ArticlePsychiatric services (Washington, D.C.)2014
Screening and Intervention for Comorbid Substance Disorders, PTSD, Depression, and Suicide: A Trauma Center Survey.
Article in Psychiatric services (Washington, D.C.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.
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Who cites it
34 citing papers in PubMed, 73 citations in OpenAlex.
- Trial
- An effectiveness-implementation hybrid trial study protocol targeting posttraumatic stress disorder and comorbidity.Implementation science : IS · 2016Trial
- Alcohol and mental health care integration in traumatically injured patients with elevated BAC: a retrospective chart review.Substance abuse treatment, prevention, and policy · 2026Article
- Evaluation of a trauma center-based, technology enhanced stepped care intervention to promote the mental health recovery of adolescent traumatic injury survivors.Contemporary clinical trials communications · 2026Article
- Posttraumatic Stress Disorder Risk Assessment in Craniofacial Trauma at a Level 1 Trauma Center.Plastic and reconstructive surgery. Global open · 2026Article
- Can generative AI assess PTSD? A clinical validation study of transcribed and direct audio input modalities.BMJ digital health & AI · 2025Article
- Hybrid 1 randomized controlled trial of an integrated stepped-care mental health intervention for traumatic injury patients.Contemporary clinical trials · 2024Article
- User-Guided Enhancements to a Technology-Facilitated Resilience Program to Address Opioid Risks Following Traumatic Injury in Youth: Qualitative Interview Study.JMIR formative research · 2023Article
- The Contribution of Neighborhood Characteristics to Psychological Symptom Severity in a Cohort of Injured Black Men.Journal of racial and ethnic health disparities · 2023Article
- Assessment of Traumatic Stress Symptoms During the Acute Posttrauma Period.Focus (American Psychiatric Publishing) · 2023Review
- Article
- Adolescent Suicide-Understanding Unique Risks and Opportunities for Trauma Centers to Recognize, Intervene, and Prevent a Leading Cause of Death.Current trauma reports · 2022Review
- Catalyzing the Translation of Patient-Centered Research Into United States Trauma Care Systems: A Case Example.Medical care · 2021Review
- The opportunities and challenges of machine learning in the acute care setting for precision prevention of posttraumatic stress sequelae.Experimental neurology · 2021Review
- Social Robots for Supporting Post-traumatic Stress Disorder Diagnosis and Treatment.Frontiers in psychiatry · 2021Article
- Post-traumatic stress disorder can be predicted in hospitalized blunt trauma patients using a simple screening tool.Trauma surgery & acute care open · 2021Article
- 'Sharing things with people that I don't even know': help-seeking for psychological symptoms in injured Black men in Philadelphia.Ethnicity & health · 2020Article
- Patient Engagement in a Technology-Enhanced, Stepped-Care Intervention to Address the Mental Health Needs of Trauma Center Patients.Journal of the American College of Surgeons · 2020Article
- A validated predictive algorithm of post-traumatic stress course following emergency department admission after a traumatic stressor.Nature medicine · 2020Article
- A comparative effectiveness trial of an information technology enhanced peer-integrated collaborative care intervention versus enhanced usual care for US trauma care systems: Clinical study protocol.Contemporary clinical trials · 2020Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
objectiveFew investigations have examined screening and intervention procedures for comorbid substance use and mental disorders at trauma centers in the United States, although these disorders are endemic among survivors of traumatic injury. In 2006, the American College of Surgeons (ACS) mandated that level I and level II trauma centers screen for alcohol use problems and that level I centers provide brief intervention for those who screen positive. The ACS is expected to recommend best practice policy guidelines for screening for drug use problems and posttraumatic stress disorder (PTSD). This study examined screening and intervention procedures for the full spectrum of comorbid mental and substance use disorders at U.S. trauma centers.
methodsRespondents at all level I and level II trauma centers (N=518) in the United States were asked to complete a survey describing screening and intervention procedures for alcohol and drug use problems, suicidality, depression, and PTSD.
resultsThere were 391 (75%) respondents. Over 80% of trauma centers routinely screened for alcohol and drug use problems. Routine screening and intervention for suicidality, depression, and PTSD were markedly less common; in fact, only 7% of centers reported routine screening for PTSD. Consistent with ACS policy, level I centers were significantly more likely than level II centers to provide alcohol intervention.
conclusionsAlcohol screening and intervention occurred frequently at U.S. trauma centers and appeared to be responsive to ACS mandates. In the future, efforts to orchestrate clinical investigation and policy could enhance screening and intervention procedures for highly prevalent, comorbid mental disorders.
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