Characteristics of prospectively identified negative alcohol-related events among college students

Background: Throughout the first two years of college, the majority of drinkers experience one or more alcohol related consequences. Research that examines the characteristics surrounding negative consequences typically utilizes global retrospective survey methods. The objective of the current study was to apply an event-based Methodology to describe the circumstances of a recent drinking episode that resulted in one or more alcohol related consequences among first- and second-year college students. Methods: We used a prospective web-based survey method to identify participants (N = 296) who had one or more alcohol-related consequences in the past week. Shortly after reporting the consequence(s), participants attended an in-person interview during which they described the circumstances that preceded and followed the consequence(s), including the use of alcohol and other substances, proximal contextual factors including peer drinking, the characteristics of the negative alcohol-related consequence(s), and the reaction of others to the event. Results: The majority of participants reported experiencing the event at either their own (32.4%) or a friend's (32.8%) residence, and 87.1% of participants were with peers when the event happened. Most (85.0%) of the sample indicated that their closest friend knew about their event. Conclusion: The high peer involvement at all stages of the event suggest the potential for training college students to help each other avoid or prevent consequences.