Drinking beyond the binge threshold in a clinical sample of adolescents

Background and aims Nearly all the research conducted on high‐intensity drinking has focused on college and school‐based samples, with recent calls for research to understand this risky drinking pattern in non‐school‐based samples and across time. This study aimed to characterize predictors and consequences of non‐binge drinking, age‐ and gender‐adjusted binge drinking (level I) and drinking at levels representing two or more times (level II) and three or more times the level I binge threshold (level III) in a clinical sample of adolescents followed into young adulthood. Design Cross‐sectional associations between non‐binge drinking, binge levels, and negative alcohol‐related consequences were examined during adolescence; prospective analyses tested whether adolescent non‐binge drinking and binge levels predicted alcohol use disorder (AUD) symptoms in young adulthood and whether changes in drinking motives over time were associated with binge levels in young adulthood. Setting US clinical settings. Participants A total of 432 adolescents (aged 12–18 years) with alcohol‐related problems followed into young adulthood (aged 19–25 years). Measurements Life‐time drinking history, Structured Clinical Interview for DSM AUDs, and Inventory of Drinking Situations. Findings Results were generally consistent with a distinction between binge level I versus levels II–III on various negative alcohol‐related consequences in adolescence (Ps