubMedGoogle Scholar
  21. 21.
    Kuzelová M, Harárová A, Ondriasová E, Wawruch M, Riedel R, Benedeková M, Kovács L, Plaková S (2009) Alcohol intoxication requiring hospital admission in children and adolescents: retrospective analysis at the university Children’s Hospital in the Slovak Republic. Clin Toxicol 47(6):556–561. doi:10.1080/15563650903018611 CrossRefGoogle Scholar
  22. 22.
    Lampert T, Kuntz B (2014) Tabak- und Alkoholkonsum bei 11- bis 17-jährigen Jugendlichen. Ergebnisse der KiGGS-Studie - Erste Folgebefragung (KiGGS Welle 1) (Tobacco and alcohol consumption among 11- to 17-year-old adolescents: results of the KiGGS study: first follow-up (KiGGS wave 1)). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 57(7):830–839. doi:10.1007/s00103-014-1982-8 CrossRefPubMedGoogle Scholar
  23. 23.
    Mayer RR, Forster JL, Murray DM, Wagenaar AC (1998) Social settings and situations of underage drinking. J Stud Alcohol 59(2):207–215. doi:10.15288/jsa.1998.59.207 CrossRefPubMedGoogle Scholar
  24. 24.
    Mick I, Gross C, Lachnit A, Kalkbrenner M, Reichert J, Zimmermann US (2015) Alcohol-induced impairment in adolescents admitted to inpatient treatment after heavy episodic drinking: effects of age and gender. J Stud Alcohol Drugs 76(3):493–497. doi:10.15288/jsad.2015.76.493 CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Nyaronga D, Greenfield TK, McDaniel PA (2009) Drinking context and drinking problems among black, white, and Hispanic men and women in the 1984, 1995, and 2005 U.S. National Alcohol Surveys. J Stud Alcohol Drugs 70(1):16–26. doi:10.15288/jsad.2009.70.16
  26. 26.
    Orth B, Töppich J (2015) Der Alkoholkonsum Jugendlicher und junger Erwachsener in Deutschland 2014. Ergebnisse einer aktuellen Repräsentativbefragung und Trends, KölnGoogle Scholar
  27. 27.
    Pavis S, Cunningham-Burley S, Amos A (1997) Alcohol consumption and young people. Exploring meaning and social context. Health Educ Res 12(3):311–322. doi:10.1093/her/12.3.311 CrossRefGoogle Scholar
  28. 28.
    Piontek D, Kraus L, Rist F (2013) Social contexts and the occurrence of episodic heavy drinking. Int J Alcohol Drug Res 2(2):45–52. doi:10.7895/ijadr.v2i2.106 CrossRefGoogle Scholar
  29. 29.
    Piontek D, Schlösser S, Gomes de Matos E, Kraus L (2015) Kurzbericht Epidemiologischer Suchtsurvey 2012. Zusatzauswertungen zu negativen Folgen für die Bevölkerung durch den Alkoholkonsum dritter Personen, MünchenGoogle Scholar
  30. 30.
    Schöberl S, Nickel P, Schmutzer G, Siekmeyer W, Kiess W (2008) Alkoholintoxikation bei Kindern und Jugendlichen. Eine retrospektive analyse von 173 an einer Universitätskinderklinik betreuten Patienten (Acute ethanol intoxication among children and adolescents. A retrospective analysis of 173 patients admitted to a university children hospital). Klin Padiatr 220(4):253–258. doi:10.1055/s-2007-984367 CrossRefPubMedGoogle Scholar
  31. 31.
    Statistisches Bundesamt [Federal Statistical Office] (2014) Krankenhausdiagnosestatistik, WiesbadenGoogle Scholar
  32. 32.
    Stolle M, Sack P, Thomasius R (2009) Binge drinking in childhood and adolescence: epidemiology, consequences, and interventions. Dtsch Arztebl Int 106(19):323–328. doi:10.3238/arztebl.2009.0323 PubMedPubMedCentralGoogle Scholar
  33. 33.
    Stolle M, Sack P, Spieles H, Thomasius R (2010) Alkoholintoxikierte Kinder und Jugendliche in der Notfallversorgung Hamburger Krankenhäuser (Acute ethanol intoxication among children and adolescents in Hamburg, Germany). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 53(9):910–916. doi:10.1007/s00103-010-1114-z CrossRefPubMedGoogle Scholar
  34. 34.
    Stumpp G, Stauber B, Reinl H (2009) JuR “Einflussfaktoren, Motivation und Anreize zum Rauschtrinken bei Jugendlichen”. Forschungsprojekt im Auftrag des Bundesministeriums für Gesundheit, TübingenGoogle Scholar
  35. 35.
    Swahn MH, Simon TR, Hammig BJ, Guerrero JL (2004) Alcohol-consumption behaviors and risk for physical fighting and injuries among adolescent drinkers. Addict Behav 29(5):959–963. doi:10.1016/j.addbeh.2004.02.043 CrossRefPubMedGoogle Scholar
  36. 36.
    van Hoof JJ, van der Lely N, Bouthoorn SH, van Dalen WE, Pereira RR (2011) Adolescent alcohol intoxication in the Dutch hospital departments of pediatrics: a 2-year comparison study. J Adolesc Health 48(2):212–214. doi:10.1016/j.jadohealth.2010.06.001 CrossRefPubMedGoogle Scholar
  37. 37.
    van Zanten E, van der Ploeg T, van Hoof JJ, van der Lely N (2013) Gender, age, and educational level attribute to blood alcohol concentration in hospitalized intoxicated adolescents; a cohort study. Alcohol Clin Exp Res 37(7):1188–1194. doi:10.1111/acer.12090 CrossRefPubMedGoogle Scholar
  38. 38.
    Wells S, Graham K, Speechley M, Koval JJ (2005) Drinking patterns, drinking contexts and alcohol-related aggression among late adolescent and young adult drinkers. Addiction 100(7):933–944. doi:10.1111/j.1360-0443.2005.001121.x CrossRefPubMedGoogle Scholar
  39. 39.
    Wurdak M, Kuntsche E, Kraus L, Wolstein J (2014) Effectiveness of a brief intervention with and without booster session for adolescents hospitalized due to alcohol intoxication. J Subst Use 1–6. doi:10.3109/14659891.2014.951415

Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Bettina Grüne
    • 1
    • 2
  • Daniela Piontek
    • 1
  • Oliver Pogarell
    • 2
  • Armin Grübl
    • 3
  • Cornelius Groß
    • 4
  • Olaf Reis
    • 5
  • Ulrich S. Zimmermann
    • 4
  • Ludwig Kraus
    • 1
    • 6
  1. 1.IFT Institut für TherapieforschungMunichGermany
  2. 2.Department of Psychiatry and PsychotherapyLudwig-Maximilians UniversityMunichGermany
  3. 3.Children’s Hospital and Polyclinic for Children’s and Youth Medicine, TUM Klinikum Schwabing StKM GmbHMunichGermany
  4. 4.Department of Psychiatry and PsychotherapyUniversity Hospital Carl Gustav Carus, Technische Universität DresdenDresdenGermany
  5. 5.Clinic for Child and Adolescent PsychiatryUniversity Medicine of RostockRostockGermany
  6. 6.Centre for Social Research on Alcohol and Drugs (SoRAD)Stockholm UniversityStockholmSweden

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