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Journal Article

Citation

Olson-Madden JH, Forster JE, Huggins J, Schneider A. J. Head Trauma Rehabil. 2012; 27(5): 370-378.

Affiliation

VISN 19 Mental Illness Research, Education and Clinical Center (MIRECC), Denver, Colorado (Dr Olson-Madden, Mr Huggins, and Ms Schneider); Departments of Psychiatry (Dr Olson-Madden) and Pediatrics (Dr Forster), School of Medicine, and Department of Biostatistics and Informatics, Colorado School of Public Health (Dr Forster), University of Colorado Denver, Denver.

Copyright

(Copyright © 2012, Lippincott Williams and Wilkins)

DOI

10.1097/HTR.0b013e318268d496

PMID

22955102

Abstract

OBJECTIVES: : To describe various characteristics of veterans with co-occurring histories of traumatic brain injury (TBI) and substance use disorder (SUD) for purposes of hypothesis generation. STUDY DESIGN: : Archival data collected over a period of 4 years. PARTICIPANTS: : Sixty-five veterans across eras of service with confirmed histories of TBI and SUD. METHODS: : Demographic and TBI information were obtained from an archival clinical database. Electronic medical records were reviewed for mental health utilization, psychiatric diagnoses, self-directed violence, and risk-taking behaviors. RESULTS: : In addition to a SUD, veterans were reported to have an average of 3 additional psychiatric diagnoses and a median of 3 TBIs per person. All utilized various mental health services in addition to substance use treatment. Individuals were found to have engaged in a variety of risky behaviors. There were significant associations between suicidal ideation and assaultive behaviors, as well as between suicide attempt and impulsivity. CONCLUSIONS: : This study describes a sample of veterans with co-occurring histories of TBI, SUD, risk-taking behaviors, and self-directed violence. More research is needed to examine these complex interrelationships and to identify specific risk factors for intervention/prevention strategies.


Language: en

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