Responses to traumatic brain injury screening questions and suicide attempts among those seeking Veterans Health Administration mental health services
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 pr...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2016-04-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fpsyt.2016.00059/full |
| _version_ | 1817969387272929280 |
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| author | Alexandra Lindsay Schneider Trisha Ann Hostetter Beeta Yazmeen Homaifar Beeta Yazmeen Homaifar Beeta Yazmeen Homaifar Jeri Erica Forster Jeri Erica Forster Jeri Erica Forster Bridget Bulman Matarazzo Bridget Bulman Matarazzo Jennifer H. Olson-Madden Jennifer H. Olson-Madden Jennifer H. Olson-Madden Joe eHuggins Lisa Anne Brenner Lisa Anne Brenner Lisa Anne Brenner Lisa Anne Brenner |
| author_facet | Alexandra Lindsay Schneider Trisha Ann Hostetter Beeta Yazmeen Homaifar Beeta Yazmeen Homaifar Beeta Yazmeen Homaifar Jeri Erica Forster Jeri Erica Forster Jeri Erica Forster Bridget Bulman Matarazzo Bridget Bulman Matarazzo Jennifer H. Olson-Madden Jennifer H. Olson-Madden Jennifer H. Olson-Madden Joe eHuggins Lisa Anne Brenner Lisa Anne Brenner Lisa Anne Brenner Lisa Anne Brenner |
| author_sort | Alexandra Lindsay Schneider |
| collection | DOAJ |
| description | 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. 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 one year post screening. 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 Exact tests were used to determine the proportion of suicide attempts by TBI-4 status. 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). Conclusion: Those with a positive TBI screen at mental health intake had a higher proportion of SBRs than those who screened negative for TBI. 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 one year-post screening |
| first_indexed | 2024-04-13T20:20:32Z |
| format | Article |
| id | doaj.art-ed73620a17c64981b094cf3fc79dc3ce |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-13T20:20:32Z |
| publishDate | 2016-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-ed73620a17c64981b094cf3fc79dc3ce2022-12-22T02:31:33ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402016-04-01710.3389/fpsyt.2016.00059188016Responses to traumatic brain injury screening questions and suicide attempts among those seeking Veterans Health Administration mental health servicesAlexandra Lindsay Schneider0Trisha Ann Hostetter1Beeta Yazmeen Homaifar2Beeta Yazmeen Homaifar3Beeta Yazmeen Homaifar4Jeri Erica Forster5Jeri Erica Forster6Jeri Erica Forster7Bridget Bulman Matarazzo8Bridget Bulman Matarazzo9Jennifer H. Olson-Madden10Jennifer H. Olson-Madden11Jennifer H. Olson-Madden12Joe eHuggins13Lisa Anne Brenner14Lisa Anne Brenner15Lisa Anne Brenner16Lisa Anne Brenner17United States Department of Veterans AffairsUnited States Department of Veterans AffairsUniversity of Colorado School of Medicine Anschutz Medical CampusUnited States Department of Veterans AffairsUniversity of Colorado School of Medicine Anschutz Medical CampusUnited States Department of Veterans AffairsUniversity of Colorado School of Medicine Anschutz Medical CampusColorado School of Public HealthUniversity of Colorado School of Medicine Anschutz Medical CampusUnited States Department of Veterans AffairsUniversity of Colorado School of Medicine Anschutz Medical CampusUnited States Department of Veterans AffairsUniversity of Colorado School of Medicine Anschutz Medical CampusUnited States Department of Veterans AffairsUnited States Department of Veterans AffairsUniversity of Colorado School of Medicine Anschutz Medical CampusUniversity of Colorado School of Medicine Anschutz Medical CampusUniversity of Colorado School of Medicine Anschutz Medical CampusBackground: 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. 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 one year post screening. 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 Exact tests were used to determine the proportion of suicide attempts by TBI-4 status. 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). Conclusion: Those with a positive TBI screen at mental health intake had a higher proportion of SBRs than those who screened negative for TBI. 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 one year-post screeninghttp://journal.frontiersin.org/Journal/10.3389/fpsyt.2016.00059/fullPsychometricsSuicideVeteransscreeningTraumatic Brain Injurypredictive validity |
| spellingShingle | Alexandra Lindsay Schneider Trisha Ann Hostetter Beeta Yazmeen Homaifar Beeta Yazmeen Homaifar Beeta Yazmeen Homaifar Jeri Erica Forster Jeri Erica Forster Jeri Erica Forster Bridget Bulman Matarazzo Bridget Bulman Matarazzo Jennifer H. Olson-Madden Jennifer H. Olson-Madden Jennifer H. Olson-Madden Joe eHuggins Lisa Anne Brenner Lisa Anne Brenner Lisa Anne Brenner Lisa Anne Brenner Responses to traumatic brain injury screening questions and suicide attempts among those seeking Veterans Health Administration mental health services Frontiers in Psychiatry Psychometrics Suicide Veterans screening Traumatic Brain Injury predictive validity |
| title | Responses to traumatic brain injury screening questions and suicide attempts among those seeking Veterans Health Administration mental health services |
| title_full | Responses to traumatic brain injury screening questions and suicide attempts among those seeking Veterans Health Administration mental health services |
| title_fullStr | Responses to traumatic brain injury screening questions and suicide attempts among those seeking Veterans Health Administration mental health services |
| title_full_unstemmed | Responses to traumatic brain injury screening questions and suicide attempts among those seeking Veterans Health Administration mental health services |
| title_short | Responses to traumatic brain injury screening questions and suicide attempts among those seeking Veterans Health Administration mental health services |
| title_sort | responses to traumatic brain injury screening questions and suicide attempts among those seeking veterans health administration mental health services |
| topic | Psychometrics Suicide Veterans screening Traumatic Brain Injury predictive validity |
| url | http://journal.frontiersin.org/Journal/10.3389/fpsyt.2016.00059/full |
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