Identification and referral of patients at risk for post-traumatic stress disorder: A literature review and retrospective analysis

Aaron Bolduc, Brice Hwang, Christopher Hogan, Varun K. Bhalla, Elizabeth Nesmith, Regina Medeiros, Cassie Alexander, Steven B. Holsten

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Post-traumatic stress disorder (PTSD) is a well-established psychological disorder after severe traumatic injury but remains poorly recognized. Recent changes in the "Resources for Optimal Care of the Injured Trauma Patient 2014" stress the need for comprehensive screening and referral for PTSD and depression after injury. Our purpose was to review the current PTSD literature and perform a retrospective chart review to evaluate screening at our institution. We hypothesized a lack of documentation and thus referral of these patients to mental health professionals. We performed a literature review of 43 publications of risk factors for PTSD in the civilian adult population followed by a retrospective review. Records were analyzed for basic demographics, risk factors found in the literature, and referrals to mental health providers. Risk factors included amputation, dissociative symptoms, female gender, history of mental health disorder, and peritraumatic emotionality. Traumatic amputation status and gender were recorded in all patients. History of mental health disorder was present in 11.5 per cent patients, absent in 80.75 per cent, and not recorded in 7.75 per cent with an overall documentation of 91.75 per cent. Dissociative symptoms and peri-traumatic emotionality were recorded in 0.5 per cent and 1.0 per cent of patients, respectively. Only 13 patients of 400 (3.25%) were referred to mental health professionals. Despite extensive evidence and literature supporting risk factors for the development of PTSD, identification and treatment at our level 1 trauma center is lacking. There is a need for consistent screening among trauma centers to identify PTSD risk factors and protocols for risk reduction and referrals for patients at risk.

Original languageEnglish (US)
Pages (from-to)904-908
Number of pages5
JournalAmerican Surgeon
Volume81
Issue number9
StatePublished - Sep 1 2015

Fingerprint

posttraumatic stress disorder
Post-Traumatic Stress Disorders
Referral and Consultation
Mental Health
mental health
trauma
emotionality
Trauma Centers
Mental Disorders
Documentation
health professionals
documentation
Wounds and Injuries
Traumatic Amputation
gender
Risk Reduction Behavior
Identification (Psychology)
literature
Amputation
Publications

ASJC Scopus subject areas

  • Surgery

Cite this

Identification and referral of patients at risk for post-traumatic stress disorder : A literature review and retrospective analysis. / Bolduc, Aaron; Hwang, Brice; Hogan, Christopher; Bhalla, Varun K.; Nesmith, Elizabeth; Medeiros, Regina; Alexander, Cassie; Holsten, Steven B.

In: American Surgeon, Vol. 81, No. 9, 01.09.2015, p. 904-908.

Research output: Contribution to journalArticle

Bolduc, Aaron ; Hwang, Brice ; Hogan, Christopher ; Bhalla, Varun K. ; Nesmith, Elizabeth ; Medeiros, Regina ; Alexander, Cassie ; Holsten, Steven B. / Identification and referral of patients at risk for post-traumatic stress disorder : A literature review and retrospective analysis. In: American Surgeon. 2015 ; Vol. 81, No. 9. pp. 904-908.
@article{05a1611bc78b472bbcbe6e24818e1f56,
title = "Identification and referral of patients at risk for post-traumatic stress disorder: A literature review and retrospective analysis",
abstract = "Post-traumatic stress disorder (PTSD) is a well-established psychological disorder after severe traumatic injury but remains poorly recognized. Recent changes in the {"}Resources for Optimal Care of the Injured Trauma Patient 2014{"} stress the need for comprehensive screening and referral for PTSD and depression after injury. Our purpose was to review the current PTSD literature and perform a retrospective chart review to evaluate screening at our institution. We hypothesized a lack of documentation and thus referral of these patients to mental health professionals. We performed a literature review of 43 publications of risk factors for PTSD in the civilian adult population followed by a retrospective review. Records were analyzed for basic demographics, risk factors found in the literature, and referrals to mental health providers. Risk factors included amputation, dissociative symptoms, female gender, history of mental health disorder, and peritraumatic emotionality. Traumatic amputation status and gender were recorded in all patients. History of mental health disorder was present in 11.5 per cent patients, absent in 80.75 per cent, and not recorded in 7.75 per cent with an overall documentation of 91.75 per cent. Dissociative symptoms and peri-traumatic emotionality were recorded in 0.5 per cent and 1.0 per cent of patients, respectively. Only 13 patients of 400 (3.25{\%}) were referred to mental health professionals. Despite extensive evidence and literature supporting risk factors for the development of PTSD, identification and treatment at our level 1 trauma center is lacking. There is a need for consistent screening among trauma centers to identify PTSD risk factors and protocols for risk reduction and referrals for patients at risk.",
author = "Aaron Bolduc and Brice Hwang and Christopher Hogan and Bhalla, {Varun K.} and Elizabeth Nesmith and Regina Medeiros and Cassie Alexander and Holsten, {Steven B.}",
year = "2015",
month = "9",
day = "1",
language = "English (US)",
volume = "81",
pages = "904--908",
journal = "Handbook of Behavioral Neuroscience",
issn = "0003-1348",
publisher = "JAI Press",
number = "9",

