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Randomised controlled trial
Brief motivational intervention delivered in the emergency department can reduce hazardous drinking and risky sexual behaviour
  1. Kurt Dermen
  1. Correspondence to : Dr Kurt Dermen, Research Institute on Addictions, University at Buffalo, 1021 Main St, Buffalo, NY 14203, USA; dermen{at}

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Implications for practice and research

  • In an emergency department (ED) setting, a 1-hour motivational interviewing session involving personalised risk feedback can yield meaningful reductions in hazardous alcohol use and risky sexual behaviour.

  • Research is needed to evaluate this intervention with racial, ethnic and sexual minority patients and test its effectiveness when delivered by clinical rather than research staff.

  • Additional innovation is needed to develop integrated brief intervention protocols for addressing a larger range of health risks and to increase the feasibility of implementing such protocols in all appropriate settings.


Heavy drinkers are more likely to engage in sexual behaviour that increases risk for STI/HIV infection, …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.