Acute Trauma Factor Associations With Suicidality Across the First 5 Years After Traumatic Brain Injury

Matthew R. Kesinger, Shannon B. Juengst, Hillary Bertisch, Janet P. Niemeier, Jason W. Krellman, Mary Jo Pugh, Raj G. Kumar, Jason L. Sperry, Patricia M. Arenth, Jesse R. Fann, Amy K. Wagner

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Objective To determine whether severity of head and extracranial injuries (ECI) is associated with suicidal ideation (SI) or suicide attempt (SA) after traumatic brain injury (TBI). Design Factors associated with SI and SA were assessed in this inception cohort study using data collected 1, 2, and 5 years post-TBI from the National Trauma Data Bank and Traumatic Brain Injury Model Systems (TBIMS) databases. Setting Level I trauma centers, inpatient rehabilitation centers, and the community. Participants Participants with TBI from 15 TBIMS Centers with linked National Trauma Data Bank trauma data (N=3575). Interventions Not applicable. Main Outcome Measures SI was measured via the Patient Health Questionnaire 9 (question 9). SA in the last year was assessed via interview. ECI was measured by the Injury Severity Scale (nonhead) and categorized as none, mild, moderate, or severe. Results There were 293 (8.2%) participants who had SI without SA and 109 (3.0%) who had SA at least once in the first 5 years postinjury. Random effects logit modeling showed a higher likelihood of SI when ECI was severe (odds ratio=2.73; 95% confidence interval, 1.55–4.82; P=.001). Drug use at time of injury was also associated with SI (odds ratio=1.69; 95% confidence interval, 1.11–2.86; P=.015). Severity of ECI was not associated with SA. Conclusions Severe ECI carried a nearly 3-fold increase in the odds of SI after TBI, but it was not related to SA. Head injury severity and less severe ECI were not associated with SI or SA. These findings warrant additional work to identify factors associated with severe ECI that make individuals more susceptible to SI after TBI.

Original languageEnglish (US)
Pages (from-to)1301-1308
Number of pages8
JournalArchives of Physical Medicine and Rehabilitation
Volume97
Issue number8
DOIs
StatePublished - Jan 1 2016

Fingerprint

Suicidal Ideation
Suicide
Wounds and Injuries
Databases
Craniocerebral Trauma
Traumatic Brain Injury
Odds Ratio
Confidence Intervals
Rehabilitation Centers
Trauma Centers
Inpatients
Cohort Studies
Outcome Assessment (Health Care)
Interviews

Keywords

  • Brain injuries
  • Injury Severity Score
  • Multiple trauma
  • Rehabilitation
  • Suicidal ideation
  • Suicide, attempted

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Acute Trauma Factor Associations With Suicidality Across the First 5 Years After Traumatic Brain Injury. / Kesinger, Matthew R.; Juengst, Shannon B.; Bertisch, Hillary; Niemeier, Janet P.; Krellman, Jason W.; Pugh, Mary Jo; Kumar, Raj G.; Sperry, Jason L.; Arenth, Patricia M.; Fann, Jesse R.; Wagner, Amy K.

In: Archives of Physical Medicine and Rehabilitation, Vol. 97, No. 8, 01.01.2016, p. 1301-1308.

Research output: Contribution to journalArticle

Kesinger, MR, Juengst, SB, Bertisch, H, Niemeier, JP, Krellman, JW, Pugh, MJ, Kumar, RG, Sperry, JL, Arenth, PM, Fann, JR & Wagner, AK 2016, 'Acute Trauma Factor Associations With Suicidality Across the First 5 Years After Traumatic Brain Injury', Archives of Physical Medicine and Rehabilitation, vol. 97, no. 8, pp. 1301-1308. https://doi.org/10.1016/j.apmr.2016.02.017
Kesinger, Matthew R. ; Juengst, Shannon B. ; Bertisch, Hillary ; Niemeier, Janet P. ; Krellman, Jason W. ; Pugh, Mary Jo ; Kumar, Raj G. ; Sperry, Jason L. ; Arenth, Patricia M. ; Fann, Jesse R. ; Wagner, Amy K. / Acute Trauma Factor Associations With Suicidality Across the First 5 Years After Traumatic Brain Injury. In: Archives of Physical Medicine and Rehabilitation. 2016 ; Vol. 97, No. 8. pp. 1301-1308.
@article{a985e985fcf34c15afa789c2a5cdf88b,
title = "Acute Trauma Factor Associations With Suicidality Across the First 5 Years After Traumatic Brain Injury",
abstract = "Objective To determine whether severity of head and extracranial injuries (ECI) is associated with suicidal ideation (SI) or suicide attempt (SA) after traumatic brain injury (TBI). Design Factors associated with SI and SA were assessed in this inception cohort study using data collected 1, 2, and 5 years post-TBI from the National Trauma Data Bank and Traumatic Brain Injury Model Systems (TBIMS) databases. Setting Level I trauma centers, inpatient rehabilitation centers, and the community. Participants Participants with TBI from 15 TBIMS Centers with linked National Trauma Data Bank trauma data (N=3575). Interventions Not applicable. Main Outcome Measures SI was measured via the Patient Health Questionnaire 9 (question 9). SA in the last year was assessed via interview. ECI was measured by the Injury Severity Scale (nonhead) and categorized as none, mild, moderate, or severe. Results There were 293 (8.2{\%}) participants who had SI without SA and 109 (3.0{\%}) who had SA at least once in the first 5 years postinjury. Random effects logit modeling showed a higher likelihood of SI when ECI was severe (odds ratio=2.73; 95{\%} confidence interval, 1.55–4.82; P=.001). Drug use at time of injury was also associated with SI (odds ratio=1.69; 95{\%} confidence interval, 1.11–2.86; P=.015). Severity of ECI was not associated with SA. Conclusions Severe ECI carried a nearly 3-fold increase in the odds of SI after TBI, but it was not related to SA. Head injury severity and less severe ECI were not associated with SI or SA. These findings warrant additional work to identify factors associated with severe ECI that make individuals more susceptible to SI after TBI.",
keywords = "Brain injuries, Injury Severity Score, Multiple trauma, Rehabilitation, Suicidal ideation, Suicide, attempted",
author = "Kesinger, {Matthew R.} and Juengst, {Shannon B.} and Hillary Bertisch and Niemeier, {Janet P.} and Krellman, {Jason W.} and Pugh, {Mary Jo} and Kumar, {Raj G.} and Sperry, {Jason L.} and Arenth, {Patricia M.} and Fann, {Jesse R.} and Wagner, {Amy K.}",
year = "2016",
month = "1",
day = "1",
doi = "10.1016/j.apmr.2016.02.017",
language = "English (US)",
volume = "97",
pages = "1301--1308",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "8",

