<prompt> Translate the following text to EnglishMatatizo makubwa, majeraha, mashambulizi, kushuka moyo, na matatizo ya matibabu yanayohusiana na pombe kama vile kutokwa na damu ya tumbo au mshtuko wa akili hufafanua hata vikundi vya hatari ya juu.  <response>: Major trauma, injuries, assaults,72 depression, and alcohol-related medical problems like gastrointestinal bleeding or seizures define even higher risk subgroups. 