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The Visible Behaviour of Drowning Persons

A Pilot Observational Study Using Analytic Software and a Nominal Group Technique

Bibliographic Data

ID15460414
AuthorsAida Carballo‐Fazanes (0000-0001-6615-9821, Universidade de Santiago de Compostela, corresponding author), Joost J L M Bierens (0000-0003-4467-8211, Vrije Universiteit Brussel)
Year2020
Volume17
Issue18
Pages6930-6930
Publication date2020-09-22
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17186930
PMID32971976
OpenAlexW3088701405
LanguageEN
Citations received1
References cited23

Although drowning is a common phenomenon, the behaviour of drowning persons is poorly understood. The purpose of this study is to provide a quantitative and qualitative analysis of this behaviour. This was an observational study of drowning videos observed by 20 international experts in the field of water safety. For quantitative analysis, each video was analysed with Lince observation software by four participants. A Nominal Group Technique generated input for the qualitative analysis and the two principal investigators conducted a post-hoc analysis. A total of 87.5% of the 23 videos showed drowning in swimming pools, 50% of the drowned persons were male, and 58.3% were children or teenagers. Nineteen persons were rescued before unconsciousness and showed just the beginning of downing behaviour. Another five were rescued after unconsciousness, which allowed the observation of their drowning behaviour from the beginning to the end. Significant differences were found comparing both groups regarding the length of disappearances underwater, number, and length of resurfacing (resp. p = 0.003, 0.016, 0.005) and the interval from the beginning of the incident to the rescue ( p = 0.004). All persons drowned within 2 min. The qualitative analysis showed previously suggested behaviour patterns (immediate disappearance n = 5, distress n = 6, instinctive drowning response n = 6, climbing ladder motion n = 3) but also a striking new pattern (backward water milling n = 19). This study confirms previous assumptions of drowning behaviour and provides novel evidence-based information about the large variety of visible behaviours of drowning persons. New behaviours, which mainly include high-frequency resurfacing during a struggle for less than 2 min and backward water milling, have been recognised in this study

Distress · Injury prevention · Medical emergency · Observational study · Pathology · Poison control · Psychiatry · Qualitative analysis · Qualitative research · Unconsciousness · Clinical Psychology · Evacuation and Crowd Dynamics · Injury Epidemiology and Prevention · Medicine · Psychology · Traffic and Road Safety

  • Bridging gaps between disaster risk reduction and drowning prevention

    Open Access•Loic Le Dé•International Journal of Disaster…•2024

  • Exploring the burden of fatal drowning and data characteristics in three high income countries

    Open Access•Amy E Peden, Richard C Franklin et al.•BMC Public Health•2019

Unique citing works1
Citations per year0,5
Citation span2024 - 2024 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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