Effectiveness of lockouts in reducing alcohol-related harm: Systematic review

© 2018 Australasian Professional Society on Alcohol and other Drugs Issues: Australian jurisdictions have introduced lockouts to prevent alcohol-related violence. Lockouts prohibit patrons from entering licensed premises after a designated time while allowing sale and consumption of alcohol to conti...

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Main Authors: Nepal, S., Kypri, K., Pursey, K., Attia, J., Chikritzhs, Tanya, Miller, P.
Format: Journal Article
Published: Wiley-Blackwell Publishing Ltd. 2018
Online Access:http://hdl.handle.net/20.500.11937/69133
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author Nepal, S.
Kypri, K.
Pursey, K.
Attia, J.
Chikritzhs, Tanya
Miller, P.
author_facet Nepal, S.
Kypri, K.
Pursey, K.
Attia, J.
Chikritzhs, Tanya
Miller, P.
author_sort Nepal, S.
building Curtin Institutional Repository
collection Online Access
description © 2018 Australasian Professional Society on Alcohol and other Drugs Issues: Australian jurisdictions have introduced lockouts to prevent alcohol-related violence. Lockouts prohibit patrons from entering licensed premises after a designated time while allowing sale and consumption of alcohol to continue. Their purposes include managing the movement of intoxicated patrons, and preventing violence and disorder by dispersing times that patrons leave premises. We sought to evaluate the effectiveness of lockouts in preventing alcohol-related harm. Approach: We systematically searched electronic databases and reference lists and asked authors to identify relevant studies published to 1 June 2017. We deemed studies eligible if they evaluated lockouts, and if outcome measures included: assault, emergency department attendances, alcohol-related disorders or drink-driving offences. Two reviewers independently extracted data. Key Findings: After screening 244 records, we identified five studies from electronic databases, two from reference lists search and one from a Google search (N = 8). Two studies showed a decline in assaults; a third study showed reductions occurred only inside licensed premises; two studies showed an increase in assaults; and three studies showed no association. The studies had significant design and other limitations. Implications: Lockouts have been implemented acro ss Australian jurisdictions as a strategy to prevent alcohol-related harm, despite limited evidence. In this systematic review, we synthesised findings from studies that evaluated lockouts as stand-alone interventions, to help clarify debate on their utility as a harm prevention strategy. Conclusion: There is not good evidence that lockouts prevent alcohol-related harm, in contrast to what is known about stopping the sale of alcohol earlier, for which there is evidence of effectiveness.
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institution Curtin University Malaysia
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last_indexed 2025-11-14T10:40:13Z
publishDate 2018
publisher Wiley-Blackwell Publishing Ltd.
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spelling curtin-20.500.11937-691332018-06-29T12:36:11Z Effectiveness of lockouts in reducing alcohol-related harm: Systematic review Nepal, S. Kypri, K. Pursey, K. Attia, J. Chikritzhs, Tanya Miller, P. © 2018 Australasian Professional Society on Alcohol and other Drugs Issues: Australian jurisdictions have introduced lockouts to prevent alcohol-related violence. Lockouts prohibit patrons from entering licensed premises after a designated time while allowing sale and consumption of alcohol to continue. Their purposes include managing the movement of intoxicated patrons, and preventing violence and disorder by dispersing times that patrons leave premises. We sought to evaluate the effectiveness of lockouts in preventing alcohol-related harm. Approach: We systematically searched electronic databases and reference lists and asked authors to identify relevant studies published to 1 June 2017. We deemed studies eligible if they evaluated lockouts, and if outcome measures included: assault, emergency department attendances, alcohol-related disorders or drink-driving offences. Two reviewers independently extracted data. Key Findings: After screening 244 records, we identified five studies from electronic databases, two from reference lists search and one from a Google search (N = 8). Two studies showed a decline in assaults; a third study showed reductions occurred only inside licensed premises; two studies showed an increase in assaults; and three studies showed no association. The studies had significant design and other limitations. Implications: Lockouts have been implemented acro ss Australian jurisdictions as a strategy to prevent alcohol-related harm, despite limited evidence. In this systematic review, we synthesised findings from studies that evaluated lockouts as stand-alone interventions, to help clarify debate on their utility as a harm prevention strategy. Conclusion: There is not good evidence that lockouts prevent alcohol-related harm, in contrast to what is known about stopping the sale of alcohol earlier, for which there is evidence of effectiveness. 2018 Journal Article http://hdl.handle.net/20.500.11937/69133 10.1111/dar.12699 Wiley-Blackwell Publishing Ltd. restricted
spellingShingle Nepal, S.
Kypri, K.
Pursey, K.
Attia, J.
Chikritzhs, Tanya
Miller, P.
Effectiveness of lockouts in reducing alcohol-related harm: Systematic review
title Effectiveness of lockouts in reducing alcohol-related harm: Systematic review
title_full Effectiveness of lockouts in reducing alcohol-related harm: Systematic review
title_fullStr Effectiveness of lockouts in reducing alcohol-related harm: Systematic review
title_full_unstemmed Effectiveness of lockouts in reducing alcohol-related harm: Systematic review
title_short Effectiveness of lockouts in reducing alcohol-related harm: Systematic review
title_sort effectiveness of lockouts in reducing alcohol-related harm: systematic review
url http://hdl.handle.net/20.500.11937/69133