How do youth with experience of violence victimization and/or risk drinking perceive routine inquiry about violence and alcohol consumption in Swedish youth clinics? A qualitative study

- Routine inquiry about violence victimization and alcohol use was well received.
- Questions about violence helped participants to process prior victimization.
- Disclosure of victimization sometimes led to change, such as starting therapy.
- Risk drinking was viewed in terms of consequences, not quantity or frequency.
- Unit-based alcohol guidelines are less useful in addressing risk drinking in youth.

ObjectiveTo explore perceptions and experiences among youth who underwent structured questions about violence victimization and alcohol consumption when visiting Swedish youth clinics.MethodsThis study is part of a larger research project examining the effect of including routine inquiry about violence victimization and alcohol consumption for youth visiting youth clinics. Fifteen youth with experiences of victimization and/or risk drinking (AUDIT-C ≥ 5) were interviewed. Content analysis was used.ResultsThe findings were grouped into three main categories: The first; “Disclosure - talking about violence” reflected the participants' experiences of being asked about victimization. Participants were in favor of routine inquiry about violence victimization, even when questions caused distress. The questions helped participants reflect on prior victimization and process what had happened to them. The second; “Influence on the life situation” demonstrated that many of the participants still were effected by prior victimization, but also how talking about violence sometimes led to the possibility of initiating change such as leaving a destructive relationship or starting therapy. In the third; “One's own alcohol consumption in black and white” participants considered it natural to be asked about alcohol consumption. However, most participants did not consider their drinking problematic, even when told they exceeded guidelines. They viewed risk drinking in terms of immediate consequences rather than in quantity or frequency of alcohol intake.ConclusionRoutine inquiry about violence victimization and risk drinking at youth clinics was well received. Questions about violence helped participants to interpret and process prior victimization and sometimes initiated change.