Traumatic brain injury, psychiatric diagnoses, and suicide risk among Veterans seeking services related to homelessness

Autor: Kelly A. Stearns-Yoder, Jeri E. Forster, Trisha A. Hostetter, Lisa A. Brenner, Kelly A. Soberay, Sean M. Barnes
Rok vydání: 2017
Předmět:
Adult
Male
Risk
medicine.medical_specialty
Adolescent
Traumatic brain injury
Neuroscience (miscellaneous)
Poison control
Suicide prevention
Occupational safety and health
Young Adult
03 medical and health sciences
0302 clinical medicine
Brain Injuries
Traumatic

Injury prevention
Developmental and Educational Psychology
Humans
Medicine
Psychiatry
health care economics and organizations
Aged
Veterans
Aged
80 and over

Psychiatric Status Rating Scales
030505 public health
business.industry
Mental Disorders
Human factors and ergonomics
Middle Aged
medicine.disease
United States
humanities
nervous system diseases
Suicide
United States Department of Veterans Affairs
Ill-Housed Persons
Cohort
Female
Observational study
Neurology (clinical)
0305 other medical science
business
030217 neurology & neurosurgery
Clinical psychology
Zdroj: Brain Injury. 31:1731-1735
ISSN: 1362-301X
0269-9052
DOI: 10.1080/02699052.2017.1376758
Popis: To explore the differences in negative psychiatric outcomes (i.e. type and number of psychiatric diagnoses, suicide risk) among Veterans with and without a history of traumatic brain injury (TBI) seeking homeless services.Observational design with data collected at one time-point. Veterans seeking homeless services from two Veteran Affairs (VA) Medical Centres completed study measures (n = 309; 282 with a history of TBI and 27 without a history of TBI). Veterans participated in structured clinical interviews regarding psychiatric and TBI histories.Those with a history of TBI met the criteria for significantly more psychiatric diagnoses (p = 0.0003), and were more likely to be at risk for suicide (p = 0.007) than those without a history of TBI.Even among the high-risk cohort of homeless Veterans, those with a history of TBI were found to be at even greater risk for negative psychiatric outcomes. Further research is required to determine if and how the history of TBI contributes to the inability to maintain stable housing. Moreover, the findings highlight both the importance of assessing for history of TBI among this cohort, and educating providers regarding how to address the needs related to injury sequelae.
Databáze: OpenAIRE