The role of risk-taking and errors in children's liability to unintentional injury.

There is likely to be heterogeneity in the processes putting children at risk of injury. This paper examines whether errors may form a dissociable process from risk-taking. We further examine whether these constructs mediate the links between emotional and behavioural problems and unintentional injury. We designed the parent-report Children's Injury Related Behaviour (CIRB) questionnaire to measure errors and risk-taking in everyday activities. The sample consisted of 499 children aged 4-11 years recruited from the community. Principal components analysis showed that a two factor solution was appropriate and provided scales to measure risk and error with good psychometric properties. Both risk and error scales were independently related to injury history. Errors were associated with conduct problems, emotional problems and hyperactivity. Risk-taking was associated with conduct problems and hyperactivity only. Risk-taking and errors accounted for the links of conduct problems and hyperactivity with injury involvement. The distinction between risk and error has implications for research and interventions to reduce childhood injuries.

[1]  C. Ramey,et al.  Interactions between child behavior patterns and parenting: implications for children's unintentional injury risk. , 2004, Journal of pediatric psychology.

[2]  H Meltzer,et al.  Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample , 2003, International review of psychiatry.

[3]  William D. Schafer,et al.  Gender differences in risk taking: A meta-analysis. , 1999 .

[4]  Heikki Summala,et al.  The Manchester Driver Behaviour Questionnaire: a cross-cultural study. , 2004, Accident; analysis and prevention.

[5]  David C Schwebel,et al.  Is there a link between children's motor abilities and unintentional injuries? , 2003, Journal of safety research.

[6]  P. Bijttebier,et al.  Risk-Taking Behavior as a Mediator of the Relationship between Children's Temperament and Injury Liability , 2003 .

[7]  P. Silva,et al.  A study of the relationship of ninety background, developmental, behavioural and medical factors to child hood accidents. A report from the Dunedin Multidisciplinary Child Development Study. , 1980, Australian paediatric journal.

[8]  J. Silberg,et al.  Psychopathology, temperament and unintentional injury: cross-sectional and longitudinal relationships. , 2007, Journal of child psychology and psychiatry, and allied disciplines.

[9]  Karl Pajo,et al.  Aberrant driving behaviours amongst New Zealand truck drivers , 2002 .

[10]  R. Goodman.  The Strengths and Difficulties Questionnaire: a research note. , 1997, Journal of child psychology and psychiatry, and allied disciplines.

[11]  J. Piek,et al.  Psychosocial implications of poor motor coordination in children and adolescents. , 2001, Human movement science.

[12]  I. Roberts,et al.  Safety education of pedestrians for injury prevention: a systematic review of randomised controlled trials , 2002, BMJ : British Medical Journal.

[13]  T Bekele,et al.  School-age children’s safety attitudes, cognitions, knowledge, and injury experiences: how do these relate to their safety practices? , 2008, Injury Prevention.

[14]  P Rabbitt,et al.  Elderly drivers and their accidents: the Aging Driver Questionnaire. , 2000, Accident; analysis and prevention.

[15]  C. Mortimore.  Information for researchers and professionals about the Strengths and Difficulties Questionnaires. , 2007, Child and adolescent mental health.

[16]  R. Goodman,et al.  Psychometric properties of the strengths and difficulties questionnaire. , 2001, Journal of the American Academy of Child and Adolescent Psychiatry.

[17]  C. Angle.  Locomotor skills and school accidents. , 1975, Pediatrics.

[18]  Barbara A Morrongiello,et al.  Understanding toddlers' in-home injuries: I. Context, correlates, and determinants. , 2004, Journal of pediatric psychology.

[19]  I B Pless,et al.  How well they remember. The accuracy of parent reports. , 1995, Archives of pediatrics & adolescent medicine.

[20]  F P Rivara,et al.  Ability of parents to recall the injuries of their young children , 2005, Injury Prevention.

[21]  B. Tonge,et al.  Injury risk in young people with intellectual disability. , 2002, Journal of intellectual disability research : JIDR.

[22]  Richard Rowe,et al.  Childhood psychiatric disorder and unintentional injury: findings from a national cohort study. , 2004, Journal of pediatric psychology.

[23]  L. Quan,et al.  Assessment of injury risk in young children: a preliminary study of the injury behavior checklist. , 1990, Journal of pediatric psychology.

[24]  Dianne Parker,et al.  Driving errors, driving violations and accident involvement. , 1995, Ergonomics.

[25]  R. Reading.  Behavioural characteristics and accidents: findings from the Health Survey for England, 1997 , 2003 .

[26]  Mark A Elliott,et al.  Errors and violations in relation to motorcyclists' crash risk. , 2007, Accident; analysis and prevention.

[27]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[28]  S Stradling,et al.  Errors and violations on the roads: a real distinction? , 1990, Ergonomics.

[29]  H. Meltzer,et al.  Mental health of children and adolescents in Great Britain , 2003, International review of psychiatry.

[30]  Leigh M. Smith,et al.  The relationship between motor coordination, executive functioning and attention in school aged children. , 2004, Archives of clinical neuropsychology : the official journal of the National Academy of Neuropsychologists.

[31]  Guohua Li,et al.  Injury prevention and control. , 2007, Emergency medicine clinics of North America.