Prevalence of suicidal behaviour following traumatic brain injury

Longitudinal follow-up data from the NIDRR Traumatic Brain Injury Model Systems

Lauren B. Fisher, Paola Pedrelli, Grant L. Iverson, Thomas F. Bergquist, Charles H. Bombardier, Flora M. Hammond, Tessa Hart, Jessica McKinney Ketchum, Joseph Giacino, Ross Zafonte

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: This study utilized the Traumatic Brain Injury Model Systems (TBIMS) National Database to examine the prevalence of depression and suicidal behaviour in a large cohort of patients who sustained moderate-to-severe TBI. Method: Participants presented to a TBIMS acute care hospital within 72 hours of injury and received acute care and comprehensive rehabilitation in a TBIMS designated brain injury inpatient rehabilitation programme. Depression and suicidal ideation were measured with the Patient Health Questionnaire (PHQ-9). Self-reported suicide attempts during the past year were recorded at each follow-up examination, at 1, 2, 3, 10, 15 and 20 years post-injury. Results: Throughout the 20 years of follow-up, rates of depression ranged from 24.8–28.1%, suicidal ideation ranged from 7.0–10.1% and suicide attempts (past year) ranged from 0.8–1.7%. Participants who endorsed depression and/or suicidal behaviour at year 1 demonstrated consistently elevated rates of depression and suicidal behaviour 5 years after TBI. Conclusion: Compared to the general population, individuals with TBI are at greater risk for depression and suicidal behaviour many years after TBI. The significant psychiatric symptoms evidenced by individuals with TBI highlight the need for routine screening and mental health treatment in this population.

Original languageEnglish (US)
Pages (from-to)1311-1318
Number of pages8
JournalBrain Injury
Volume30
Issue number11
DOIs
StatePublished - Sep 18 2016

Fingerprint

Depression
Suicidal Ideation
Suicide
Rehabilitation
Wounds and Injuries
Brain Injuries
Population
Psychiatry
Traumatic Brain Injury
Inpatients
Mental Health
Databases
Health
Therapeutics

Keywords

  • Traumatic brain injury
  • depression
  • prevalence
  • suicidal ideation
  • suicide
  • suicide attempt

ASJC Scopus subject areas

  • Neuroscience (miscellaneous)
  • Developmental and Educational Psychology
  • Clinical Neurology

Cite this

Fisher, L. B., Pedrelli, P., Iverson, G. L., Bergquist, T. F., Bombardier, C. H., Hammond, F. M., ... Zafonte, R. (2016). Prevalence of suicidal behaviour following traumatic brain injury: Longitudinal follow-up data from the NIDRR Traumatic Brain Injury Model Systems. Brain Injury, 30(11), 1311-1318. https://doi.org/10.1080/02699052.2016.1195517

Prevalence of suicidal behaviour following traumatic brain injury : Longitudinal follow-up data from the NIDRR Traumatic Brain Injury Model Systems. / Fisher, Lauren B.; Pedrelli, Paola; Iverson, Grant L.; Bergquist, Thomas F.; Bombardier, Charles H.; Hammond, Flora M.; Hart, Tessa; Ketchum, Jessica McKinney; Giacino, Joseph; Zafonte, Ross.

In: Brain Injury, Vol. 30, No. 11, 18.09.2016, p. 1311-1318.

Research output: Contribution to journalArticle

Fisher, LB, Pedrelli, P, Iverson, GL, Bergquist, TF, Bombardier, CH, Hammond, FM, Hart, T, Ketchum, JM, Giacino, J & Zafonte, R 2016, 'Prevalence of suicidal behaviour following traumatic brain injury: Longitudinal follow-up data from the NIDRR Traumatic Brain Injury Model Systems', Brain Injury, vol. 30, no. 11, pp. 1311-1318. https://doi.org/10.1080/02699052.2016.1195517
Fisher, Lauren B. ; Pedrelli, Paola ; Iverson, Grant L. ; Bergquist, Thomas F. ; Bombardier, Charles H. ; Hammond, Flora M. ; Hart, Tessa ; Ketchum, Jessica McKinney ; Giacino, Joseph ; Zafonte, Ross. / Prevalence of suicidal behaviour following traumatic brain injury : Longitudinal follow-up data from the NIDRR Traumatic Brain Injury Model Systems. In: Brain Injury. 2016 ; Vol. 30, No. 11. pp. 1311-1318.
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