Prevalence of suicidal behaviour following traumatic brain injury: Longitudinal follow-up data from the NIDRR Traumatic Brain Injury Model Systems
Prevalence of suicidal behaviour following traumatic brain injury: Longitudinal follow-up data from the NIDRR Traumatic Brain Injury Model Systems
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DOI：
10.1080/02699052.2016.1195517
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发表时间：
2016-01-01
期刊：
影响因子：
1.9
通讯作者：
Zafonte, Ross
中科院分区：
文献类型：
--
作者：
Fisher, Lauren B.;Pedrelli, Paola;Zafonte, Ross
目的：本研究利用创伤性脑损伤模型系统（TBIMS）的国家数据库，以研究抑郁症和自杀行为的患病率在一个大的队列中的患者谁持续中度至重度TBI.Method：参与者提出了TBIMS急性护理医院在72小时内的伤害，并接受急性护理和全面康复TBIMS指定的脑损伤住院康复计划。抑郁和自杀意念与患者健康问卷（PHQ-9）。自我报告的自杀企图在过去一年中记录在每个后续检查，在1，2，3，10，15和20 years post-injure.Results：在整个20年的后续行动，抑郁症的发病率范围从24.8- 28.1%，自杀意念范围从7.0-10.1%，自杀企图（过去一年）范围从0.8- 1.7%。赞同抑郁症和/或自杀行为的参与者在第1年表现出一贯的抑郁症和自杀行为5 years after TBI.Conclusion：与一般人群相比，TBI患者在TBI多年后抑郁症和自杀行为的风险更大。TBI患者所表现出的显著的精神症状突出了在这一人群中进行常规筛查和心理健康治疗的必要性。
Objective: This study utilized the Traumatic Brain Injury Model Systems (TBIMS) National Database to examine the prevalence of depression and suicidal behaviour in a large cohort of patients who sustained moderate-to-severe TBI.Method: Participants presented to a TBIMS acute care hospital within 72 hours of injury and received acute care and comprehensive rehabilitation in a TBIMS designated brain injury inpatient rehabilitation programme. Depression and suicidal ideation were measured with the Patient Health Questionnaire (PHQ-9). Self-reported suicide attempts during the past year were recorded at each follow-up examination, at 1, 2, 3, 10, 15 and 20 years post-injury.Results: Throughout the 20 years of follow-up, rates of depression ranged from 24.8-28.1%, suicidal ideation ranged from 7.0-10.1% and suicide attempts (past year) ranged from 0.8-1.7%. Participants who endorsed depression and/or suicidal behaviour at year 1 demonstrated consistently elevated rates of depression and suicidal behaviour 5 years after TBI.Conclusion: Compared to the general population, individuals with TBI are at greater risk for depression and suicidal behaviour many years after TBI. The significant psychiatric symptoms evidenced by individuals with TBI highlight the need for routine screening and mental health treatment in this population.