TY  - JOUR
PY  - 2020//
TI  - Risk factors for suicidal ideation following mild traumatic brain injury: a TRACK-TBI Study
JO  - Journal of head trauma rehabilitation
A1  - Campbell-Sills, Laura
A1  - Jain, Sonia
A1  - Sun, Xiaoying
A1  - Fisher, Lauren B.
A1  - Agtarap, Stephanie D.
A1  - Dikmen, Sureyya
A1  - Nelson, Lindsay D.
A1  - Temkin, Nancy
A1  - McCrea, Michael
A1  - Yuh, Esther
A1  - Giacino, Joseph T.
A1  - Manley, Geoffrey T.
A1  - Stein, Murray B.
A1  - TRACK-TBI Investigators, 
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVE: To identify risk factors for suicidal ideation (SI) following mild traumatic brain injury (mTBI).     SETTING: Eleven US level 1 trauma centers.     PARTICIPANTS: A total of 1158 emergency department patients with mTBI (Glasgow Coma Scale score = 13-15) enrolled in the Transforming Research and Clinical Knowledge in Traumatic Brain Injury (TRACK-TBI) study.     DESIGN: Prospective observational study; weights-adjusted multivariable logistic regression models (n's = 727-883) estimated associations of baseline factors and post-TBI symptoms with SI at 2 weeks and 3, 6, and 12 months postinjury.     MAIN MEASURES: Patient Health Questionnaire, Rivermead Post-Concussion Symptoms Questionnaire.     RESULTS: Preinjury psychiatric history predicted SI at all follow-ups (adjusted odds ratios [AORs] = 2.26-6.33, P values <.05) and history of prior TBI predicted SI at 2 weeks (AOR = 2.36, 95% confidence interval [CI] = 1.16-4.81, P =.018), 3 months (AOR = 2.62, 95% CI = 1.33-5.16, P =.005), and 6 months postinjury (AOR = 2.54, 95% CI = 1.19-5.42, P =.016). Adjusting for these baseline factors, post-TBI symptoms were strongly associated with SI at concurrent (AORs = 1.91-2.88 per standard deviation unit increase in Rivermead Post-Concussion Symptoms Questionnaire score; P values <.0005) and subsequent follow-up visits (AORs = 1.68-2.53; P values <.005). Most of the associations between post-TBI symptoms and SI were statistically explained by co-occurring depression.     CONCLUSION: Screening for psychiatric and prior TBI history may help identify patients at risk for SI following mTBI. Awareness of the strong associations of post-TBI symptoms with SI may facilitate interventions to prevent suicide-related outcomes in patients with mTBI.<p />  <p>Language: en</p>
LA  - en
SN  - 0885-9701
UR  - http://dx.doi.org/10.1097/HTR.0000000000000602
ID  - ref1
ER  -