}

TY - JOUR

T1 - Acute Trauma Factor Associations With Suicidality Across the First 5 Years After Traumatic Brain Injury

AU - Kesinger, Matthew R.

AU - Juengst, Shannon B.

AU - Bertisch, Hillary

AU - Niemeier, Janet P.

AU - Krellman, Jason W.

AU - Pugh, Mary Jo

AU - Kumar, Raj G.

AU - Sperry, Jason L.

AU - Arenth, Patricia M.

AU - Fann, Jesse R.

AU - Wagner, Amy K.

PY - 2016/1/1

Y1 - 2016/1/1

N2 - Objective To determine whether severity of head and extracranial injuries (ECI) is associated with suicidal ideation (SI) or suicide attempt (SA) after traumatic brain injury (TBI). Design Factors associated with SI and SA were assessed in this inception cohort study using data collected 1, 2, and 5 years post-TBI from the National Trauma Data Bank and Traumatic Brain Injury Model Systems (TBIMS) databases. Setting Level I trauma centers, inpatient rehabilitation centers, and the community. Participants Participants with TBI from 15 TBIMS Centers with linked National Trauma Data Bank trauma data (N=3575). Interventions Not applicable. Main Outcome Measures SI was measured via the Patient Health Questionnaire 9 (question 9). SA in the last year was assessed via interview. ECI was measured by the Injury Severity Scale (nonhead) and categorized as none, mild, moderate, or severe. Results There were 293 (8.2%) participants who had SI without SA and 109 (3.0%) who had SA at least once in the first 5 years postinjury. Random effects logit modeling showed a higher likelihood of SI when ECI was severe (odds ratio=2.73; 95% confidence interval, 1.55–4.82; P=.001). Drug use at time of injury was also associated with SI (odds ratio=1.69; 95% confidence interval, 1.11–2.86; P=.015). Severity of ECI was not associated with SA. Conclusions Severe ECI carried a nearly 3-fold increase in the odds of SI after TBI, but it was not related to SA. Head injury severity and less severe ECI were not associated with SI or SA. These findings warrant additional work to identify factors associated with severe ECI that make individuals more susceptible to SI after TBI.

AB - Objective To determine whether severity of head and extracranial injuries (ECI) is associated with suicidal ideation (SI) or suicide attempt (SA) after traumatic brain injury (TBI). Design Factors associated with SI and SA were assessed in this inception cohort study using data collected 1, 2, and 5 years post-TBI from the National Trauma Data Bank and Traumatic Brain Injury Model Systems (TBIMS) databases. Setting Level I trauma centers, inpatient rehabilitation centers, and the community. Participants Participants with TBI from 15 TBIMS Centers with linked National Trauma Data Bank trauma data (N=3575). Interventions Not applicable. Main Outcome Measures SI was measured via the Patient Health Questionnaire 9 (question 9). SA in the last year was assessed via interview. ECI was measured by the Injury Severity Scale (nonhead) and categorized as none, mild, moderate, or severe. Results There were 293 (8.2%) participants who had SI without SA and 109 (3.0%) who had SA at least once in the first 5 years postinjury. Random effects logit modeling showed a higher likelihood of SI when ECI was severe (odds ratio=2.73; 95% confidence interval, 1.55–4.82; P=.001). Drug use at time of injury was also associated with SI (odds ratio=1.69; 95% confidence interval, 1.11–2.86; P=.015). Severity of ECI was not associated with SA. Conclusions Severe ECI carried a nearly 3-fold increase in the odds of SI after TBI, but it was not related to SA. Head injury severity and less severe ECI were not associated with SI or SA. These findings warrant additional work to identify factors associated with severe ECI that make individuals more susceptible to SI after TBI.

KW - Brain injuries

KW - Injury Severity Score

KW - Multiple trauma

KW - Rehabilitation

KW - Suicidal ideation

KW - Suicide, attempted

UR - http://www.scopus.com/inward/record.url?scp=84969262847&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84969262847&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2016.02.017

DO - 10.1016/j.apmr.2016.02.017

M3 - Article

VL - 97

SP - 1301

EP - 1308

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 8

ER -