Suicide and Traumatic Brain Injury Among Individuals Seeking Veterans Health Administration Services

  title={Suicide and Traumatic Brain Injury Among Individuals Seeking Veterans Health Administration Services},
  author={Lisa A. Brenner and Rosalinda V Ignacio and Frederic C Blow},
  journal={Journal of Head Trauma Rehabilitation},
Objective:To examine associations between history of traumatic brain injury (TBI) diagnosis and death by suicide among individuals receiving care within the Veterans Health Administration (VHA). Method:Individuals who received care between fiscal years 2001 to 2006 were included in analyses. Cox proportional hazards survival models for time to suicide, with time-dependent covariates, were utilized. Covariance sandwich estimators were used to adjust for the clustered nature of the data, with… 

Suicide and Traumatic Brain Injury Among Individuals Seeking Veterans Health Administration Services Between Fiscal Years 2006 and 2015

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Risk Factors for Suicide in a National Sample of Veterans with Multiple Sclerosis.

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A national study of TBI and risk of suicide and unintended death by overdose and firearms

Findings suggest that veterans with mild and moderate-to-severe TBI are at increased risk of death by drug overdose and firearms, with overdose risk heightened with age.

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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.

Prevalence and Screening of Traumatic Brain Injury Among Veterans Seeking Mental Health Services

The prevalence of TBI in this VA mental health treatment population was higher than expected and additional research is required to assess the clinical utility of screening for TBI among this population of Veterans.

Accelerated Death Rate in Population-Based Cohort of Persons With Traumatic Brain Injury

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Repetitive traumatic brain injury, psychological symptoms, and suicide risk in a clinical sample of deployed military personnel.

Depression, PTSD, and TBI symptom severity significantly increased with the number of TBIs, and Suicide Behaviors Questionnaire-Revised suggests suicide risk is higher among military personnel with more lifetime TBIS, even after controlling for clinical symptom severity.



Clinical Features of Suicide Attempts After Traumatic Brain Injury

The odds ratio found that respondents with a comorbid postinjury history of psychiatric/emotional disturbance and substance abuse were 21 times more likely to have made an attempt post-TBI compared with respondents with no such history.

Traumatic Brain Injury and Psychiatric Diagnoses in Veterans Seeking Outpatient Substance Abuse Treatment

The results emphasize the need for TBI screening in this vulnerable population, as well as the importance of increasing brain injury awareness among those abusing substances and their care providers.

Suicidal Behavior and Mild Traumatic Brain Injury in Major Depression

The data suggest that suicidal behavior and TBI share antecedent risk factors: hostility and aggression, and future studies may yield confirmation using a prospective design.

Suicide after traumatic brain injury: a population study

The increased risk of suicide among patients who had a mild traumatic brain injury may result from concomitant risk factors such as psychiatric conditions and psychosocial disadvantage.

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

To date, little evidence exists for the role of pre-morbid psychopathology, neuropathological, neuropsychological impairments or post-injury psychosocial factors as major risk factors for post-Injury suicidality.

Suicide mortality among patients receiving care in the veterans health administration health system.

Prior to the conflicts in Afghanistan and Iraq and before recent VHA initiatives, rates were higher among VHA patients than in the general population, and females had particularly high relative risks.

The association between head injuries and psychiatric disorders: findings from the New Haven NIMH Epidemiologic Catchment Area Study

Individuals with a history of traumatic brain injury have significantly higher occurrence for psychiatric disorders and suicide attempts in comparison with those without head injury and have a poorer quality of life.

Rates of major depressive disorder and clinical outcomes following traumatic brain injury.

Major depressive disorder was associated with history of MDD and was an independent predictor of poorer health-related quality of life at 1 year compared with the nondepressed group.

Substance abuse as a mediating factor in outcome from traumatic brain injury.

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Toward a clinical model of suicidal behavior in psychiatric patients.

A stress-diathesis model is proposed in which the risk for suicidal acts is determined not merely by a psychiatric illness but also by a diathesis, reflected in tendencies to experience more suicidal ideation and to be more impulsive and, therefore, more likely to act on suicidal feelings.