@article{ref1,
title="Responses to traumatic brain injury screening questions and suicide attempts among those seeking Veterans Health Administration mental health services",
journal="Frontiers in psychiatry",
year="2016",
author="Schneider, A.L. and Hostetter, T.A. and Homaifar, B.Y. and Forster, J.E. and Olson-Madden, J.H. and Matarazzo, B.B. and Huggins, J. and Brenner, L.A.",
volume="7",
number="APR",
pages="-",
abstract="BACKGROUND: Psychometrically sound screening tools available to aid in the identification of lifetime history of traumatic brain injury (TBI) are limited. As such, the Traumatic Brain Injury-4 (TBI-4) was developed and implemented in a Veterans Health Administration (VHA) mental health clinic. To provide information regarding both the predictive validity and clinical utility of the TBI-4, the relationship between screening results and future suicide attempts was evaluated. <br><br>OBJECTIVE: The aim of this study was to determine whether a positive screen on the TBI-4 was associated with increased risk for suicide attempt within 1-year post screening. <br><br>METHODS: The TBI-4 was administered to 1,097 Veterans at the time of mental health intake. Follow-up data regarding suicide attempts for the year post-mental health intake were obtained from suicide behavior reports (SBRs) in Veteran electronic medical records (EMRs). Fisher's exact tests were used to determine the proportion of suicide attempts by TBI-4 status. <br><br>RESULTS: In the year post TBI-4 screening, significantly more Veterans who screened positive had a documented suicide attempt as compared to those who screened negative (p = 0.003). <br><br>CONCLUSION: Those with a positive TBI screen at mental health intake had a higher proportion of SBRs than those who screened negative for TBI. <br><br>FINDINGS provided further psychometric support for the TBI-4. Moreover, results suggest the inclusion of this screen could prove to be helpful in identifying those who may be at risk for future suicide attempt within 1-year post screening. © 2016 Schneider, Hostetter, Homaifar, Forster, Olson-Madden, Matarazzo, Huggins and Brenner.<p /><p>Language: en</p>",
language="en",
issn="1664-0640",
doi="10.3389/fpsyt.2016.00059",
url="http://dx.doi.org/10.3389/fpsyt.2016.00059"
}