Schaffarczyk K, Nathan S, Marjadi B, et al. - Researchers investigated non-occupational falls from ladders in older men presenting to a major trauma centre. Further, they investigated factors affecting ladder climbing behavior and the post fall impacts. They retrospectively reviewed medical records of 86 men aged 50 years and older who were admitted to a major trauma center following a non-occupational ladder fall. Of these, 27% sustained severe trauma. (range 50–85 years, mean age 64.7 years), 27% sustained severe trauma. They conducted 14 interviews with 19 participants (12 men, 7 spouses). A lack of assessment of risk was the most salient prefall factor, indicating individual and community factors. Findings revealed occurrence of marked morbidity in correlation with ladder fall injuries, often with life changing impacts, even with minor trauma. Contributing factors are multifactorial. They emphasize addressing these factors in injury prevention strategies.