}

TY - JOUR

T1 - Identification and referral of patients at risk for post-traumatic stress disorder

T2 - A literature review and retrospective analysis

AU - Bolduc, Aaron

AU - Hwang, Brice

AU - Hogan, Christopher

AU - Bhalla, Varun K.

AU - Nesmith, Elizabeth

AU - Medeiros, Regina

AU - Alexander, Cassie

AU - Holsten, Steven B.

PY - 2015/9/1

Y1 - 2015/9/1

N2 - Post-traumatic stress disorder (PTSD) is a well-established psychological disorder after severe traumatic injury but remains poorly recognized. Recent changes in the "Resources for Optimal Care of the Injured Trauma Patient 2014" stress the need for comprehensive screening and referral for PTSD and depression after injury. Our purpose was to review the current PTSD literature and perform a retrospective chart review to evaluate screening at our institution. We hypothesized a lack of documentation and thus referral of these patients to mental health professionals. We performed a literature review of 43 publications of risk factors for PTSD in the civilian adult population followed by a retrospective review. Records were analyzed for basic demographics, risk factors found in the literature, and referrals to mental health providers. Risk factors included amputation, dissociative symptoms, female gender, history of mental health disorder, and peritraumatic emotionality. Traumatic amputation status and gender were recorded in all patients. History of mental health disorder was present in 11.5 per cent patients, absent in 80.75 per cent, and not recorded in 7.75 per cent with an overall documentation of 91.75 per cent. Dissociative symptoms and peri-traumatic emotionality were recorded in 0.5 per cent and 1.0 per cent of patients, respectively. Only 13 patients of 400 (3.25%) were referred to mental health professionals. Despite extensive evidence and literature supporting risk factors for the development of PTSD, identification and treatment at our level 1 trauma center is lacking. There is a need for consistent screening among trauma centers to identify PTSD risk factors and protocols for risk reduction and referrals for patients at risk.

AB - Post-traumatic stress disorder (PTSD) is a well-established psychological disorder after severe traumatic injury but remains poorly recognized. Recent changes in the "Resources for Optimal Care of the Injured Trauma Patient 2014" stress the need for comprehensive screening and referral for PTSD and depression after injury. Our purpose was to review the current PTSD literature and perform a retrospective chart review to evaluate screening at our institution. We hypothesized a lack of documentation and thus referral of these patients to mental health professionals. We performed a literature review of 43 publications of risk factors for PTSD in the civilian adult population followed by a retrospective review. Records were analyzed for basic demographics, risk factors found in the literature, and referrals to mental health providers. Risk factors included amputation, dissociative symptoms, female gender, history of mental health disorder, and peritraumatic emotionality. Traumatic amputation status and gender were recorded in all patients. History of mental health disorder was present in 11.5 per cent patients, absent in 80.75 per cent, and not recorded in 7.75 per cent with an overall documentation of 91.75 per cent. Dissociative symptoms and peri-traumatic emotionality were recorded in 0.5 per cent and 1.0 per cent of patients, respectively. Only 13 patients of 400 (3.25%) were referred to mental health professionals. Despite extensive evidence and literature supporting risk factors for the development of PTSD, identification and treatment at our level 1 trauma center is lacking. There is a need for consistent screening among trauma centers to identify PTSD risk factors and protocols for risk reduction and referrals for patients at risk.

UR - http://www.scopus.com/inward/record.url?scp=84941696072&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84941696072&partnerID=8YFLogxK

M3 - Article

C2 - 26350670

AN - SCOPUS:84941696072

VL - 81

SP - 904

EP - 908

JO - Handbook of Behavioral Neuroscience

JF - Handbook of Behavioral Neuroscience

SN - 0003-1348

IS - 9

ER -