Suicidality in people surviving a traumatic brain injury: Prevalence, risk factors and implications for clinical management

@article{Simpson2007SuicidalityIP,
  title={Suicidality in people surviving a traumatic brain injury: Prevalence, risk factors and implications for clinical management},
  author={G. Simpson and R. Tate},
  journal={Brain Injury},
  year={2007},
  volume={21},
  pages={1335 - 1351}
}
Background: A systematic search was conducted of the literature addressing suicidality after traumatic brain injury (TBI). Results from population-based studies found that people with TBI have an increased risk of death by suicide (3–4 times greater than for the general population), as well as significantly higher levels of suicide attempts and suicide ideation. Clinical studies have also reported high levels of suicide attempts (18%) and clinically significant suicide ideation (21–22%) in TBI… Expand
Suicidal Ideation and Behaviours after Traumatic Brain Injury: A Systematic Review
TLDR
Results from this systematic review supported an increased risk of suicide among TBI survivors compared to those with no history of TBI, and evidence pertaining to suicidal thoughts and attempts was less clear. Expand
Association between suicide risk and traumatic brain injury in adults: a population based cohort study
  • Yueh-Chien Lu, Ming-Kung Wu, Li Zhang, Cong-Liang Zhang, Ying-Yi Lu, Chieh-Hsin Wu
  • Medicine
  • Postgraduate Medical Journal
  • 2020
TLDR
The overall risk of suicide attempts was 2.23 times higher in the TBI group compared with the non-TBI group after adjustment for covariates, and the risk attempted suicide increased with the severity of TBI. Expand
A perspectives approach to suicide after traumatic brain injury: case and review.
TLDR
This article serves to review the currently available literature on suicidal behavioral after TBI and uses a case to illustrate how one might conceptualize this complex problem. Expand
Prevalence of suicidal behaviour following traumatic brain injury: Longitudinal follow-up data from the NIDRR Traumatic Brain Injury Model Systems
TLDR
Compared to the general population, individuals with TBI are at greater risk for depression and suicidal behaviour many years after TBI, highlighting the need for routine screening and mental health treatment in this population. Expand
Factors Increasing Risk of Suicide after Traumatic Brain Injury: A State-of-the-Science Review of Military and Civilian Studies
TLDR
Civilian and military clinician cross-talk and consistent reporting of results from reproducible studies of post-TBI suicide risk factors could improve prevention and treatment efforts in veterans and civilians. Expand
Traumatic Brain Injury and Suicidal Behavior: A Review.
TLDR
A model for repetitive TBIs, leading to chronic traumatic encephalopathy, is discussed as a neuroinflammatory process, with discussion about its possible link with suicide. Expand
The association between traumatic brain injury and suicide: are kids at risk?
TLDR
A higher risk of suicide is found for people who sustained a TBI during childhood and more severe injuries, such as intracranial hemorrhages, were associated with higher risks of suicide in all age groups. Expand
Living with suicidality following traumatic brain injury: a qualitative study
TLDR
Chronic suicidality after TBI was demonstrated consistently regardless of receiving long-term support, however, their engagement with protective factors such as social support, spirituality and positive personal qualities was identified, and implementing these as coping strategies during long- term rehabilitation may reduce the levels of suicidal distress. Expand
A Guide for the Assessment and Treatment of Suicidal Patients With Traumatic Brain Injuries
TLDR
A review of suicide nomenclature, epidemiology, risk and protective factors, as well as evidence-informed assessment, management, and treatment practices for suicidal patients with TBI are provided. Expand
A Preliminary Investigation of Suicidality in Psychiatrically Hospitalized Veterans with Traumatic Brain Injury
TLDR
Clinicians and researchers are strongly encouraged to focus increased attention on suicide prevention in those with a history of TBI, as suicidal behaviors documented at time of discharge from acute psychiatric hospitalization. Expand
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Suicidality is a common psychological reaction to TBI among out-patient populations and management should involve careful history taking of previous post-injury suicidal behaviour, assessment of post- injury adjustment to T BI with particular focus on the degree of emotional/psychiatric disturbance, and close monitoring of those individuals with high levels of hopelessness and suicide ideation. Expand
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People with traumatic brain injury have an increased risk of suicide, suicide attempts and suicide ideation compared with the general population, and general practitioners are strategically placed to make a significant contribution to preventing suicide in this group. Expand
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