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 |
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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 |
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