@article{ref1,
title="Examining the incidence of acute stress in pediatric trauma patients",
journal="Trauma surgery and acute care open",
year="2022",
author="Schauss, Eraina and Hawes, Kiersten and Roberts, Sydnie and Clayton, Joseph Mitchell and Li, Chi and Littlejohn, Alexandria and Bartelli, Debra and Williams, Regan",
volume="7",
number="1",
pages="e000946-e000946",
abstract="OBJECTIVE: Pediatric patients can be significantly impacted emotionally by exposure to acute trauma which may negatively impact long-term functioning and lead to an increase in overall distress. This study reports on the incidence of acute stress disorder among pediatric trauma patients in a hospital setting in the southeastern region of the USA. <br><br>METHODS: Pediatric patient mental health assessments were conducted using the Childhood Stress Disorders Checklist- Short Form (CSDC-SF) as part of a new integrated behavioral health standard of care within the Trauma Services Division of a level 1 pediatric hospital. Mental health consultations occurred at bedside on inpatient hospital admission into trauma services, or at the outpatient hospital clinic after discharge for injuries treated in the emergency department. <br><br>RESULTS: Associations among type of trauma, child age, and sex were explored in a sample of 617 children (58.9% male) aged 2-18 years (M (age)=10.27). The sample was primarily ethnic minorities (56.1% black/African-American, 5% Hispanic/Latinx). Fifteen per cent or more of trauma reports were for burns (26%), motor vehicle accident (22.7%), and recreational sports or leisure activity-related injury (17.5%). Sixty-four per cent of children scored ≥1 on the CSDC-SF, indicating symptoms consistent with acute stress disorder. Higher scores were associated with female sex, age, and injury type. LEVEL OF EVIDENCE: Level IV study provides evidence of the link between traumatic injury and mental health symptoms in a pediatric population. <br><br>FINDINGS highlight the critical need for mental health screening and provision of integrated mental health counseling services at time of acute pediatric trauma.<p /> <p>Language: en</p>",
language="en",
issn="2397-5776",
doi="10.1136/tsaco-2022-000946",
url="http://dx.doi.org/10.1136/tsaco-2022-000946"
}