Hazing underrecognized as cause of
serious injury, says MGH physician
Boston: May 24, 2002 - Young people and others who are injured
in hazing incidents should be regarded as victims of crimes in their
treatment by health care professionals, says an emergency physician
at Massachusetts General Hospital (MGH). In a report in the May
issue of the American Journal of Emergency Medicine, Michelle Finkel,
MD, also notes that hazing victims may disguise the true cause of
their injuries out of shame or a misguided desire to protect those
who inflicted the harm. In this, they can be compared with victims
of domestic violence.
"My suspicion is that hazing is very underreported as a cause
of injuries, just as domestic violence was," she says. "If
health care providers don't consider whether hazing may be a possible
factor, they aren't going to ask the questions required to find
out about it."
The term hazing refers to unpleasant initiation practices of organizations
such as fraternities and sororities, athletic teams, the military
and gangs. Hazing activities can range from the merely embarrassing
to the dangerous and deadly. While hazing practices have been recorded
since ancient times, Finkel notes that hazing trends come and go,
often in response to well-publicized hazing injuries and deaths.
Recent decades have seen an increase in reported hazing incidents,
with at least 56 associated deaths reported from 1970 to 1999. In
a 1999 study of NCAA athletes conducted by researchers from Alfred
University, 80 percent of athletes reported "questionable or
unacceptable activities as part of their initiation onto a collegiate
athletics team," and 20 percent reported being beaten, kidnapped
Among the types of hazing injuries Finkel mentions are beating
or kicking to the point of traumatic injury or death, burning or
branding, excessive calesthenics, being forced to eat unpleasant
substances, and psychological or sexual abuse of both males and
females. She notes that reported forms of coerced sexual activity
- that can put victims at risk for injuries, sexually transmitted
diseases, and pregnancy - are sometimes regarded as "horseplay"
rather than as rape.
Finkel also cites alcohol abuse as a significant factor in most
hazing incidents. Not only does hazing often feature forced consumption
of large amounts of alcohol - something that has led to deaths in
several notorious instances - but a 1998 study by the National Intrafraternity
Council found that alcohol was present in from 65 to 95 percent
of traumatic hazing incidents and was a factor in 80 percent of
paralyzing injuries and almost 90 percent of deaths.
Recognizing hazing victims can be difficult for health care professionals
because, like domestic violence victims, the patients may hide the
true cause of their injuries. Finkel notes that emergency department
staff treating those who may be hazing victims should assure patients
that they are safe and protected from possible retribution; carry
out complete histories and examinations, including gathering possible
legal evidence; explain legal options and offer social and psychiatric
services; and help patients make reports to law enforcement agencies.
"There are important risk factors to watch out for - such
as the patient's age, participation in athletic or military activities,
and involvement of alcohol use," says Finkel. "But one
of the most important warning signs might be when the patient's
explanation seems inconsistent with the injuries or if the story
changes; that's when we need to explore more deeply to find the
answers. Health care providers need to be in the forefront of awareness
and educational efforts about hazing injuries."
The Massachusetts General Hospital, established in 1811, is the
original and largest teaching hospital of Harvard Medical School.
The MGH conducts the largest hospital-based research program in
the United States, with an annual research budget of more than $300
million and major research centers in AIDS, cardiovascular research,
cancer, cutaneous biology, transplantation biology and photomedicine.
In 1994, the MGH joined with Brigham and Women's Hospital to form
Partners HealthCare System, an integrated health care delivery system
comprising the two academic medical centers, specialty and community
hospitals, a network of physician groups and nonacute and home health
Media Contacts: Sue
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MGH Public Affairs
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