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- W3048114171 abstract "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 T ransforming R esearch a nd C linical K nowledge in T raumatic B rain I njury (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." @default.
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- W3048114171 date "2020-07-27" @default.
- W3048114171 modified "2023-10-18" @default.
- W3048114171 title "Risk Factors for Suicidal Ideation Following Mild Traumatic Brain Injury: A TRACK-TBI Study" @default.
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- W3048114171 doi "https://doi.org/10.1097/htr.0000000000000602" @default.
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