National Center for Veterans Studies, University of Utah, Salt Lake City, UT 84112, USA.
J Head Trauma Rehabil. 2013 Jan-Feb;28(1):13-20. doi: 10.1097/HTR.0b013e31826c73cc.
To identify clinical variables associated with suicidality in military personnel with mild traumatic brain injury (mTBI) while deployed to Iraq.
Outpatient TBI clinic on a US military base in Iraq.
Military personnel (N = 158) referred to an outpatient TBI clinic for a standardized intake evaluation, 135 (85.4%) who had a diagnosis of mTBI and 23 (14.6%) who did not meet criteria for TBI.
Suicidal Behaviors Questionnaire-Revised, Depression subscale of the Behavioral Health Measure-20, Posttraumatic Stress Disorder Checklist-Military Version, Insomnia Severity Index, self-report questionnaire, and clinical interview addressing TBI-related symptoms.
Among patients with mTBI, increased suicidality was significantly associated with depression and the interaction of depression with posttraumatic stress disorder symptoms. Longer duration of loss of consciousness was associated with decreased likelihood for any suicidality.
Assessment after TBI in a combat zone may assist providers in identifying those at risk for suicidality and making treatment recommendations for service members with mTBI.
确定部署到伊拉克的军人中轻度创伤性脑损伤（mTBI）与自杀意念相关的临床变量。
伊拉克美军基地的门诊 TBI 诊所。
转诊至门诊 TBI 诊所进行标准化摄入评估的军人（N=158），其中 135 人（85.4%）诊断为 mTBI，23 人（14.6%）不符合 TBI 标准。
修订后的自杀行为问卷、行为健康量表-20 的抑郁分量表、军人版创伤后应激障碍检查表、失眠严重程度指数、自我报告问卷和临床访谈，以评估与 TBI 相关的症状。
在 mTBI 患者中，自杀意念显著与抑郁和抑郁与创伤后应激障碍症状的相互作用相关。较长时间的意识丧失与自杀意念的可能性降低相关。
在战区对 TBI 进行评估可能有助于提供者识别那些有自杀风险的人，并为 mTBI 患者提出治疗建议。
