
@article{ref1,
title="Suicidal ideation after mild traumatic brain injury: a consecutive Canadian sample",
journal="Archives of suicide research",
year="2016",
author="Bethune, A. and Da Costa, L. and van Niftrik, C. H. B. and Feinstein, A.",
volume="21",
number="3",
pages="392-402",
abstract="OBJECTIVES: We aim to elucidate psychosocial and injury features contributing to SI following concussion or mild traumatic brain injury (mTBI) and the time course for its development. <br><br>METHODS: Between 1998 and 2012, a sample of 871 patients referred to a follow-up clinic after concussion treatment in an urban tertiary care ED were consecutively offered enrollment at 3 months post injury. Data from psychiatric and social-demographic assessments were consecutively collected at two visits (3 and 6 months after injury) respectively. Chi-square and t-tests were performed to identify associations between variables related with SI. Logistic regression analysis was performed to identify factors independently associated. <br><br>RESULTS: During the enrolment period, 2296 patients with mTBI presented to the ED. 871 adults completed psychiatric and social demographic clinic assessments at 3 months, and 500 returned at 6 months. Suicidal ideation was expressed by 6.3% at 3 months and 8.2% at 6 months. Regression models showed SI independently associated with: speaking English as a Second Language (ESL) and injury mechanism (MVC passenger) at 3 and 6 months; and history of depression and marital status at 3 months only. <br><br>CONCLUSIONS: SI is common 3 months after mTBI, and appears more at 6 month follow up. These findings suggest earlier screening for predisposing factors and closer monitoring of those at risk for suicidality.<p /> <p>Language: en</p>",
language="en",
issn="1381-1118",
doi="10.1080/13811118.2016.1199990",
url="http://dx.doi.org/10.1080/13811118.2016.1199990"
}