Centre for Health Research in Criminal Justice (Drs Moore and Indig) and Adolescent Health (Dr Haysom), Justice Health; and School of Public Health and Community Medicine, University of New South Wales (Dr Indig), Sydney, Australia.
J Head Trauma Rehabil. 2014 May-Jun;29(3):239-47. doi: 10.1097/HTR.0b013e31828f9876.
Despite being at high risk, little is known about traumatic brain injuries (TBIs) among incarcerated young people. This study aims to describe the prevalence of TBI among incarcerated young people and assess the association with mental health, substance use, and offending behaviors.
The 2009 NSW Young People in Custody Health Survey was conducted in 9 juvenile detention centers.
A total of 361 young people agreed to participate, representing 80% of all incarcerated young people.
Young people were asked if they ever had a head injury where they became unconscious or "blacked-out." The survey used the Kiddie Schedule for Affective Disorders for Children to assess for psychiatric disorders, the Alcohol Use Disorder Identification Test, and the Severity of Dependence Scale to measure problematic substance use.
The sample comprised 88% man, 48% Aboriginal, with an average age of 17 years. One-third (32%) of young people reported ever experiencing a TBI, and 13% reported multiple TBIs. The majority (92%) of "most serious" TBIs were defined as mild, and the most common cause was an assault (62% woman, 34% man). Young people who reported a history of TBI (compared with those reporting no TBI) were significantly more likely to be diagnosed with a mental health disorder, psychological distress, a history of bullying, problematic substance use, participation in fights, and offending behaviors. Reporting multiple (>2) TBIs conferred a higher risk of psychological disorders and problematic substance use.
Incarcerated young people have high rates of TBI. Enhanced detection of TBI among incarcerated young people will assist clinicians in addressing the associated psychosocial sequelae.
尽管风险较高，但关于被监禁的年轻人创伤性脑损伤（TBI）的信息却很少。本研究旨在描述被监禁的年轻人中 TBI 的流行情况，并评估其与心理健康、物质使用和犯罪行为的关联。
2009 年新南威尔士州青少年监禁健康调查在 9 个少年拘留中心进行。
共有 361 名年轻人同意参与，占所有被监禁年轻人的 80%。
年轻人被问到他们是否曾经有过头部受伤导致昏迷或“昏厥”的经历。该调查使用儿童情感障碍时间表评估精神疾病，使用酒精使用障碍识别测试和严重依赖量表测量有问题的物质使用情况。
样本包括 88%的男性、48%的原住民，平均年龄为 17 岁。三分之一（32%）的年轻人报告曾经历过 TBI，13%的年轻人报告经历过多次 TBI。大多数（92%）“最严重”的 TBI 被定义为轻度，最常见的原因是袭击（62%的女性，34%的男性）。报告有 TBI 病史的年轻人（与没有 TBI 病史的年轻人相比）更有可能被诊断出患有心理健康障碍、心理困扰、被欺凌的历史、物质使用问题、参与打架和犯罪行为。报告多次（>2 次）TBI 会增加心理障碍和物质使用问题的风险。
被监禁的年轻人 TBI 发生率较高。增强对被监禁的年轻人 TBI 的检测，将有助于临床医生解决相关的心理社会后果。
