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Adolescent Concussion and Mental Health Outcomes: A Population-based Study.
- Source :
-
American journal of health behavior [Am J Health Behav] 2019 Mar 01; Vol. 43 (2), pp. 258-265. - Publication Year :
- 2019
-
Abstract
- Objectives: Population-based research on the relationship between concussions and self-harm, depression, and suicidal behaviors among adolescents is limited. Methods: A statewide Youth Risk Behavior Surveillance Survey (YRBSS) was conducted among students from 98 high schools in Nevada in 2017. Students were asked if they had a concussion from playing a sport as well as their mental health outcomes 12 months before the survey. Weighted multiple logistic regression was used to assess the relationship between experiencing a concussion and adverse mental health outcomes. Results: Among 3427 students who were physically active at least 60 minutes per day on 5 or more days per week, or played on at least one sport team, 19.5% (95% CI: 17.31%-21.60%) reported they had a concussion during the past 12 months. After controlling for sex, age, race/ethnicity, and academic performance, students who had a concussion had higher odds of: self-harm [aOR = 1.59 (1.16-2.17), p = .003], depressive symptoms [aOR = 1.48 (1.12-1.94), p = .006], attempted suicide [aOR = 3.10 (2.12-4.53), p < .001] and injury from attempted suicide [aOR = 2.61 (1.31-5.20, p = .006]. Conclusions: Students who experience a concussion may be at increased risk for poor mental health outcomes, including suicide attempts. Psychological evaluation following a concussion should complement medical evaluation and treatment..
- Subjects :
- Adolescent
Brain Concussion complications
Depression etiology
Female
Follow-Up Studies
Health Surveys
Humans
Male
Nevada epidemiology
Schools statistics & numerical data
Self-Injurious Behavior etiology
Suicide, Attempted statistics & numerical data
Adolescent Behavior
Athletic Injuries epidemiology
Brain Concussion epidemiology
Depression epidemiology
Self-Injurious Behavior epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1945-7359
- Volume :
- 43
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- American journal of health behavior
- Publication Type :
- Academic Journal
- Accession number :
- 30808466
- Full Text :
- https://doi.org/10.5993/AJHB.43.2.3