@article{ref1,
title="Adolescent concussion and mental health outcomes: a population-based study",
journal="American journal of health behavior",
year="2019",
author="Yang, Max N. and Parrish, Brian and Yang, Wei",
volume="43",
number="2",
pages="258-265",
abstract="<b>Objectives:</b> Population-based research on the relationship between concussions and self-harm, depression, and suicidal behaviors among adolescents is limited. <b>Methods:</b> A statewide Youth Risk Behavior Surveillance Survey (YRBSS) was conducted among students from 98 high schools in Nevada in 2017. Students were asked if they had a concussion from playing a sport as well as their mental health outcomes 12 months before the survey. Weighted multiple logistic regression was used to assess the relationship between experiencing a concussion and adverse mental health outcomes. <b>Results:</b> Among 3427 students who were physically active at least 60 minutes per day on 5 or more days per week, or played on at least one sport team, 19.5% (95% CI: 17.31%-21.60%) reported they had a concussion during the past 12 months. After controlling for sex, age, race/ethnicity, and academic performance, students who had a concussion had higher odds of: self-harm [aOR = 1.59 (1.16-2.17), p =.003], depressive symptoms [aOR = 1.48 (1.12-1.94), p =.006], attempted suicide [aOR = 3.10 (2.12-4.53), p <.001] and injury from attempted suicide [aOR = 2.61 (1.31-5.20, p =.006]. <b>Conclusions:</b> Students who experience a concussion may be at increased risk for poor mental health outcomes, including suicide attempts. Psychological evaluation following a concussion should complement medical evaluation and treatment..<p /> <p>Language: en</p>",
language="en",
issn="1087-3244",
doi="10.5993/AJHB.43.2.3",
url="http://dx.doi.org/10.5993/AJHB.43.2.3"
}